Subcontractor Information and Consent Form.doc

REQUEST FOR PROPOSAL # NIHOF2008056

Attachment 2

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 and confidence, 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 Contracting Officer with the past performance section of proposal.

___________________(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 Request for Proposal No. NIHOF2008056 for the Design Build IDIQ Contract for Electrical Vault Upgrade at Various Buildings, National Institutes of Health (NIH), Bethesda, Maryland 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): (AE(s) for Design Build should a provide SF 330)

1. Contract No. And Title___________________________________________________________

Describe your role (Prime/Sub) and work Performed ___________________________________

Reference POC Name____________________________ Phone___________ Fax____________

Email address: _________________________________________________________________

2. Contract No. And Title___________________________________________________________

Describe your role (Prime/Sub) and work Performed ___________________________________

Reference POC Name____________________________ Phone___________ Fax____________

Email address: _________________________________________________________________

3. Contract No. And Title____________________________________________________________

Describe your role (Prime/Sub) and work Performed ___________________________________

Reference POC Name____________________________ Phone___________ Fax____________

Email address: _________________________________________________________________