EXHIBIT B Rpr Base RdsLd (Attachment).docx
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- Attached to
- Repair Apron & Base Roads
- Solicitation number
- W912LM-23-R-1001
About this file
This exhibit contains a subcontractor consent form for a construction services solicitation. The United States Property and Fiscal Office for Minnesota is soliciting proposals for a firm fixed price contract valued between $5 million and $10 million to repair base roads and aprons at the 133rd Airlift Wing in Saint Paul, Minnesota. The project is set aside for small businesses with a NAICS code of 237310 and size standard of $45 million in average annual receipts. A pre-proposal conference is scheduled for April 18, 2023 followed by a site visit. Subcontractors are requested to complete the consent form to allow their past performance information to be shared with any prime contractor, and provide a list of three references that are not the contractor proposing for this solicitation.
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Repair Apron & Base Roads
W912LM-23-R-1001
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. In an effort to assist the Government in assessing the offering contractor’s past performance relevancy and confidence, we request that 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.
DEPARTMENTS OF THE ARMY AND THE AIR FORCE
NATIONAL GUARD OF MINNESOTA
UNITED STATES PROPERTY AND FISCAL OFFICE - MINNESOTA
15000 HIGHWAY 115, CAMP RIPLEY
LITTLE FALLS, MINNESOTA 56345-4173
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 W912LM-23-R-1001. 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) |
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___________ Fax____________ Email address: _________________________________________________________________
2. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________ Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________
3. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________ Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________
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