Exhibit B .doc

DOC document 27 KB Posted

Attached to
FY11 Parking Structure Addition at John Dingell VA Medical Center, Detroit, MI
Solicitation number
W911XK-11-R-0017
Issued by

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Exhibit B

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VA Detroit Parking Deck

RFP W911XK-11-R-0017

EXHIBIT B – SUBCONTRACTOR/TEAMING PARTNER/KEY PERSONNEL INFORMATION AND CONSENT

Note to Offerors: This form will only be used when you are providing subcontractor/key personnel due to a lack of offeror past performance due to key personnel lack of prior performance information.

Subcontractor and or Teaming Partner and or Key Personnel Consent For The Release of Past Performance Information To The Prime Contractor And Reference Information Past performance information concerning subcontractors and teaming partners and or key personnel 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. In an effort to assist the Government in assessing your past performance relevancy and confidence, we request that the following 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.

___________________(Name of Firm or Person) is currently planning on participating as a (subcontractor and or a teaming partner and or Key Personnel) with ___________________(prime contractor or name of entity providing proposal) in responding to the Request for Proposal No. W911XK-11-R-0017 FOR VA Detroit Parking Deck construction project(s) issued by the Detroit District, US Army Corps of Engineers.

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 Name and Title of Individual with authority to legally bind the company Company Name: ________________________

Telephone #____________________

Address:

______________________________ City/State/Zip Code:______________________ Reference List (required):

1. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub/Position) and work Performed ____________________________ Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________

2. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub/Position) and work Performed ____________________________ Reference POC Name____________________________ Phone___________ Fax____________

Email address: __________________________________________________________________

3. Contract No. And Title_____________________________________________________________ Describe your role (Prime/Sub/Position) and work Performed _____________________________ Reference POC Name____________________________ Phone___________ Fax____________

Email address: _________________________________________________________________

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