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RFP 24368121R0002 BENEFEDS Amendment 5
ATTACHMENT 7
SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT
(SBPCD)
Company Name:
(PRIME OFFEROR)
DUNS #:
1. Prime Contractor Business Size:
(Relative to the NAICS code and small business size standard listed in the solicitation) Indicate the applicable size and socioeconomic categories, mark all that apply:
Other than Small Business (includes Large business)
Small Business (SB) (also check any of the below as applicable)
Small Disadvantaged Business (SDB)
Woman-Owned Small Business (WOSB)
Historically Underutilized Business Zone (HUBZone) Small Business
Service-Disabled Veteran Owned Small Business (SDVOSB)
SBA 8(a) Business Development Program Participant
Other Small Business Socioeconomic Categories (LIST)
2. Complete the table below for all Small Business (SB) Participation. List principal supplies/services to be performed or provided by Small Businesses, and nature of commitment.[footnoteRef:1] [1: Add rows as needed.]
| SB Company Name |
| DUNS#[footnoteRef:2] [2: DUNS # as registered in SAM.gov] |
SB Categories[footnoteRef:3] [3: SB, WOSB, SDB, SDVOSB, 8(a), etc.]
| NAICS |
| Product(s) / Service(s) to be Provided[footnoteRef:4], and Period(s) of Performance[footnoteRef:5] [4: Reference any categories of labor or services referenced in the PWS] [5: Periods of Performance as noted in the PWS] |
Nature and Level of Commitment[footnoteRef:6] [6: Describe the extent of commitment to use small businesses specifically, what types of commitments, if any, are in place for this specific acquisition. Is the prime a small business? If so state “PRIME” in this column. Is there a written contract between prime and this small business? Is it verbal? Is it enforceable or non-enforceable? Is there a joint venturing or mentor-protégé arrangement?]
Copies of any commitment agreements should be provided as an attachment to your SBPCD and will not count against any page limitations.
3.
Insert the following figures from your Attachment 2, Quote Schedule, TCV Calculation Tab to illustrate the Proposed Total Contract Value (TCV) without Optional CLINs:
| Start Up Period: Initial Development and Transition Services |
| $ |
| Subtotal of BENEFEDS “BASIC” services (estimated) - Base Year |
| $ |
| Subtotal of BENEFEDS “BASIC” services (estimated) – Option One |
| $ |
| Subtotal of BENEFEDS “BASIC” services (estimated) – Option Two |
| $ |
| Subtotal of BENEFEDS “BASIC” services (estimated) – Option Three |
| $ |
TCV Without Optional CLINS (excluding Start Up Period Travel ODCS)
4. Of the Total Contract Value (TCV) noted in Item 3 above, identify the proposed dollar values and percentages that will be performed by Small Business versus Other than Small Business (regardless of business size). [footnoteRef:7] [7: Show Percentages with no more than two decimal places (0.00%)]
| TCV Without Optional CLINS (excluding Start Up Period Travel ODCS) |
| $ |
Amount to be performed by SMALL BUSINESSES [footnoteRef:8] [8: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Amount to be performed by Small Business.]
Percentage to be Performed by SMALL BUSINESSES[footnoteRef:9][footnoteRef:10] [9: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Percentage to be performed by Small Business.] [10: Percentages to be performed by Small Business must meet or exceed the 30% minimum baseline noted in the Solicitation]
| Amount to be performed by OTHER THAN SMALL BUSINESSES |
| $ |
| Percentage to be Performed by OTHER THAN SMALL BUSINESSES |
| % |
5. Of the TCV noted in Item 3 above, identify the proposed dollar values and percentages that will be performed by the Prime Offeror versus Subcontractors. All percentages should use figures from Item 3 above as a reference. Include ALL Subcontractors. [footnoteRef:11] [11: Show Percentages with no more than two decimal places (0.00%)]
| TCV Without Optional CLINS (excluding Start Up Period Travel ODCS) |
| $ |
| Amount to be performed by the PRIME Contractor |
| $ |
Percentage to be Performed by the PRIME Contractor[footnoteRef:12] [12: If the PRIME is a Small Business, the percentage of work to be performed by the prime must not be less than 50% .]
| Amount to be performed by Subcontractors |
| $ |
| Percentage to be Performed by Subcontractors |
| % |
6.
Of the TCV noted in Item 3 above, identify the proposed dollar values and percentages that will be performed by the following socioeconomic categories of Small Businesses. All percentages should use the TCV from Item 3 as reference. [footnoteRef:13] [footnoteRef:14] [footnoteRef:15] [13: Show Percentages with no more than two decimal places (0.00%)] [14: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Amount to be performed by any socioeconomic category.] [15: Leave no spaces blank. Use Zeroes ($0.00 or 0.00%) to show no participation.]
| Amount to be performed by SMALL DISADVANTAGED BUSINESS (SDB) |
| $ |
| Percentage to be Performed by SMALL DISADVANTAGED BUSINESS (SDB) |
| % |
| Amount to be performed by WOMAN OWNED SMALL BUSINESSES (WOSB) |
| $ |
| Percentage to be Performed by WOMAN OWNED SMALL BUSINESSES (WOSB) |
| % |
| Amount to be performed by HUBZONE SMALL BUSINESSES |
| $ |
| Percentage to be Performed by HUBZONE SMALL BUSINESSES |
| % |
| Amount to be performed by SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES (SDVOSB) |
| $ |
| Percentage to be Performed by SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES (SDVOSB) |
| % |
| Amount to be performed by SBA 8(a) Small Business Development Program Participants |
| $ |
| Percentage to be Performed by SBA 8(a) Small Business Development Program Participants |
| % |
| Amount to be performed by all other Small Business Socioeconomic Categories |
| $ |
| Percentage to be Performed by all other Small Business Socioeconomic Categories |
| % |
List of all other Small Business Socioeconomic Categories to be utilized:
7. Insert the following figures from your Attachment 2, Quote Schedule, TCV Calculation Tab to illustrate the Proposed Total Contract Value (TCV) WITH BASIC AND OPTIONAL CLINs:
| Start Up Period: Initial Development and Transition Services |
| $ |
| Subtotal for Base Period of Performance (BASIC and OPTIONAL Services) |
| $ |
| Subtotal for Option One Period of Performance (BASIC and OPTIONAL Services) |
| $ |
| Subtotal for Option Two Period of Performance (BASIC and OPTIONAL Services) |
| $ |
| Subtotal for Option Three Period of Performance (BASIC and OPTIONAL Services) |
| $ |
TCV With BASIC and OPTIONAL CLINS (excluding Start Up Period Travel ODCS)
8.
Of the Total Contract Value (TCV) noted in Item 7 above, identify the proposed dollar values and percentages that will be performed by Small Business versus Other than Small Business (regardless of business size). [footnoteRef:16] [16: Show Percentages with no more than two decimal places (0.00%)]
| TCV With BASIC and OPTIONAL CLINS (excluding Start Up Period Travel ODCS) |
| $ |
Amount to be performed by SMALL BUSINESSES [footnoteRef:17] [17: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Amount to be performed by Small Business.]
Percentage to be Performed by SMALL BUSINESSES[footnoteRef:18][footnoteRef:19] [18: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Percentage to be performed by Small Business.] [19: Percentages to be performed by Small Business must meet or exceed the 30% minimum baseline noted in the Solicitation]
| Amount to be performed by OTHER THAN SMALL BUSINESSES |
| $ |
| Percentage to be Performed by OTHER THAN SMALL BUSINESSES |
| % |
9. Of the Proposed Total Contract Value (TCV) with Optional CLINS noted in Item 7 above, identify the proposed dollar values and percentages that will be performed by the Prime Offeror versus Subcontractors. All percentages should use figures Item 7 above as a reference. Include ALL Subcontractors. [footnoteRef:20] [20: Show Percentages with no more than two decimal places (0.00%)]
| TCV With BASIC and OPTIONAL CLINS (excluding Start Up Period Travel ODCS) |
| $ |
| Amount to be performed by the PRIME Contractor |
| $ |
Percentage to be Performed by the PRIME Contractor[footnoteRef:21] [21: If the PRIME is a Small Business, the percentage of work to be performed by the prime must not be less than 50% .]
| Amount to be performed by Subcontractors |
| $ |
| Percentage to be Performed by Subcontractors |
| % |
10.
Of the TCV noted in Item 6 above, identify the proposed dollar values and percentages that will be performed by the following socioeconomic categories of Small Businesses. All percentages should use the TCV from Item 6 as reference. [footnoteRef:22] [footnoteRef:23] [footnoteRef:24] [22: Show Percentages with no more than two decimal places (0.00%)] [23: A Prime that is a Small Business itself shall include its own participation as the prime when noting the Amount to be performed by any socioeconomic category.] [24: Leave no spaces blank. Use Zeroes ($0.00 or 0.00%) to show no participation.]
| Amount to be performed by SMALL DISADVANTAGED BUSINESS (SDB) |
| $ |
| Percentage to be Performed by SMALL DISADVANTAGED BUSINESS (SDB) |
| % |
| Amount to be performed by WOMAN OWNED SMALL BUSINESSES (WOSB) |
| $ |
| Percentage to be Performed by WOMAN OWNED SMALL BUSINESSES (WOSB) |
| % |
| Amount to be performed by HUBZONE SMALL BUSINESSES |
| $ |
| Percentage to be Performed by HUBZONE SMALL BUSINESSES |
| % |
| Amount to be performed by SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES (SDVOSB) |
| $ |
| Percentage to be Performed by SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES (SDVOSB) |
| % |
| Amount to be performed by SBA 8(a) Small Business Development Program Participants |
| $ |
| Percentage to be Performed by SBA 8(a) Small Business Development Program Participants |
| % |
| Amount to be performed by all other Small Business Socioeconomic Categories |
| $ |
| Percentage to be Performed by all other Small Business Socioeconomic Categories |
| % |
List of all other Small Business Socioeconomic Categories to be utilized: