S02 - Small Business Participation Plan Template.docx
DOCX document 28 KB Posted
- Attached to
- Z1DA--640-13-134 PAD Hybrid Cath Lab OR Upgrades
- Solicitation number
- 36C26121R0079
About this file
This document contains a small business participation plan template and information on an upcoming federal contract opportunity for construction services. The small business participation plan template requires prime contractors to provide their socioeconomic status and planned subcontracting details, including dollar values and percentages allocated to small businesses in various socioeconomic categories. The federal contract opportunity is to complete construction of a new catheterization laboratory hybrid operating room suite and install a rooftop air handling unit at the VA Palo Alto Health Care System campus in California. The solicitation is anticipated to be issued after November 4, 2021 for an estimated contract value between $5-10 million, with the North American Industry Classification System code 236220 and a 365-day period of performance. Offerors must be registered in SAM and have current ORCA representations by the solicitation due date.
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Text version
RFP # VA261-21-R-0079
Small Business Participation Plan Template
Small business Offerors are required to submit a Small Business Participation Plan that shall include the following information:
a. Prime Contractor socio-economic type of business (check all that apply):
[ ] Small Business Prime Contractor; also categorized as a:
[ ] Veteran Owned Small Business (VOSB) [ ] Service Disabled Veteran Owned Small Business (SDVOSB) [ ] Small Disadvantaged Business (SDB) [ ] Woman-Owned Small Business (WOSB) [ ] Historically Underutilized Business Zone (HUBZone) Small Business [ ] Other __________________ [ ] No other socio-economic category is applicable.
b. Total Contract Value: $ __________
c. Dollar Value of your participation as a prime contractor: $ __________
d. Dollar Value and Percentage of Total Contract Value of Subcontracts Planned for:
| Socio-Economic Type |
| Dollar Value |
| % of Total |
Large
Small
Small Veteran Owned (VOSB)
Small Service-Disabled Veteran Owned (SDVOSB)
Small Disadvantaged (SDB)
Small Woman Owned (WOSB)
Small HUBZone (HUBZone)
NOTE: Offerors shall provide full business name and address for all subcontractors. Each percentage above shall be accompanied by detailed supporting documentation regarding individual commitments. Detailed explanations shall also be provided when the percentage falls short of the VA goals.
NOTE: Sum of all percentages above need not equal 100% since the Prime Contractor is not included and since individual subcontractors may be counted towards more than one category. All percentages should use the TOTAL CONTRACT VALUE as a baseline.
e. Principal supplies/services (be specific) to be subcontracted.
List the Name of the company and the type of service/supply for:
| Socio-Economic Type |
| Company Name |
| Type of Supply or Service to be Subcontracted |
Large
Small
Small Veteran Owned (VOSB)
Small Service-Disabled Veteran Owned (SDVOSB)
Small Disadvantaged (SDB)
Small Woman Owned (WOSB)
Small HUBZone (HUBZone)
f. Prior Performance Information.
Provide any information substantiating the Offeror’s track record of utilizing small businesses on past contracts. Any information concerning long-term relationships with small business subcontractors, such as mentor-protégé relationships, should be provided.
g. Extent of Commitment.
Provide documentation regarding enforceable commitments to utilize any small business category, as defined in FAR, Part 19, as subcontractors.
File details come from the government source that posted it. Updated .