S02 - Attachment 11 - Subcontractor Past Performance Consent Form (1 page).docx
DOCX document 16 KB Posted
- Attached to
- J045--Replace Plumbing Systems in Bldg. 64 Federal contract opportunity
- Solicitation number
- 36C24822R0194
About this file
This document contains a consent form template and details for a federal solicitation to replace plumbing systems at a Veterans Affairs medical center. The solicitation seeks to remove and replace overhead horizontal sanitary mains and branches in the basement of Building 64 to address problems caused by the poor condition of existing piping. Work will be performed according to provided specifications and construction drawings. A mandatory site visit is scheduled for October 18th for attendees to meet at the Lake City VAMC campus and tour the project location. Interested parties must submit the completed consent form with their technical proposal to allow discussion of any major subcontractors' past performance information with the prime contractor during evaluation. The solicitation was issued by the Department of Veterans Affairs Veterans Health Administration VISN 8.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24822R0194 0001.docx | DOCX document | |
| S02 - Attachment 10 - Letter of Commitment Key Subcontractors (1 page).pdf | ||
| S02 - Attachment 03 - VAAR 852.219-77 LOS Certification (2 pages).docx | DOCX document | |
| S02 - Attachment 01 - Drawings Replace Plumbing (68 pages).pdf | ||
| 36C24822R0194 (Replace Plumbing).docx | DOCX document | |
| S02 - Attachment 09 - Past Performance Survey (3 pages).docx | DOCX document | |
| S02 - Attachment 07 - Experience Modification Rate (EMR) (1 page).docx | DOCX document | |
| S02 - Attachment 08 - Past Performance Questionnaire (3 pages).docx | DOCX document | |
| S02 - Attachment 06 - Price Matrix (1 page).xlsx | XLSX spreadsheet | |
| S02 - Attachment 05 Wage Determination.pdf | ||
| S02 - Attachment 04 - VHA Supplemental Contract Requirements for Combatting COVID-19 (2 pages).docx | DOCX document | |
| S02 - Attachment 02 - Specifications Replace Plumbing (360 pages).pdf |
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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 .