A11 Small Business Self Performance Worksheet.pdf
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- Attached to
- SXHT 16-1037 Repair Streets & Parking Various PSFB Federal contract opportunity
- Solicitation number
- FA252125B0010
About this file
The document is a Calculation of Self-Performed/Subcontracted Work form for a small business construction contract (Solicitation FA2521-25-B-0010) for repairing streets and parking at Patrick Space Force Base in Florida. The form requires contractors to calculate and certify that they will self-perform at least 15% of the contract work, in compliance with Federal Acquisition Regulation (FAR) 52.219-14, which limits subcontracting for general construction contracts. Contractors must complete a detailed calculation showing total contract value, material costs, and the percentage of work performed by the prime contractor and similarly situated small business entities, with the goal of ensuring significant direct performance by the awarded small business.
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Text version
CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK
FA2521-25-B-0010
SXHT 16-1037 Repair Streets and Parking Various, PSFB
In accordance with FAR 52.219-14, (Limitations on Subcontracting (Oct 2022), by submission of an offer and execution of a contract, the Contractor agrees that in performance of a contract assigned a North American Industry Classification System (NAICS) code for— (3) General construction, it will not pay more than 85 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 85 percent subcontract amount that cannot be exceeded
Complete Calculation below and submit with your proposal.
Calculation
$ _____________ SubTotal 1
#1. Total Contract Value (TCV) for Prime Offeror/Contractor (SB) and similarly situated entities
#2. ALL Material Costs associated with this contract
#3. Subtract ALL Material Costs (#2) from TCV (#1)
#4. Total Value of all NON-SB (excluding Materials Costs)
#5. Subtract Total Value of all NON-SB costs (#4) from SubTotal 1 (#3) $ _____________ SubTotal 2
#6. (SubTotal 2 (#5) divided by SubTotal 1 (#3)) X 100% % (must be 15% or more)
I certify the above representations are true and correct to the best of my knowledge.
(Signature and Typed Name of Authorized Representative) Date
(Title of Authorized Representative) Name of Company
| FA2521-25-B-0004 |
| Calculation |
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