EXHIBIT B- Subcontractor Information and Consent Form.pdf

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Attached to
Z1DA | 586-25-101 | SITE PREP IR UPGRADE | DESIGN-BUILD | JACKSON, MS | AMEND 0002
Solicitation number
36C25626R0018
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This is a Subcontractor Information and Consent Form (Exhibit B) for federal contract proposal 36C25626R0018 related to Project No. 586-25-101 SITE PREP IR UPGRADE. The form serves as a template that prime contractors must obtain from major subcontractors and teaming partners participating in their proposal response.

The form requires subcontractors and teaming partners to provide consent allowing the Government to disclose their past and present performance information to the prime contractor during the source selection process. Subcontractors must complete the form with their firm name, contact information, DUNS/CAGE/SAM identifiers, and the name and details of the prime contractor they are partnering with. The form also requires submission of a reference list containing at least three contract examples, including contract numbers and titles, descriptions of the subcontractor's role (prime or sub) and work performed, and reference points of contact with email addresses and phone numbers. The completed consent forms are to be submitted by the offering contractor as part of the past performance volume submission to facilitate the Government's assessment of subcontractor past performance relevancy in evaluating proposals for best value.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Project No. 586-25-101 SITE PREP IR UPGRADE 36C25626R0018

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

Telephone:_____________ Address:_______________

City/State/Zip Code:_______ DUNS/Cage/SAM Unique Identifier Codes:_________________ partner with

Name of Prime:__________________________________

(PRIME CONTRACTOR OR NAME OF ENTITY

PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25626R0018 for Project No.

586-25-101)

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 #

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