J.12 Attachment 12 Subcontractor Past Performance Consent Form [1 Pages].pdf
PDF 35 KB Posted
- Attached to
- Y1DA--(PROJ: 573A4-21-816) DB - Replace Cooling Towers Federal contract opportunity
- Solicitation number
- 36C24822R0107
About this file
This document contains a subcontractor consent form and details of a federal contract opportunity for replacing cooling towers. The consent form allows subcontractors to consent to their past performance information being shared with prime contractors for a Department of Veterans Affairs solicitation. The related federal contract opportunity is a solicitation from the Veterans Health Administration to replace cooling towers at a project site. Proposals are due on August 22, 2022. This is a set-aside opportunity for Service-Disabled Veteran-Owned Small Businesses. Vendor verification can be found on the VA's Vendor Information Pages database.
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Text version
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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