J.10 Attachment 10 - Subcontractor Past Performance Consent Form (1 page).pdf
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- Solicitation number
- 36C24823R0026
About this file
This document contains a subcontractor consent form and details of a federal contract opportunity with the Department of Veterans Affairs. The consent form allows subcontractors and teaming partners to consent to the prime contractor discussing their past performance information during the source selection process. The federal contract opportunity is a solicitation to renovate room A180 at a VA facility to install a DEXA system. It has a project number of 573A4-CSI-135, requires phase 1 proposals by November 20, 2022 at 1:30 PM, and is set aside for Service-Disabled Veteran-Owned Small Businesses. Vendor verification for the SDVOSB set aside can be found on the VetBiz website.
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SOLICITATION ATTACHMENT
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 (if any). In an effort to assist the Government in assessing your past performance relevancy we request that this 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 technical proposal.
SAMPLE FORM:
__________________________ (Company name of Subcontractor or Teaming Partner) is currently planning on participating as a (Subcontractor or a Teaming Partner) with ____________________________ (prime contractor or name of entity providing proposal) for the Department of Veterans Affairs, Solicitation #:________________.
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) / (Date) (Title of Individual with authority to sign for and legally bind the company)
Company Name: _____________________ Telephone #____________________
DUNS #: ___________________________ Email: ________________________
Address: ___________________________________________________________
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