EXHIBIT C.docx
DOCX document 28 KB Posted
- Attached to
- Bldg. 55 Accessibility Ramp
- Solicitation number
- 667-24-255
About this file
This is a subcontractor consent form (Exhibit C) for federal contract solicitation 36C25625R0002, Project No. 667-24-255 for Building 55 Accessibility Ramp construction. The form is designated as "Source Selection Sensitive Information" and is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The project appears to be a design-build accessibility ramp construction set aside for Veteran-Owned Small Businesses (VOSB).
The form requires major subcontractors and teaming partners to provide consent for the government to release their past and present performance information to the prime contractor during the source selection process. Subcontractors must complete identification information including firm name, contact details, and DUNS/CAGE/SAM codes, along with similar information for the prime contractor. The form requires three contract references with details including contract numbers, titles, role descriptions (prime or subcontractor), work performed, and point of contact information with email addresses and phone numbers. This consent mechanism enables the government to conduct thorough past performance evaluations as part of their best value source selection methodology.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 B55 Ramp-Existing Drawing.pdf | ||
| S02 SOW 10-03-2024.pdf | ||
| EXHIBIT A.docx | DOCX document | |
| EXHIBIT D.docx | DOCX document | |
| S02 Wage Determination 667-24-255 -01-03-2025.pdf | ||
| 36C25625R0125_1 08-06-2025.docx | DOCX document | |
| S02 2016-03-21 Utilities Drawing.pdf | ||
| EXHIBIT B.docx | DOCX document | |
| EXHIBIT F.docx | DOCX document | |
| EXHIBIT E.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 #
File details come from the government source that posted it. Updated .