WD_Orange_County.pdf

APFS Referenc€# F 2018041i61

RFI/Sources Sought # (if applicable)

DEPARTMENT OF HOMELAND SECURITY

SMALL BUSINESS REVIEW FORM

Execution of the DHs small business program requires coordination and participation from all members of the acquisition team.

The aplropriate acquisition personnelto complete this form [i.e., contracting officer, Requesting Offico (consultetion) and the Small Business specialBt (consultation)l are identifi€d by item. After appropriately excluding thimanda;ry sources for the Federal Prison lndustries (FAR 8.6) and the Ability One program (FAR 8.7), iontraiting officJs shall use this form for all procurement actions greater than ths SAT excopt when; a) bsuing orders,lcalk under single award lDle contracts and undgr aingle award BPAs, and b) issuing ordErs/calls under multiple award lDlQ contracts or BplAa whon the initiat vehicle was awarded under a single small Business program under FAR Pan 19. The form shall be completed prior to synopsis orsolicitation release.

Items (1-8) Request - compteted by the contracting officer in consultation with the Requesting office

Charl e s E, Leslie 252-335-6447 H6OlMRR

3C58-J802

(4) Contract Specjalist Name/Telephone Terrence T. Greene 252-33 4-5A94 Monique H. Si"/inson 252-38 4 --/ 14 4

Ove rha u I each Hoist Rescue Assemlclies

(7) Estimated dollar value: Base Period: g 870/ O0O.0O Total Estimated Value lnclude Options $ 8 /L).000.00

Base Period

Option Periods N,/A 7t/a] / 2078

Items (9-12) . Procurement lnformation lHislory _ Compteted by the Contracting Officer

488190 Average annual receipts s)2.5 M I ves ! NO, exceptions IFAR 5.202(a)]

(12) New Requirement I yES ! NO lf new requirement (lf lyesl, proc€ed to items i3-17) lf prior procurement history exists (lf [no], complete below, consult with SBS as necessary)

Number of Offerors: _ LB _ SB HUBZ. _ SDB. _ 8(a) _ WOSB

F orm 7OO-22 (6h6)

Items (13-17) - Proposed Procurement Strategy/Method - Completed by the Contracting Officer A// procurement actions (Open MarkeVMAS (FSS)-GSA, MAC, GWAC, DWAC, BPA, C/OWAC. etc.) greater than the SAT, complete items ( 1 3-16). Please choose O N LY one of the items (13-'1 5) for your procurement strategy. lf the action is unrestricted and $2,500,000 or more, also complete item (17) for Substantial Bundling Review.

FOR ALL PROCUREMENT ACTIONS GREATER THAN THE SAT (See FAR 2.101), (Except for exclusions identified on this form)

(13) First Consideration: Consider the following socio-economic programs. See FAR '19.203, 19.502-4, and 8.405-5 for reference.

Select Open Market or Pre-Existing Contract Vehicle:

E Open Market OR E Pre-Existing Contract Vehicle

Competitive Sole Source Pre-existing Contract Utilizjng a Set-Aside

I E s{a) set-nsrae ! e("1 ! Muttipte Award schedute - MAS(FSS), BpA-csA I LJ HUBzone Set-Aside ! HUBzone E Mutti-Agency Contract - MAC

I f.j SDVOSB Set-Asioe E SDVOSB n Gov't-wde Acquisition Contract - GWAC

I L-l EDWOSB Set-Aside E EDWOSB ! Department-Wde Ac4uisition Contract - DWAC

Ll wosB set-Asrde E wosB ! componenvoffice-wde Acquisition contract - c/owAc

(Attach proposed list of vendors, including size status) Type of Set-Aside:

Note: E Attach supporting documentation (market research) validating your proposed strategy.

(14) Second Consideration: aon",O

Select Ooen Market or Pre-Existing Contract Vehicle:

! Open Mad(et OR n pre-Existing Contract Vehicle

Competitive Sole Source pre-existing Contract Utilizing a Set_Aside n Totat sB setAside N/A ! trluttipte awaro schedute - I/AS(FSS), BPA_GSA ! eartiat SB SelAsjde N/A I Uutti_Agency Contract _ MAC

E Gov,t-Wide Acquisitjon Contract - GWAC

! Department-\Mde Acquisition Contract - DWAC

! ComponenUOffice-Wde Acquisition Contract - C/OWAC

(Attach proposed list of vendors, including size status) Type of Set_Aside:

Note: n Attach supporting documentation (market research) validating your proposed strategy.

(15) Third Consideration: ,rrn" Oo, approach where an "other than small business" concern is expected to serve as the prime contractor. small business participation inan open market scenario will be critical through subcontracting and the oHs Mentor Protege erogram; foi;re-e,,istjng contract vehiclesawarded to Iarge businesses follow the terms and conditions ;f the contract that have already been established, including thesubcontracting plan. lf no subcontracting opportunities exist, attach the associated documenGtion, in accordance witn FAR 19.70s-2(c)and HSAM 30'19.705-2, determining the need for a subcontracting plan.

Select Open Ma*et or pre-Existing Contract Vehicle:

E Open Market OR n pre_Existing Contract Vehtcte ctrpctilive sore source (FAR 6.303) pre-existing contract vehicre E Uirestricted E] Attach J&A Ml.itpb A-"rd ."h"dL,b _ MAS(FSS), BPA_GSA(Futt and open)

Limited Sources (FAR 8.40s_6) E laufti_lsency contra"i_ rni -' ' n Att".h Lk*Jaffi E Gov',t-wde Acquisition contract - GWAC .lustmcaiion--

---.*- ! Department_Wde Acquisition Contract _ DWAC ! Component/Office-Wde Acquisition Contract - C/OWAC

Fair Ooportunitv (FAR .t6.5O5(bN2)(ii))

E Attach Justification rorln- =--* (Attach proposed list ofvendors. including size status)

Exception to Fair Opportunity

D s-ubcontracting Plan Discussion with sBS E Mentor-Proteg6 program Discussion with sBS, HSAR(open Market only) 3os2.21g-71fopen Mar*et onty) Note: I Attach supporting documentation (market research) validating your proposed strategy.

DHS Form 700-22 (6t16) Page 2 ol 4

('16) Reason for Unrestricted Procurement

! No reasonable expectation that offers will be obtained from at least two 8(a), Hubzone small, Service Disabled Veteran Owned Small, Economically Disadvantaged Women-Owned Small Business, Women-Owned Small Business. or general Small Business concerns offering the products of different small bustness concerns.

E No reasonable expectation that award will be made at a fair market price.

E Requirement not severable into two or more production runs or lots.

(17) Substantial Bundling Review (Completed for all unrestricted procurement actions of g2,5OO,OOO or more)

E VgS E NO Does the procurement meet the definition of a Bundled Contract (FAR Part 7.107 and 13 CFR Part 125.2 (d)(1Xi))? lf YES continue, if NO proc€ed to item (18).

! VeS ! f.fO Did procuring activity coordinate acquisition strategy with the small business specialist and the Sma Business Administration (SBA) Procurement Center Representative (PCR) (FAR Part 7.104(dX1) and FAR Part 19.202-1(eX1)?

n vgS E NO Was requirement to notify the affected incumbent small business conc€rns of the Government's intention to bundle the requirement performed, at leasl 30 days before release of the solicitation (FAR Part 10.001 (c)(2Xi)?

! vgs D NO lf procuring activity believes bundling is necessary and justified, was proper analysis submifted to CpO (HSAM 3007.107(b)?

SUBMISSION AND REVIEW SIGNATURES

Items (18-21) Submission and Reviews (ComfleFd by appropriate otficials)

(18) Contracting Offrcer ffi "on"rrr"n".

(19) Small Business Specialist

Signature of Small Business Specialist:

! Non-Concurrence (Attach justification)

(20) contracting oflicer response to sBS Non-concur ! concurrence ! Non-concurrence (Attach justification)

(21) completed for all unrestricted actions of $2,5oo,ooo or more (including sole source procurements to other than smaI business).

SBA Procurement Center Representative ! Concurrence f] Non_Concurrence

Signature of SBA PCR:

DHS Form 700-22 (6t16)

Signature of Contracting Officer

Signature of Contracting Officer:

Datel