S02 - Attachment 08 - Subcontractor Past Performance Consent Form (1 page).pdf
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- Solicitation number
- 36C24821R0123
About this file
This document provides details for a federal contract opportunity to replace motor control centers at a Department of Veterans Affairs medical facility in Puerto Rico. The Department of Veterans Affairs, Veterans Integrated Service Network 8 is seeking to award a firm-fixed-price contract for design-build services to replace six motor control centers exceeding 40 years of age at the VA Caribbean Healthcare System in San Juan. The replacement project involves removing and disposing of existing electrical distribution equipment, installing new 800-amp motor control centers and associated components in the OPA Basement and Main Building Sub-Basement Area, designing and constructing a 3,000-pound capacity equipment lift, and replacing lighting fixtures. The solicitation is anticipated to be issued on June 16, 2021 with a response due date of July 19, 2021. The contract value is estimated between $2 million and $5 million. The opportunity is set aside for Service-Disabled Veteran-Owned Small Businesses.
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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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