S02 - EXHIBIT C.docx

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Multiple Award Task Order Contract - The Corporal Michael J. Crescenz Medical Center
Solicitation number
36C24421R0064
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This document contains an Exhibit C template for subcontractor and teaming partner consent and reference information. The template requests that major subcontractors and teaming partners identify two references from previous work as either a prime contractor or subcontractor. It includes fields for the subcontractor name, signature, address, and three reference entries containing the contract number, role, description of work performed, and point of contact information.

The related federal contract opportunity is a multiple award task order contract for the Corporal Michael J. Crescenz Medical Center within the Veterans Health Administration Veterans Integrated Service Network 4. No further details are provided in the brief description.

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File Type Posted
36C24421R0064 0004.docx DOCX document
Revised - EXHIBIT F - PPQ.docx DOCX document
Revision 1 - EXHIBIT C - Subcontractor Information and Consent Form.docx DOCX document
Revised - EXHIBIT E - PPQ SAMPLE TRANSMITTAL LETTER.docx DOCX document
36C24421R0064 0003.docx DOCX document
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4. QUESTIONS with Responses.pdf PDF
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2. Questions Answers Information.pdf PDF
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3. Questions Answers Information.pdf PDF
S02 - EXHIBIT B - Past Performance Relevancy Questionnaire.docx DOCX document
S02 - EXHIBIT E - PPQ SAMPLE TRANSMITTAL LETTER.docx DOCX document
S02 - EXHIBIT A.docx DOCX document
S02 - 8.30.21 - 36C24421R0064.docx DOCX document
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EXHIBIT C – Subcontractor Information and Consent Form

Each major subcontractor and/or Teaming Partner must also complete an Exhibit C, “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify on the Exhibit B two 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. See Exhibit “B” format for information to be provided. Written references for subcontractors may be included and are encouraged; however, subcontractors do not need to send out past performance questionnaires. 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. To assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal. The completed consent forms shall be submitted to the offering contractor for submission with the past performance volume.

(Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner) with (prime contractor or name of entity providing proposal) in responding to the Request for Proposal Number 36C24421R0028.

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) (Title of Individual with authority to sign for and legally bind the company Address:

City/State/Zip Code: Date:

Reference List (required):

1. Contract No. And Title

Describe your role (Prime/Sub) and work Performed

Reference POC Name Phone Fax

Email address:

2. Contract No. And Title

Describe your role (Prime/Sub) and work Performed

Reference POC Name Phone Fax

Email address:

3. Contract No. And Title

Describe your role (Prime/Sub) and work Performed

Reference POC Name_ Phone Fax

Email address:

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