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TO Information
| Attachment J.5.B |
| Eastern Region Site Verification Services Task Order Subcontract Reporting | |
| Contractor Name | Submission Date |
| Contract Number | |
| Task Order Number | |
Provide a description of ALL the products and/or services subcontracted under this task order, and indicate the size and type of business supplying them as well as the name and DUNS (include all that apply):
| Products and/or Services | Subcontractor Name | DUNS | Other | Small Business | SDB | WOSB | HUBZone | VOSB | SDVOSB |
| 1 | | | | | | | | | | |
| 2 | | | | | | | | | | |
| 3 | | | | | | | | | | |
| 4 | | | | | | | | | | |
| 5 | | | | | | | | | | |
| 6 | | | | | | | | | | |
Dollars-%
| Reporting Period | Task Order Funded Amount | Total dollars subcontracted to small business concerns (including ANC and Indian tribes) | Total dollars subcontracted to veteran-owned small business concerns | Total dollars subcontracted to service-disabled veteran-owned small business | Total dollars subcontracted to HUBZone small business concerns | Total dollars subcontracted to small disadvantaged business concerns | Total dollars subcontracted to women-owned small business concerns | Total Subcontracting Dollars & Percentage with “Other” than Small Businesses (i.e., large companies, non profits, etc.) |
| Base Period Reporting | | | | | | | | |
| PoP: ________________ | Percentage of Total Funded | % | % | % | % | % | % | % |
| Option Period 1 Reporting | | | | | | | | |
| PoP: ________________ | Percentage of Total Funded | % | % | % | % | % | % | % |
| Option Period 2 Reporting | | | | | | | | |
| PoP: ________________ | Percentage of Total Funded | % | % | % | % | % | % | % |
| Option Period 3 Reporting | | | | | | | | |
| PoP: ________________ | Percentage of Total Funded | % | % | % | % | % | % | % |
| Option Period 4 Reporting | | | | | | | | |
| PoP: ________________ | Percentage of Total Funded | % | % | % | % | % | % | % |
| Cumulative to Date | | | | | | | | |
| Percentage of Total Funded | % | % | % | % | % | % | % |
