Subcontracting_Plan_Rev-Cover.rtf

U.S. Department of Agriculture

SUBCONTRACTING PLAN REVIEW AND CLEARANCE SHEET

SOLICITATION NO:

Dollar Value:

NAICS Code:

TYPE OF ACQUISITION: SEALED BID _____ NEGOTIATED

AGENCY

CONTRACTING OFFICE

TEL: ( )

Performance Period: From To

OPTIONS

MAILING ADDRESS

DESCRIPTION

CONTRACTOR:

TELEPHONE:

CONTRACTOR IDENTIFICATION CODE:

PLAN SIGNED BY:

TITLE:

INDIVIDUAL CONTRACT PLAN

COMMERCIAL PRODUCT PLAN

SUBCONTRACTING OPPORTUNITIES OFFERED:

SUBCONTRACTING ELEMENTS

ACCEPT

COMMENTS

1. PROPOSED GOALS (All percentages derived from TOTAL SUBCONTRACTS)

DOLLAR VALUE WHOLE NUMBERS

PERCENTAGE OF TOTAL

YES NO

Large Business

Small Business (SB)

TOTAL SUBCONTRACTS

100%

HUBZone Small Business (HUBZone SB)

Small Disadvantaged Business (SDB)

Women-Owned Small Business (WOSB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business (SDVOSB)

2. Descriptions of: (a) principal products/services to be subcontracted including those planned for SB, HUBZone SB, SDB, WOSB, VOSB and SDVOSB; (b) method used to develop goals; (c) method used to identify potential sources; and (d) offeror’s efforts to ensure equitable opportunities for SB, HUBZone SB, SDB, WOSB, VOSB and SDVOSB. In addition, the offeror must provide a statement as to whether or not indirect costs were included in establishing goals. See Note below.

3. Plan Administrator (Name and Duties)

4. Clause Flow-down:

5. Reporting:

6. Record Keeping:

I have reviewed the plan and found it to provide maximum opportunities for small business, HUBZone small business, small disadvantaged business, women-owned small business, veteran-owned small business, and Service-disabled veteran-owned small business concerns.

Contracting Officer Signature:

Date:

OSDBU Coordinator Signature:

Date:

Office of Small and Disadvantaged Business Utilization Small Business Administration Concur Concur With the Following Comments:

____Concur _____Concur With the Following Comments:

Date:

Comments:

Comments:

By:

Date:

By:

NOTE: If indirect costs were included in establishing the goals, the offeror must explain the method used to determine the proportionate share of indirect costs to be incurred as subcontracts to SB concerns, HUBZone SB concerns, SDB concerns, WOSB concerns, VOSB concerns, and SDVOSB concerns. 2/01