SB Factor Attachment X HISTORICAL SMALL BUSINESS.docx
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- Attached to
- P-3009, MILITARY WORKING DOG KENNEL Federal contract opportunity
- Solicitation number
- 5871178
About this file
This document contains an attachment for a federal solicitation requesting proposals for a Military Working Dog Kennel project. The project scope includes constructing an administrative building, dog kennel, quarantine kennel, and dog training areas to house and care for military working dogs. The administrative building will contain offices, meeting spaces, and support areas. The dog kennel and quarantine kennel will provide interior and exterior housing for the dogs. Additional areas include outdoor storage and an obedience course. Three existing kennel buildings totaling 2,703 square feet will be demolished. The agency is the Department of the Navy Naval Facilities Engineering Command. Offerors are requested to provide past performance and small business subcontracting details using the specified attachment format.
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Text version
ATTACHMENT X
HISTORICAL SMALL BUSINESS UTILIZATION
N40080-21-R-1178
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for the evaluation of Factor XX, Small Business Utilization and Participation. Attachment X documents the offeror’s historical small business utilization and achievements for each project submitted under Factor 1, Corporate Experience. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).
Include actual dollar values subcontracted for each of the categories listed. Include the whole dollar and percentage goals ONLY if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. Acknowledging a goal was missed, is not the same as providing an explanation for why a goal was missed. If goals were not established for a project, mark N/A. Enter zeroes (0) where applicable.
Project #1: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Explanation for a lack of small business subcontracting achievements (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #2: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #3: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #4: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #5: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Attachment X – Historical Small Business Utilization, Page 4 of 4
(Rev 3/2020)
File details come from the government source that posted it. Updated .