EXHIBIT C SUBCONTRACTOR INFORMATION AND CONSENT.docx
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- Attached to
- Z2NB-- Project 667-18-101 Correct Tunnel Discrepancies Federal contract opportunity
- Solicitation number
- 36C25621R0158
About this file
This document contains an exhibit for a federal solicitation requesting proposals for corrective tunnel work. The solicitation will be issued as a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses to correct tunnel discrepancies at the Overton Brooks VA Medical Center in Shreveport, Louisiana. The tentative proposal due date is August 15, 2021 with an anticipated award date within 30 days thereafter. The performance period is 200 calendar days from the notice to proceed. The work includes all labor, materials, equipment, and expertise to perform the scope of work, drawings, and specifications. The NAICS code is 236220 for construction of commercial and institutional buildings with a small business size standard of $39.5 million. The construction cost range is between $500,000 to $1 million.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 36C25621R0158 Correct Tunnel Discrepancies
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)
is currently planning on participating as a subcontractor and or a teaming partner with
(PRIME CONTRACTOR OR NAME OF ENTITY PROVIDING PROPOSAL)
in responding to the Request for Proposal No. 36C25621R0158 for Project 667-18-101, Correct Tunnel Discrepancies
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: Telephone #
Address:
City/State/Zip Code: Date:
Reference List (required):
| 1. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
| 2. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
| 3. | Contract No. And Title: | ||
| Describe role (Prime/Sub) and work Performed: | |||
| Reference POC Name | Phone: | Fax: | |
| Email address: |
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