6CR DD2579 2 for FD2030-22-01711 SIGNED.pdf
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- Blade Set, Turbine, A
- Solicitation number
- FA8121-23-R-0018
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PREVIOUS EDITION IS OBSOLETE. Page 1 of 2 Designer 11DD FORM 2579, AUG 2015 PREVIOUS EDITION IS OBSOLETE. Page 1 of 2 Designer 11DD FORM 2579, AUG 2015
SMALL BUSINESS COORDINATION RECORD
(See DFARS PGI 253.219-70 for form completion instructions.)
1. CONTROL
NO. (Optional)
2. PURCHASE REQUEST/
REQUISITION NO.
FD20302201711
3. TOTAL ESTIMATED
VALUE (With options) $62,089.20
4a. PIID b. IDV PIID (If applicable) 5. MOD/AMDMT NO.
6a. CONTRACTING OFFICER NAME (Last, First, Middle Initial)
Anderson, Pamela D
b. DODAAC
FA8121
c. OFFICE SYMBOL
PZAAA
d. E-MAIL ADDRESS pamela.anderson.14@us.af.mil
e. TELEPHONE NUMBER (Include Area Code)
405-739-4349
7a. ITEM AND/OR SERVICE DESCRIPTION
Blade Set, Turbine, A
NSN: 2840013651632NZ
PN: 4080482
Quantity: 40
b. PRODUCT OR SERVICE CODE
c. NAICS CODE
336412
d. SIZE STANDARD
8. PERIOD OF PERFORMANCE/DELIVERY DATES
(Including options)
1 FEB 2023 - 28 FEB 2024
9. PURPOSE OF COORDINATION (X one) Initial Coordination✖ Withdrawal Change
10. RECOMMENDATION (X all that apply)
a. SMALL BUSINESS SET-ASIDE (X one) b. SECTION 8(a) (X one)
100% Partial % Competitive Sole Source
c. HISTORICALLY UNDERUTILIZED BUSINESS ZONE zz (HUBZone) SMALL BUSINESS (X one)
d. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) (X one)
Competitive Sole Source Competitive Sole Source
e. ECONOMICALLY DISADVANTAGED WOMEN-OWNED
SMALL BUSINESS (EDWOSB) SET-ASIDE
f. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
UNDER WOSB PROGRAM SET-ASIDE
g. OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208;
or DFARS 226.71)
h. OTHER THAN FULL AND OPEN COMPETITION NOT
PREVIOUSLY ADDRESSED✖
i. FULL AND OPEN COMPETITION (Complete block 13)
j. MULTIPLE AWARD Contract Delivery/Task Order
HUBZONE PRICE EVALUATION PREFERENCE
(Ref. FAR 19.1307)
Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)
11a. MARKET RESEARCH/ACQUISITION PLAN
Approved Sources: PRATT & WHITNEY, Cage Code: 52661, Large Business
b. SYNOPSIS REQUIRED (X one) c. SMALL BUSINESS PROGRESS PAYMENTS (X one)
Yes✖ No (Provide FAR 5.202 exception) Yes No✖
(NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
12. CONSOLIDATED OR BUNDLED (X as applicable)
a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.) Yes No✖
b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.) Yes No✖
13. SUBCONTRACTING PLAN REQUIRED (X one) Yes No✖
Acquisition is under $750,000.00, and does not meet the threshold for a Sub-contract plan requirement.
PREVIOUS EDITION IS OBSOLETE. Page 2 of 2 Designer 11DD FORM 2579, AUG 2015 PREVIOUS EDITION IS OBSOLETE. Page 2 of 2 Designer 11DD FORM 2579, AUG 2015
14. ACQUISITION HISTORY
a. IS THIS A NEW REQUIREMENT? (X one)
Yes (Proceed to Block 15)✖ No (Continue to Blocks a(1) through (10), marking all that apply for the immediately preceding acquisition.)
(1) SMALL BUSINESS SET-ASIDE (X one) (2) SECTION 8(a) (X one)
100% Partial % Competitive Sole Source
(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)
(4) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
(SDVOSB) (X one)
Competitive Sole Source Competitive Sole Source
(5) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
BUSINESS (EDWOSB) SET-ASIDE
(6) WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER
WOSB PROGRAM SET-ASIDE
(7) OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or DFARS 226.71)
(8) OTHER THAN FULL AND OPEN COMPETITION NOT PREVIOUSLY
ADDRESSED
(9) FULL AND OPEN COMPETITION (Complete block 13) (10) MULTIPLE AWARD Contract Delivery/Task Order
HUBZONE PRICE EVALUATION PREFERENCE (Ref. FAR 19.1307)
Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)
(1) CONSOLIDATED Yes No (2) BUNDLED Yes No
c. DETAILS OF PREVIOUS AWARD(S) (List details requested in instructions. Attach additional page(s) if necessary.)
15. CONTRACTING OFFICER
a. NAME (Last, First, Middle Initial)
Simon, Matthew
b. E-MAIL ADDRESS matthew.simon.5@us.af.mil
c. SIGNATURE d. DATE SIGNED (YYYYMMDD)
20230104
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
Concur✖ Non-concur
a. NAME (Last, First, Middle Initial)
Reid, Crystal, M.
b. E-MAIL ADDRESS crystal.reid.2@us.af.mil
c. SIGNATURE d. DATE SIGNED (YYYYMMDD)
20230405
e. DATE ACQUISITION PACKAGE PROVIDED TO SBA (FAR 19.202-1(e)) (YYYYMMDD)
20230405
f. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REMARKS 762 Attached
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
Concur✖ Non-concur
a. NAME (Last, First, Middle Initial)
Shook, Tere
b. E-MAIL ADDRESS teresa.shook@sba.gov
c. SIGNATURE d. DATE SIGNED (YYYYMMDD)
20230406
e. SBA PROCUREMENT CENTER REPRESENTATIVE REMARKS
18. CONTRACTING OFFICER REVIEW
Concur with PCR recommendation Reject PCR recommendation
a. SIGNATURE b. DATE SIGNED (YYYYMMDD)
c. CONTRACTING OFFICER REMARKS
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
Page of Designer 11
DD FORM 2579, AUG 2015
D R A F T
SMALL BUSINESS COORDINATION RECORD
(See DFARS PGI 253.219-70 for form completion instructions.)
9. PURPOSE OF COORDINATION (X one)
10. RECOMMENDATION (X all that apply)
10. RECOMMENDATION (X all that apply)
b. SYNOPSIS REQUIRED (X one)
b. SYNOPSIS REQUIRED (X one)
c. SMALL BUSINESS PROGRESS PAYMENTS (X one)
c. SMALL BUSINESS PROGRESS PAYMENTS (X one) (NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
(NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
12. CONSOLIDATED OR BUNDLED (X as applicable)
12. CONSOLIDATED OR BUNDLED (X as applicable)
a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.)
a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.)
b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.)
b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.)
13. SUBCONTRACTING PLAN REQUIRED (X one)
13. SUBCONTRACTING PLAN REQUIRED (X one)
14. ACQUISITION HISTORY
14. ACQUISITION HISTORY
a. IS THIS A NEW REQUIREMENT? (X one)
a. IS THIS A NEW REQUIREMENT? (X one)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)
(1) CONSOLIDATED
(1) CONSOLIDATED
(2) BUNDLED
(2) BUNDLED
15. CONTRACTING OFFICER
15. CONTRACTING OFFICER
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
18. CONTRACTING OFFICER REVIEW
18. CONTRACTING OFFICER REVIEW
9.0.0.2.20120627.2.874785
Blade Set, Turbine, A
NSN: 2840013651632NZ
PN: 4080482
Quantity: 40 Approved Sources: PRATT & WHITNEY, Cage Code: 52661, Large Business
Acquisition is under $750,000.00, and does not meet the threshold for a Sub-contract plan requirement.
762 Attached
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| a. SIGNATURE: Anderson, Pamela D |
| a. SIGNATURE: pamela.anderson.14@us.af.mil |
| a. SIGNATURE: 2840 |
| a. SIGNATURE: 1 FEB 2023 - 28 FEB 2024 |
| a. SIGNATURE: 0 |
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| a. SIGNATURE: 0 |
| a. SIGNATURE: 0 |
| a. SIGNATURE: 0 |
| a. SIGNATURE: Simon, Matthew |
| a. SIGNATURE: 1 |
| a. SIGNATURE: 1 |
| a. SIGNATURE: 0 |
| b. DATE SIGNED (YYYYMMDD): FD20302201711 |
| b. DATE SIGNED (YYYYMMDD): 336412 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 1 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 1 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 1 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 1 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): matthew.simon.5@us.af.mil |
| b. DATE SIGNED (YYYYMMDD): 2023-01-04 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 2023-04-05 |
| b. DATE SIGNED (YYYYMMDD): 2023-04-05 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| b. DATE SIGNED (YYYYMMDD): 2023-04-06 |
| b. DATE SIGNED (YYYYMMDD): 0 |
| a. NAME (Last, First, Middle Initial): $62,089.20 |
| a. NAME (Last, First, Middle Initial): 1500 |
| a. NAME (Last, First, Middle Initial): 1 |
| a. NAME (Last, First, Middle Initial): Reid, Crystal, M. |
| a. NAME (Last, First, Middle Initial): Shook, Tere |
| b. E-MAIL ADDRESS: FA8121 |
| b. E-MAIL ADDRESS: 405-739-4349 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 1 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: 0 |
| b. E-MAIL ADDRESS: crystal.reid.2@us.af.mil |
| b. E-MAIL ADDRESS: teresa.shook@sba.gov |
| Sole Source: 0 |
| Sole Source: 0 |
| Sole Source: 0 |
| Sole Source: 0 |
| c. OFFICE SYMBOL: PZAAA |
| c. CONTRACTING OFFICER REMARKS: |
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