Phase I - Offerors Team Consent Form.doc

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Attached to
P-1231 Design-Build Wastewater Treatment Plant, Marine Corps Air Ground Combat Center, Twentynine Palms, California
Solicitation number
N6247320R0022
Issued by

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This document contains an Offeror's Team Consent Form and details of a federal contract opportunity for a wastewater treatment plant project. The consent form is to be completed by any major subcontractors or teaming partners identified in an offeror's proposal, to allow the government to discuss their past and present performance with the prime contractor as part of the source selection evaluation. The federal contract opportunity is solicitation number N6247320R0022 from the Department of the Navy Naval Facilities Engineering Command to design and construct a new wastewater treatment plant at the Marine Corps Air Ground Combat Center in Twentynine Palms, California on a firm-fixed-price basis. The project scope includes a primary and bypass headworks, sludge removal drying system, clarifiers, tertiary treatment, tertiary filtration, pump stations, chlorination disinfection, and a treatment plant operations building. The facility must incorporate cybersecurity and antiterrorism/force protection features per DoD criteria.

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OFFEROR’S TEAM CONSENT FORM

for the Release of Past and Present Performance Information to the Prime Contractor N62473-20-R-0022

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:

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Team Member

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Subsidiary

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Subcontractor

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Design Subcontractor (Lead Design Firm)

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Parent Company

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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.

Offeror’s Team Consent Form, Page 1 of 1 (Rev 12/12)

File details come from the government source that posted it. Updated .