Exhibit B.doc
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- Solicitation number
- W912KC-10-R-0001
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Solicitation Exhibit B
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IDIQ MATOC
RFP W912KC-10-R-0001
EXHIBIT B – 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. In an effort 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 should be submitted to the offering contractor for submission with 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 No. W912KC-10-R-0001 for IDIQ Multiple Award Task Order Contract (MATOC) for construction projects issued by the United States Property and Fiscal Office for the Pennsylvania National Guard (USPFO-PA) for multiple Air and Army National Guard locations in the Commonwealth of Pennsylvania.
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): (AE(s) for Design Build should a provide SF 330)
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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