DRAFT - Exhibit E - Subcontractor Teaming Partner Letter and Table.pdf

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Clinical Reference Laboratory Testing Services
Solicitation number
HT001526RE001DRAFT
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This document is a template exhibit for federal contract solicitation HT001526RE001 concerning Clinical Reference Laboratory Testing Services for the Department of Health Agency (DHA). It provides sample forms and tables for subcontractors and teaming partners to use when submitting consent documentation to the prime offeror.

The exhibit contains two primary components. First, it includes a sample Subcontractor/Teaming Partner Consent Letter template, addressed to Mr. Bilicki, in which subcontractors or teaming partners formally consent to the release of their past and present performance information to the prime offeror during the source selection and performance risk assessment process. The letter requires signature by an individual with authority to legally bind the company, along with the signatory's title, company name, address, CAGE Code, and contact information. Second, the document provides a Subcontractor/Teaming Partner (S/TP) Table template for documenting organizational structure, including fields for the prime offeror's company name, small business designation, address, point of contact with telephone number, and percentage of contract workload. The table accommodates up to two subcontractors or teaming partners (S/TP-A and S/TP-B), each requiring business relationship designation, small business designation, address, point of contact information, and percentage of contract workload. The instructions note that if the offeror is a joint venture, the joint venture name should be listed with details for both forming companies provided in the designated fields.

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Solicitation Number

HT001526RE001

Exhibit E

EXHIBIT E

SAMPLE SUB-CONTRACTOR/TEAMING PARTNER CONSENT LETTER and

TEAMING PARTNER TABLE(S)

(NOTE: This information should be on company letterhead.)

Subcontractor/Teaming Partner Consent Form for the Release of Performance Risk (Past and present Performance) Information to the Prime Offeror

SUBJECT: Consent to Release Past Performance Information for RFP HT0015-26-R-E001

Dear Mr. Bilicki, We are writing to confirm our role as a [Subcontractor/Teaming Partner] with [Prime Offeror] for the Department of Health Agency (DHA) Request for Proposal (RFP) HT0015-26-R-E001, concerning Clinical Reference Laboratory Testing Services.

In support of the government's performance risk assessment and best value determination, we consent to the discussion of our past and present performance information with the prime offeror during the source selection process.

(Signature of individual who has the authority to sign for and legally bind the company)

Title of above individual:

Company Name:

Address:

CAGE Code:

Phone Number and email:

Solicitation Number

HT001526RE001

Exhibit E

SUBCONTRACTOR/TEAMING PARTNER (S/TP) TABLE

Provide the required information on the offeror (Prime) below. If the offeror is a Joint Venture, list the name of the Joint Venture in the block next to “Offeror Company Name” and provide the details for the two (2) companies forming the Joint Venture in the fields provided.

Offeror Company Name Small Business Designation Address

Point of Contract (POC) & Telephone Percentage of Contract Workload

S/TP - A

Subcontractor/Teaming Partner Table Name Business Relationship Small Business Designation Address

POC & Telephone

Percentage of Contract Workload

S/TP - B

Subcontractor/Teaming Partner Table Name Business Relationship Small Business Designation Address POC & Telephone Percentage of Contract Workload

SUBCONTRACTOR/TEAMING PARTNER (S/TP) TABLE

Offeror Company Name:
Small Business Designation:
Address:
Point of Contract POC Telephone:
Percentage of Contract Workload:
STP ASubcontractorTeaming Partner Table Name:
STP ABusiness Relationship:
STP ASmall Business Designation:
STP AAddress:
STP APOC Telephone:
STP APercentage of Contract Workload:
STP BSubcontractorTeaming Partner Table Name:
STP BBusiness Relationship:
STP BSmall Business Designation:
STP BAddress:
STP BPOC Telephone:
STP BPercentage of Contract Workload:
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File details come from the government source that posted it. Updated .