36C26120Q0256-003.docx

QUOTOR’s SELF PERFORMANCE WORKSHEET

As a Service-Disabled Veteran-Owned Small Business set-aside in accordance with VA Acquisition Regulation (VAAR) 852.219-10, Limitations on Subcontracting – Monitoring and Compliance applies in accordance with VAAR 852.219-74.

Manufacture of eyeglasses. On small business set-asides a quoter must either manufacture the item in accordance with the limitations on subcontracting (see FAR section 52.219-14, 52.219-27 and 13 C.F.R. section 125.6) perform at least 50% of the cost of manufacturing the supplies (not including the cost of materials) or supply the product of a small business made in the United States. The non-manufacturer rule (NMR) is an exception to the performance requirements. A concern may qualify as a non-manufacturer if it: Does not exceed 500 employees; Is primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied; and will supply the end item of a small business manufacturer or processor made in the United States or obtains a waiver of such requirement per 13 CFR § 121.406(b). For this acquisition the CO is not aware of either an existing individual or class waiver of the non-manufacturer rule. To demonstrate compliance please complete this worksheet and submit with quote. The Contracting Officer may ask questions about responses on this form. Any such questions will be communications related to responsibility; it will not be considered discussions.

Vendors are required to complete this Worksheet and submit with quote.

a) Quoter’s total proposed price for supplies (should be same amount shown in price worksheet for the total of supplies): $_______________

b) Total amount to be paid to subcontractors for supplies(non-SDVOSBs): $_______________

c) The difference of the amount shown in a) minus the amount shown in b): $_____________

List of intended subcontractors for this project and the value of those subcontracts for supplies:

List of “manufactured” work activities by the SDVOSB (this should be consistent with the response in the technical evaluation factor):

List of subcontracted manufacturing work activities:

Please explain your conformance with the manufacturing requirements, or your qualification as a non-manufacturer: