EXHIBIT C SUBCONTRACTOR INFORMATION AND CONSENT.docx

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Z2NB--INSTALL SOFTWATER EQUIPMENT
Solicitation number
36C25621R0022
Issued by

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This document contains an exhibit and federal contract opportunity related to a project to install softwater equipment. The exhibit outlines consent forms for subcontractors to allow their past performance information to be shared with prime contractors for source selection purposes. The federal contract opportunity is a 100% small business set-aside solicitation issued by the Department of Veterans Affairs for project 629-17-109. Interested offerors must be verified as a service-disabled veteran-owned small business. The project involves replacing HVAC systems at a VA health care facility located in Pineville, Louisiana, with an estimated construction cost between $5 million to $10 million. Proposals are due around June 8, 2020 with an anticipated contract award 30 days later. The contract performance period is 365 days from the notice to proceed.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 629-17-109 Install Softwater Equipment 36C25621R0022

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. 36C25621R0022 for Project 629-17-109 Install Softwater Equipment.

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 NamePhone:Fax:
Email address:
2.Contract No. And Title:
Describe role (Prime/Sub) and work Performed:
Reference POC NamePhone:Fax:
Email address:
3.Contract No. And Title:
Describe role (Prime/Sub) and work Performed:
Reference POC NamePhone:Fax:
Email address:

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