36C25018Q9377-012.pdf

SMALL BUSINESS SELF PERFORMANCE

Provide the form below as documentation with each subsequent task order proposal. Reference FAR 52.219-14 -- Limitations on Subcontracting.

Calculation of Self Performed Work

Small Business Company: ________________ Provide the following information to identify and calculate the cost of the work to be self-performed.

Refer to the definitions pertaining to self-performance of work which is part of solicitation provision 52.219-14 -- Limitations on Subcontracting. – excerpts below:

(c) (1) By submission of an offer and execution of a contract, the Offeror/Contractor agrees that in performance of the contract in the case of a contract for Services (except construction). At least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

Clearly describe the work to be self-performed to include number of personnel and work to be performed by small business Prime Contractor and any small business Subcontractors.

Calculation of self-performed contract personnel costs:

1. Total personnel costs* both prime and all subcontractors: $____________________

2. Subtract all subcontractor personnel costs* that are not small business companies that will perform work on this contract $_________________________

3. Remainder is ‘Total amount of work to be self-performed and similarly situated subcontractor under the Contract” $______________________

4. Self-performed work = _____%

*personnel costs include personnel directly charged to the project.

I certify the above representations are true and correct to the best of my knowledge.

Name (print and sign) Date

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