B-2. Subcontractor Information and Consent Form_W50S6X-23-R-0006 Asphalt Paving.docx

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Asphalt Paving Repair
Solicitation number
W50S6X-23-R-0006
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This document contains a draft request for proposal and associated files for an asphalt paving repair project at the Delaware Air National Guard. The solicitation includes one line item for a full roadway replacement and fourteen optional line items for additional roads and parking areas totaling approximately 12,500 square yards of hot-mix asphalt repair and replacement between $1,000,000 to $5,000,000. Offerors must provide information on proposed subcontractors using the attached consent form, allowing the disclosure of past performance to the prime contractor. The Department of the Army National Guard is the contracting agency.

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Delaware Air National Guard Asphalt Paving Repair

W50S6X-23-R-0006 JLWS202068

EXHIBIT B – SUBCONTRACTOR INFORMATION AND CONSENT FORM

Past performance information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent. Because a prime contractor is a private party, the Government will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime during exchanges. To assist the Government in assessing the offering contractor’s past performance relevancy and confidence, we request the following consent form be completed by the major subcontractors/teaming partners identified in the offering contractor’s proposal. The completed consent forms should be submitted to the offering contractor for submission with subcontract past performance volume. Additionally, certain subcontractors will be required to send off questionnaires to their references. The offering contractor will inform you if this is required. Your cooperation will be appreciated.

Your Letterhead

SUBCONTRACTOR/TEAMING PARTNER CONSENT FOR THE RELEASE OF PAST PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR AND REFERENCE INFORMATION

__________________ (Name of Firm) is currently participating as a (subcontractor/teaming partner) with (prime contractor or name of entity providing proposal) in responding to W50S6X-23-R-0006. We understand the Government is placing increased emphasis on past performance to obtain best value in source selections. To facilitate the performance confidence assessment process, we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature) (Name and Title of Individual with authority to sign for and Legally bind the company) Company Name: ________________________

Address:______________________________
City/State/Zip Code:______________________Date:_____________________

Reference List (required): Reference cannot be from the contractor proposing on this solicitation.

1. Contract No. and Title ___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________ Reference POC Name ____________________________ Phone _________________________ Email address: _________________________________________________________________

2. Contract No. and Title ____________________________________________________________ Describe your role (Prime/Sub) and work Performed ____________________________________ Reference POC Name ____________________________ Phone __________________________ Email address: __________________________________________________________________

3. Contract No. and Title _____________________________________________________________ Describe your role (Prime/Sub) and work Performed ____________________________________ Reference POC Name ____________________________ Phone __________________________ Email address: __________________________________________________________________

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