Exhibit_B.docx

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Attached to
IDIQ MATOC CONTRACT FOR 109TH AIRLIFT WING
Solicitation number
W912PQ15R0006
Issued by

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See Q.18 - This form is not available for adobe fill in - but is attached as a word doc to have company data input.

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IDIQ MATOC RFP W912PQ-15-R-0006

EXHIBIT B –INFORMATION AND CONSENT FORM

For Subcontractor, Teaming partners and/or potential key personnel

Subcontractor and/or Teaming Partner and/or potential 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 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 past performance volume. (Note: Personnel proposed to fill key positions who ARE employed by the proposing contractor DO NOT need to complete this form.)

___________________ (Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner or intents to fulfill a key position) with ___________________ (prime contractor or name of entity providing proposal) in responding to the Request for Proposal No. W912PQ-15-R-0006 for IDIQ Multiple Award Task Order Contract (MATOC) for construction projects issued by the 109th AW, Stratton ANGB, Scotia, NY for multiple Air and Army National Guard locations in the State of New York.

We understand 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) 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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