_Exhibit B-2. Subcontractor Information and Consent Form_W50S6X-23-R-0006 Asphalt Paving.docx
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- Solicitation number
- W50S6X-23-R-0006
- Issued by
-
Department of the Army National Guard
About this file
This document contains a subcontractor consent form and information related to a federal contract opportunity for asphalt paving repair services. The subcontractor consent form allows disclosure of past performance information to prime contractors bidding on solicitation number W50S6X-23-R-0006 from the Department of the Army National Guard. The form requires subcontractors to provide references and consent to discussion of their past and present performance.
The federal contract opportunity is for asphalt paving repair including full replacement base course aggregate and bituminous, mill and overlay hot mix, drainage, sealant and striping for approximately 7,600 square yards in 13 contiguous areas at the Delaware Air National Guard. The estimated price range for the contract is between $500,000 and $1,000,000 if all options are exercised by September 30, 2023. The solicitation requires a bid bond with proposals and payment and performance bonds within 10 days of award.
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Delaware Air National Guard Asphalt Paving Repair
W50S6X-23-R-0006 JLWS202068
EXHIBIT B-2 – 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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