Attachment_J.1_-_Subcontracting_Plan_Summary_Sheet.docx

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Kansas City District - Medical Second Opinion and Examination Services
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1605DC-19-R-00030
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Attachment J.1 - Subcontracting Plan Summary Sheet

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Attachment J.1

SUBCONTRACTING PLAN SUMMARY SHEET

Contract Name:

RFP/Contract No.

Contractor:

Name of Subcontract Administrator:

Total Dollar Value of Contract: (1.5 Years)

Contract Period Covered By Plan:

1st Year
2nd year
3rd yr
4th yr
5th yr
Total
$
%
$
%
$
%
$
%
$
%
$
%

A. Total Contract Value

B. Total dollars to be subcontracted: (% of line A)

C. Subcontracted to: (% of line B)

(1) Small Business

(2) Small Disadvantaged Business

(3) Women-Owned Small Business

(4) HUBZone Small Business

(5) Veteran-Owned Small Business (Including Service-Disabled)

(6) Service Disabled Veteran-Owned Small Business

Item A: Enter the total proposed value of the contract for each year.

Item B: Enter the total amount to be subcontracted for each contract year. Calculate the percentage of line A.

Item C: For categories (1) thru (6), enter the dollar amounts to be subcontracted to each category of small business. Small business categories are not mutually exclusive; subcontract dollars may be attributed to as many categories as are applicable. For example, the dollars subcontracted to a self-certified woman-owned and service-disabled veteran –owned small business that is also certified by SBA (on PRO-NET) as a small disadvantaged and HUBZone business should be counted in each of the six categories. Calculate the percentage of line B

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