A7.Small Business Participation Commitment Document Template.pdf

PDF 30 KB Posted

Attached to
SDS - Software Definable/Reconfigurable Systems: Design, Development, Support, and Integration Federal contract opportunity
Solicitation number
N00173-20-R-AL01
Issued by
Department of the Navy Secretary of the Navy Office of Naval Research

About this file

This document is a Small Business Participation Commitment template for solicitation N00173-20-R-AL01 from the Naval Research Laboratory.

The template requires the prime contractor to specify its business size and socioeconomic categories, and to commit to minimum quantitative requirements for small business participation. It includes tables for the prime contractor to provide the total contract value, dollars and percentages to be awarded to small businesses in various categories including small disadvantaged businesses, woman-owned small businesses, HUBZone small businesses, and veteran-owned small businesses. The prime contractor must also specify any work to be self-performed and associated dollar values. Additional tables are included for the prime contractor to list other than small business participants and small business subcontractors, the products or services to be provided, associated NAICS codes, and dollar values. The template must be signed by an authorized company official.

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Text version

Solicitation N00173-20-R-AL01

Small Business Participation Commitment Document (SBPCD) Template

1. Prime Contractor Size:

Indicate the applicable size and socioeconomic categories -- all that apply:

{ } Other than Small Business or { } Small Business also categorized as a

{ } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)

2. Participation of Small Businesses

Total Contract Value (Proposed) $

Minimum Quantitative Requirement (MQR)

Business Category Dollar Value % of Total Contract Value

Total Contract Value – Prime Contractor $ % Total work to be self-performed $ % Other than Small Business (OTS) Busine

Dollar Value Total Small Business $ %

Small Disadvantaged Business $ % Woman-Owned Small Business $ % HUBZone Small Business $ % Veteran-Owned Small Business $ % Service-Disabled Veteran-Owned Small

Business

3. Indicate any work to be self-performed and the total value associated

Type of Product/Service $ Dollar Value % of Total Contract Value

Solicitation N00173-20-R-AL01

4. List all Other than Small Business Participants (OTS)

Company Name

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of Commitment

$ Dollar Value % of Total Contract Value

5. Small Business Participants

Company Name

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of Commitment

$ Dollar Value % of Total Contract Value

SIGNATURE REQUIRED: Must be signed and dated by a company official to be valid

This Small Business Participation Commitment Plan was SUBMITTED by:

Signature: ____________________________________________________________________________ Typed Name: _________________________________________________________________________ Title: ________________________________________________________________________________ Company Name: ______________________________________________________________________ Date Signed: __________________________________________________________________________

Contracting Officer APPROVAL:

Signature: ________________________________________________________________________ Typed Name: _____________________________________________________________________ Title: ____________________________________________________________________________ Date Signed: ______________________________________________________________________

Small Business Professional APPROVAL:

Signature: _____________________________________________________________________ Typed Name: __________________________________________________________________ Title: _________________________________________________________________________ Date Signed: ___________________________________________________________________

1. Prime Contractor Size:
{ } Other than Small Business or

File details come from the government source that posted it. Updated .