EXHIBIT B.docx
DOCX document 27 KB Posted
- Solicitation number
- 36C25626R0020
About this file
This is a Subcontractor Information and Consent Form (Exhibit B) for federal contract solicitation 36C25626R0020 related to Project 502-23-392, which involves replacing the roof on Emergency Generator Building 39 at the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.
The form requests that major subcontractors and teaming partners provide written consent allowing the Government to disclose their past and present performance information to the prime contractor during the source selection process. The subcontractor or teaming partner must complete the form with their firm name, contact information, DUNS/CAGE/SAM identifiers, and the prime contractor details. Additionally, each subcontractor or teaming partner is required to provide a reference list containing at least three contracts, including contract numbers, titles, descriptions of their role (prime or subcontractor) and work performed, and reference point-of-contact information with email addresses and phone numbers. The form emphasizes that Government source selection places increased emphasis on past performance to obtain best value and that the subcontractor's signature authorizes discussion of their performance history with the prime contractor throughout the evaluation process.
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Other files
| File | Type | Posted |
|---|---|---|
| S05 RFIs 502-23-392 Replace Roof on Emerg. Adment 0004.docx | DOCX document | |
| 36C25626R0020 0004.docx | DOCX document | |
| Wage Determination LA20250051 01-15-2026.pdf | ||
| 36C25626R0020 0003.docx | DOCX document | |
| 36C25626R0020 0002.docx | DOCX document | |
| S05 RFIs 502-23-392 Replace Roof on Emerg. Generator Bldg. 39.docx | DOCX document | |
| 36C25626R0020 0001.docx | DOCX document | |
| S04 Site Visit 03-02-2026 Sign in sheet-Final.pdf | ||
| P09 502-23-392 Pineville Generator Roof - Specifications updated 01-02-26.pdf | ||
| EXHIBIT E.docx | DOCX document | |
| EXHIBIT D.docx | DOCX document | |
| EXHIBIT C.docx | DOCX document | |
| EXHIBIT A.docx | DOCX document | |
| P07 Wage Determination LA20250051 01-15-2026.pdf | ||
| P09 502-23-392 Drawings.pdf | ||
| P09 SOW Replace Roof of emergency generator on Bldg 39- Final.docx | DOCX document | |
| 36C25626R0020.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-23-392 Replace Roof on Emergency Generator Bldg. 39 36C25626R0020
EXHIBIT B – SUBCONTRACTOR INFORMATION AND CONSENT FORM
Subcontractor and/or Teaming Partner Consent for the Release of Past Performance Information to the Prime Contractor and Reference Information
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. In an effort to assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal. The completed consent forms should be submitted to the offering contractor for submission with past performance volume.
Name of Firm: _________________________________
| (That is currently planning on participating as a subcontractor and or a teaming partner with |
| Telephone:_____________ |
Address:_______________
City/State/Zip Code:_______
DUNS/Cage/SAM Unique Identifier Codes:_________________
Name of Prime:__________________________________
| (PRIME CONTRACTOR OR NAME OF ENTITY PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25625R0002 for Project No. 667-24-255) |
| Telephone:________________ |
Address:__________________
City/State/Zip Code:___________
DUNS/Cage/SAM Unique Identifier Codes:____________
We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order 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:___________________________________ |
| ___________________________ |
Title of Individual with authority to sign for and Legally bind the company
Reference List (required):
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
Contract No. And Title:
Describe role (Prime/Sub) and work Performed
Reference POC Name
Email address & Phone #
File details come from the government source that posted it. Updated .