EXHIBIT C Subcontractor Information.pdf
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- Attached to
- Modernize 6N Inpatient Restrooms (Swing for 3N)
- Solicitation number
- 36C25626R0108
About this file
This is a Subcontractor Information and Consent Form (Exhibit C) for federal contract opportunity 36C25626R0108, Project No. 667-27-130, related to modernization of 6N Inpatient Restrooms (Swing for 3N). The form is a template requiring completion by major subcontractors and teaming partners identified in a proposal responding to the associated Request for Proposal.
The form serves to obtain written consent from subcontractors and teaming partners authorizing the Government to disclose their past and present performance information to the prime contractor during the source selection process. This consent is necessary because prime contractors are classified as private parties under federal regulations, and past performance data cannot otherwise be shared without explicit authorization. Subcontractors and teaming partners must provide their firm name, telephone, address, city/state/zip code, and DUNS/Cage Code, along with corresponding information for the prime contractor entity. The form requires signature by an individual with legal authority to bind the company. Additionally, subcontractors must submit a required reference list containing at least three contract entries, each specifying the contract number and title, description of role (Prime/Sub) and work performed, and reference point-of-contact name, email address, and phone number. This documentation facilitates the Government's assessment of past performance relevancy in making best-value source selection decisions.
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FOR OFFICIAL USE ONLY
Modernize 6N Inpatient Restrooms (Swing for 3N)
Source Selection Information - See FAR 2.101 and 3.104 36C25626R0108 | Project No. 667-27-130
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. 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 Code: ____________________________________________________________
Name of Prime: _______________________________________________________________ (PRIME CONTRACTOR OR NAME OF ENITITY PROVIDING PROPOSAL in responding to the Request for Proposal No. 36C25626R0108 for Project No. 667-27-130 Modernize 6N Inpatient Restrooms (Swing for 3N))
Telephone: __________________________________________________________________ Address: ____________________________________________________________________ City/State/Zip Code: ___________________________________________________________ DUNS/Cage Code: ____________________________________________________________
We understand that the Government is placing increased emphasis on past performance to obtain best value in source selections. 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 legally bind the company
FOR OFFICIAL USE ONLY
Modernize 6N Inpatient Restrooms (Swing for 3N)
Source Selection Information - See FAR 2.101 and 3.104 36C25626R0108 | Project No. 667-27-130
Reference List (required):
Contract No. and Title: __________________________________________________________ Describe role (Prime/Sub) and Work Performed: _____________________________________ Referecne POC Name/Email Address/Phone #: _____________________________________
File details come from the government source that posted it. Updated .