5-B08_Fillable_Solit_PSP_Vol_II_SBSubKCalc.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 140P2019R0017
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Small Business Subcontracting Form
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Table 1
| INSERT OFFEROR'S COMPANY NAME: |
| SMALL BUSINESS SUBCONTRACTING PLAN CALCULATIONS |
NOTE 1: List the type of supplies and/or services to be subcontracted, estimated dollars, and the corresponding socio-economic status of the businesses
| NOTE 2: If supplies or services are projected to be subcontracted to small, small disadvantaged, women-owned, service disabled veteran owned, hubzone, or veteran owned small businesses, but large businesses are subsequently substituted, the contracting officer shall be provided with timely written notification. | ||||||||||
| Mark the appropriate socio-economic category of the subcontractor Small Business (SB) concern. | ||||||||||
| SB = Small Business, SDB = Small Disadvantaged SB, HZSB = HubZone SB, SDVO = Service-Disabled Veteran Owned SB, WOSB = Woman Owned SB | LEVEL OF COMMITMENT TO USE SMALL BUSINESS CONCERNS | |||||||||
| SUBCONTRACTOR NAME | Socio- Economic Status | Description of Supplies/Service Subcontracted | Total Estimated Subcontract Value | SB | ||||||
| Estimated Subcontract Value | SDB | |||||||||
| Estimated Subcontract Value | HZSB | |||||||||
| Estimated Subcontract Value | SDVO | |||||||||
| Estimated Subcontract Value | WOSB | |||||||||
| Estimated Subcontract Value | Explain and provide supporting documentation regarding the level of commitments to use SB concerns (for example, what types of committments, if any, are in place for this specific acquisition as a prime and/or written contract, verbal, enforceable, non-enforceable, joint venturing, mentor-protege, etc. | |||||||||
| ABC Company | $ 1,000.00 | $ 1,000.00 | ||||||||
| XYZ Company | $ 10,000.00 | $ 5,000.00 | $ 5,000.00 | |||||||
| PDQ Company | $ 20,000.00 | $ 10,000.00 | $ 10,000.00 | |||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| $ - 0 | ||||||||||
| Total Subcontracted Value | $31,000.00 | $1,000.00 | $10,000.00 | $5,000.00 | $10,000.00 | $5,000.00 | ||||
| Total Contract Value | $ 10,000,000.00 | $10,000,000.00 | $10,000,000.00 | $10,000,000.00 | $10,000,000.00 | $10,000,000.00 | $10,000,000.00 | |||
| Subcontracted Value Percent | 0.31% | 0.01% | 0.10% | 0.05% | 0.10% | 0.05% |
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