04_FA880723R0005_Attachment 04 - SBPCD.pdf

Section J, Attachment 4 -- Small Business Participation Commitment Document (SBPCD)

Small Business Participation Commitment Document

1. Prime Contractor Size:

Indicate the applicable size and socioeconomic categories -- all that apply:

{ } Other than Small Business or { } Small Business also categorized as a

{ } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)

2. Small Business Participants

Company Name

Business Category(ies)

(SB, WOSB, SDB,

VOSB, SDVOSB)

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of Commitment