S02 - Attachment 08 - Subcontractor Past Performance Consent Form - 2 Pages - BB 672-26-110.docx
DOCX document 19 KB Posted
- Attached to
- Z2DA--Repair Water Tanks Deficiencies
- Solicitation number
- 36C24826R0075
About this file
This is a Subcontractor Information and Consent Form attachment required for the Department of Veterans Affairs solicitation 36C24826R0075 for water tank repair deficiencies at the VA Caribbean Healthcare System in San Juan, Puerto Rico. The form serves as a template for obtaining written consent from major subcontractors and teaming partners to allow the Government to disclose their past and present performance information to the prime contractor during the source selection process. This consent is necessary because past performance data for subcontractors cannot be released to private parties without explicit authorization.
Major subcontractors and teaming partners must complete the form and provide a minimum of three references from entities they have worked for as either prime or subcontractor, excluding references from the proposing prime contractor. The form requires submission of the subcontractor or teaming partner's company name, unique entity identifier, contact information, authorized signature, and detailed reference information including contract numbers, project titles, descriptions of work performed, and reference points of contact with phone and email. Written references from second-tier subcontractors are encouraged and may be included as supplementary documentation. All completed consent forms must be submitted by the prime contractor to the Government with the past performance volume.
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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 past performance volume.
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 No. .
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 as well as our recommended references as listed on the attachment.
(Signature) / (Date) (Title of Individual with authority to sign for and legally bind the company)
Company Name: _____________________ Telephone #_________________________ Unique Entity Identifier: ____________________ Email: _________________________ Address: ____________________________________________________________ Reference List (required and not to be from proposing prime contractor):
1. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________
2. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________
3. Contract No. __________________________________________________ Project No. and Title: ___________________________________________ Describe your role (Prime/Sub) and work Performed __________________ _____________________________________________________________ Reference POC Name_______________________ Phone_______________ Email address: ________________________________
Each major subcontractor and or Teaming Partner must complete the “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify at a minimum three (3) references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposing offeror are not acceptable. Written references for subcontractors and 2nd tier subcontractors may be included and are encouraged.
File details come from the government source that posted it. Updated .