W912KC-14-R-0003_EXHIBIT_B.docx
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- Solicitation number
- W912KC14R0003
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EXHIBIT B INFORMATION AND CONSENT FORM
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Text version
Project # 420051: Aircraft Maintenance Instructional Facility, Fort Indiantown Gap
RFP W91KYC-14-R-0003
EXHIBIT B –INFORMATION AND CONSENT FORM
For Subcontractor, Teaming partners and/or potential key personnel
Past performance information concerning subcontractors and teaming partners and potential key personnel ( not currently employed by the proposing contractor) information cannot be disclosed to a private party without the subcontractor’s, teaming partners or potential key personnel consent. Because a prime contractor is a private party, the Government will need that consent before disclosing any 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 or key personnel who are not currently employed by the prime, identified in your proposal. The completed consent forms should be submitted to the offering contractor for submission with the proposal. Additionally certain subcontractors or key personnel may be required to send off questionnaires to their references. The offering contractor will inform you if this is required. Your cooperation will be appreciated. (Note: Personnel proposed to fill key positions who ARE employed by the proposing contractor DO NOT need to complete this form.)
Your Letterhead
CONSENT FOR THE RELEASE OF PAST PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR AND REFERENCE INFORMATION
__________________ (Name of Firm/Name) is currently participating as a (subcontractor/teaming partner) or intents to fulfill a key position with (prime contractor or name of entity providing proposal) in responding to W912KC-14-R-0003. 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: ________________________
| Address: | ______________________________ |
| City/State/Zip Code:______________________ | Date:_____________________ |
Reference List (required): Reference cannot be from the contractor proposing on this solicitation.
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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