Attachment 2 - Small Business Participation Commitment_1.16.26.xls
XLS spreadsheet 36 KB Posted
- Attached to
- DA01--New Contract - Polypharmacy (VA-26-00018584) Federal contract opportunity
- Solicitation number
- 36C10B26R0004
About this file
This is a Small Business Participation Commitment and Subcontracting Report template for the Polypharmacy contract (Solicitation Number 36C10B26R0004) issued by the Department of Veterans Affairs Technology Acquisition Center Austin. The form is designed to track and document small business subcontracting participation throughout the life of the contract, with a primary goal of achieving 7.0% small business participation relative to total obligated dollars. Contractors are required to report cumulatively on all small business dollars subcontracted and break down participation by socioeconomic category, including Small Disadvantaged Business, Women-Owned Small Business, HUBZone, Veteran-Owned Small Business, and Service-Disabled Veteran-Owned Small Business entities. The template includes fields for contractor identification (company name, SAM UEI, company size, and prime contract number), report submission date, quarterly reporting periods, and detailed subcontractor information with corresponding obligation amounts.
The report requires contractors to provide detailed explanations for any small business participation percentages that fall below proposed levels and to complete a subcontractor identification tab documenting specific subcontractor names, socioeconomic status classifications, and cumulative obligated dollars. Large prime contractors must include all small business dollars subcontracted in their calculations, while small business primes must include their own prime contract dollars. All dollar amounts and percentages are cumulative for the contract's entire performance period, and the form is currently a blank template awaiting contractor completion and submission.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1_Business Associates Agreement_VHA.docx | DOCX document | |
| QA_Polypharmacy 36C10B26R0004_1.20.26 .pdf | ||
| Polypharmacy 36C10B26R0004_Amended_1.20.26 .pdf | ||
| SF30_36C10B26R0004_Amendment 0002.pdf | ||
| 36C10B26R0004 0002_1.docx | DOCX document | |
| Attachment 3 - Small Business Participation Subcontracting Report_1.16.26.xlsx | XLSX spreadsheet | |
| 36C10B26R0004 0001_SF30.pdf | ||
| 36C10B26R0004 0001.docx | DOCX document | |
| Attachment 1 - BAA Agreement.doc | DOC document | |
| Attachment 2 - Small Business Participation Commitment.xls | XLS spreadsheet | |
| Polypharmacy 36C10B26R0004_Final.pdf | ||
| 36C10B26R0004_1.docx | DOCX document |
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Text version
SB Stats
| POLYPHARMACY SMALL BUSINESS PARTICIPATION / SUBCONTRACTING REPORT | ||||
| 1. Company Name: | ||||
| 2. Company SAM UEI: | ||||
| 3. Company Size: | ||||
| 3. Prime Contract Number: | ||||
| 4. Date Report Submitted: | ||||
| 5. POC for questions on this report (name, phone, email): | ||||
| 6. Small Business Participation Report Quarter and Year | ||||
| 7. Total Obligated Dollars (cumulative to date): | $ - 0 | |||
| GOAL 1 - Small Business Actuals | ||||
| GOAL (%) | FUNDED /OBLIGATED % (Funded SB $/Total Obligated $) | FUNDED/OBLIGATED SB DOLLARS | TOTAL OBLIGATED DOLLARS | |
| Total Small Business Subcontracting/Participation | 7.0% | % | $ - 0 | |
| GOAL 2 - Breakout of Small Business Dollars on Total Contract Obligated Dollars | ||||
| PROPOSED | FUNDED/OBLIGATED % (SB Category funded$/Total Obligated $) | SB Category CUMULATIVE FUNDED/OBLIGATED DOLLARS | ||
| Small Disadvantaged Business | % | % | $ - 0 | |
| Women Owned Small Business | % | % | $ - 0 | |
| HUBZone | % | % | $ - 0 | |
| Veteran Owned Small Business | % | % | $ - 0 | |
| Service Disabled Veteran Owned Small | % | % | $ - 0 | |
| Small Business (No other category above) | N/A | % | $ - 0 | |
| GUIDANCE: | ||||
| 1. Provide detailed explanations for percentages less than what was proposed. | ||||
| 2. Goal 1. Large Business: shall include all small business dollars subcontracted. Small Business: Shall include their prime dollars in this calculation for total participation. | ||||
| 3. Goal 2. Shall include all small business dollars. SB Primes shall include their prime dollars in these computations. | ||||
| 4. Dollars and percentages are cumulative for the life of the contract. | ||||
| 5. Highlighted cells should be the same dollar amount. | ||||
| 6. Complete Subk ID tab with specific subcontractor information. |
Subk ID
| Subcontractor Name | Socioeconomic Status | Total $ Obligated (Cumulative) |
| Total |
File details come from the government source that posted it. Updated .