A19-J.2 – SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE 9.29.24.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- PHARMACY BENEFITS MANAGEMENT SERVICES (PBM)
- Solicitation number
- 1605C3-24-R-00011
About this file
This document is a Small Business Subcontracting Plan Template related to a federal contract opportunity for Pharmacy Benefits Management (PBM) Services. The contract has a total estimated value across the base period and all option periods of an unspecified amount. The contractor is required to subcontract a minimum of 60% of the total contract value to small businesses, including 11% to small disadvantaged businesses, 7% to women-owned small businesses, 3% to HUBZone small businesses, 5% to veteran-owned small businesses, and 5% to service-disabled veteran-owned small businesses. The RFP for this contract opportunity was issued by the Department of Labor's Office of Workers' Compensation Programs, with a due date for proposal submission to be provided in a later amendment. Questions regarding the RFP must be submitted by October 21, 2024.
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Text version
SUBCONTRACT PLAN SUMMARY SHEET
A19-J.2 – SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE
| Contract Name: Pharmacy Benefits Management Services (PBM) |
| RFP/Contract No: 1605C3-24-R-00011 |
| Contractor: |
| Name Of Subcontract Administrator: |
| Total Dollar Value of Contract: (Base+ All Option Periods + Award Term) |
| Contract Period Covered By Plan |
| Base | Option 1 | Option 2 | Option III | Option IV | Award Term | Total | ||||||||
| $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | |
| A. Total Contract Value | ||||||||||||||
| B. Total Dollars to be subcontracted (% of line A) |
| C. Subcontracted to: (% of line B) | |||||||
| (1) Small Business | 60% | 60% | 60% | 60% | 60% | 60% | 60% |
| (2) Small Disadvantaged Business | 11% | 11% | 11% | 11% | 11% | 11% | 11% |
| (3) Women-Owned Business | 7% | 7% | 7% | 7% | 7% | 7% | 7% |
| (4) HUBZone Business | 3% | 3% | 3% | 3% | 3% | 3% | 3% |
| (5) Veteran-Owned Small Business (Including Service-Disabled) | 5% | 5% | 5% | 5% | 5% | 5% | 5% |
(6) Service Disabled Veteran-Owned Small Business 5% 5% 5% 5% 5% 5% 5%
| Item A: Enter the total proposed value of the contract for each year. |
| Item B: Enter the total amount to be subcontracted for each contract year. Calculate the percentage of line A. |
| Item C: For categories (1) thru (6), enter the dollar amounts to be subcontracted to each category of small business. Small business categories are not mutually exclusive; subcontract dollars may be attributed to as many categories as are applicable. For example, the dollars subcontracted to a self-certified woman-owned and service-disabled veteran –owned small business that is also certified by SBA (on SAM) as a small disadvantaged and HUBZone business should be counted in each of the six categories. Calculate the percentage of line B. |
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