EXHIBIT C.docx
DOCX document 28 KB Posted
- Attached to
- 667-24-255 Bldg. 55 Accessibility Ramp Federal contract opportunity
- Solicitation number
- 36C25625R0125
About this file
This is a subcontractor information and consent form (Exhibit C) for a Department of Veterans Affairs construction project involving Building 55 accessibility ramp improvements under solicitation 36C25625R0002, Project No. 667-24-255. The form requires major subcontractors and teaming partners to provide written consent allowing the government to share their past and present performance information with the prime contractor during the source selection process, as past performance information cannot be disclosed to private parties without explicit consent.
The form collects identifying information for both the subcontractor/teaming partner and prime contractor, including company names, contact details, and DUNS/CAGE/SAM unique identifier codes. It requires subcontractors to provide a reference list with three past contracts, detailing contract numbers and titles, their role as prime or subcontractor, work performed, and reference contact information including names, email addresses, and phone numbers. The document is marked "FOR OFFICIAL USE ONLY" and designated as source selection sensitive information under FAR regulations, and must be submitted by subcontractors to the prime contractor for inclusion in the past performance volume of the proposal.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| EXHIBIT B.docx | DOCX document | |
| EXHIBIT E.docx | DOCX document | |
| S02 2016-03-21 Utilities Drawing.pdf | ||
| EXHIBIT F.docx | DOCX document | |
| S02 Wage Determination 667-24-255 -01-03-2025.pdf | ||
| S02 SOW 10-03-2024.pdf | ||
| S02 B55 Ramp-Existing Drawing.pdf | ||
| 36C25625R0125_1 08-06-2025.docx | DOCX document | |
| EXHIBIT A.docx | DOCX document | |
| EXHIBIT D.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. 667-24-255 Bldg. 55 Accessibility Ramp 36C25625R0002
EXHIBIT C – 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 #
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