S02 - Attachment 11 - Subcontractor Past Performance Consent Form (1 page).docx

DOCX document 16 KB Posted

Attached to
Z2DA--Correct Tunnel Water Protection Federal contract opportunity
Solicitation number
36C24822R0156
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

This document contains a subcontractor information and consent form template for a Department of Veterans Affairs solicitation. The form is to be completed by major subcontractors or teaming partners identified in a proposal, granting consent for the government to disclose their past and present performance information to the prime contractor during the source selection process. Subcontractors are asked to provide their company name, signature and title of an authorized individual, telephone number, unique entity identifier, email, and address. The related federal contract opportunity is for corrective tunnel water protection services at the Gainesville VAMC located at 1601 SW Archer Rd, Gainesville, FL 32608. A mandatory site visit is scheduled for August 15, 2022 at 10:00 AM where participants will meet at the specified address and engineering office location.

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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 #____________________ Unique Entity Identifier ID: ____________________ Email: ________________________ Address: ____________________________________________________________

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