Exhibit C - Subcontractor Information _ Consent Form.docx
DOCX document 51 KB Posted
- Solicitation number
- 36C25621R0172
About this file
This document contains a subcontractor consent form and information on a related federal contract opportunity for construction services. The subcontractor consent form allows for the release of past performance information to prime contractors for the purpose of facilitating a performance confidence assessment. It requires signatures and references for any major subcontractors.
The related federal contract opportunity is a solicitation to construct a surface level parking lot at the Southeast Louisiana Veterans Health Care System in New Orleans. Interested Service-Disabled Veteran-Owned Small Businesses must obtain the solicitation from SAM.gov and acknowledge any amendments. Proposals are due around October 26th, 2021 with contract award anticipated within 30 days thereafter. The performance period is 180 days from notice to proceed. The construction cost range is between $1,000,000 to $2,000,000. The prime contractor must perform a minimum of 15% of contract costs for general construction using its own employees or other eligible SDVOSBs.
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629-18-107 Construct Surface Level Parking Lot, New Orleans Network Contracting Office (NCO) 16 Solicitation No. 36C25621R0172
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. 36C25621R0172 for Project 629-18-107 Construct Surface Level Parking Lot, New Orleans
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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