Exhibit_B-_Key_Personnel_Information_ _Consent_Form_.pdf

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Attached to
FY16 POE LOCK EMBEDDED GATE ANCHORAGE REPLACMENT
Solicitation number
W911XK-16-R-0003
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Exhibit B

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

EXHIBIT B – SUBCONTRACTOR/TEAMING PARTNER/KEY PERSONNEL

INFORMATION AND CONSENT FORM

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-16-R-0007 for the FY16 St Marys Falls Canal Armed Guard Services project issued by USACE Detroit Contracting Branch.

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)

Company Name: ________________________

Telephone #____________________

Address: ______________________________

City/State/Zip Code:______________________

Date:_____________________

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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