15-R-2435_FP_MACC_-_Offeror's_Team_Consent_Form.pdf

Offeror’s Team Consent Form, Page 1 of 1

(Rev 12/12)

OFFEROR’S TEAM CONSENT FORM

FOR THE RELEASE OF PAST AND PRESENT PERFORMANCE INFORMATION

TO THE PRIME CONTRACTOR

N62473-15-R-2435

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 considered a private party, the Government requires the consent of the subcontractor/teaming partner before disclosing past and present performance information to the prime contractor during exchanges. In an effort to assist the Government in evaluating past performance relevancy and confidence, we request that a consent form be completed by the major subcontractors/teaming partners identified in the Offeror’s proposal.

THIS FORM IS TO BE COMPLETED BY THE ENTITY THAT IS PROVIDING CONSENT TO

THE PRIME CONTRACTOR. USE THIS FORM (ONE PER ENTITY) TO PROVIDE CONSENT

TO ALLOW THE GOVERNMENT TO DISCUSS YOUR PAST AND PRESENT PERFORMANCE

INFORMATION WITH THE PRIME CONTRACTOR DURING THE SOURCE SELECTION

PROCESS.

In responding to the solicitation number identified above, we are participating as a:

Team Member Subsidiary

Subcontractor Design Subcontractor (Lead Design Firm)

Parent Company Other Affiliate:

with:

Offeror Name (prime contractor or name of entity providing proposal)

We understand that the Government will be evaluating our past performance as part of the source selection evaluation for the solicitation number identified above. 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.

Name of Entity

Providing Consent:

Address:

Phone Number:

Email Address:

DUNS Number:

CAGE Code:

Name of Individual with

Authority to Sign for and

Legally Bind the Company:

Title:

Signature:

Date:

Note: Form may be expanded.