Att 06 - Small Business Participation Commitment Doc..docx
DOCX document 32 KB Posted
- Solicitation number
- N00173-23-R-CY15
About this file
This document is a Small Business Participation Commitment template for the solicitation N00173-23-R-CY15 seeking Advanced R&D Support for Modeling and Design of Vacuum Electronic Devices from the Department of the Navy Secretary of the Navy Office of Naval Research. The template requires the prime contractor to specify their business size and socioeconomic categories, commit to subcontracting dollar values and percentages with other than small businesses, small businesses, small disadvantaged businesses, women-owned small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. The prime contractor must also list all planned other than small business and small business participants, their time frames, business types, products/services, and the nature of commitments. The signature of an authorized company official is required to validate the small business participation commitments.
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Other files
| File | Type | Posted |
|---|---|---|
| N00173-23-R-CY15.RFP Amendment 01.pdf | ||
| QA RFP N0017323RCY15.pdf | ||
| Att 04 - Cost_Proposal_Workbook_23RCY15.xlsx | XLSX spreadsheet | |
| Att 02 - REQUIREMENTS FOR ON-SITE CONTRACTORS.pdf | ||
| N00173-23-R-CY15.RFP Final.pdf | ||
| Att 03 - Level of Effort.pdf | ||
| Att 01 - Personnel Qualifications.pdf | ||
| Att 05 - Past_Performance_Questionnaire.pdf | ||
| Exhibit A - CDRLs.pdf | ||
| Att 07 - Subcontracting Plan.docx | DOCX document |
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Text version
Solicitation # N00173-23-R-CY15 Attachment # 06 – Small Business Participation Commitment Document
SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)
Offeror’s Name (Language in blue is instructional and should be deleted after completion) Address Solicitation or Contract Number Title of the Project CAGE code: _____
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) |
| { } Women-Owned Small Business (WOSB) |
| { } Historically Underutilized Business Zone (HUBZone) Small Business |
| { } Service-Disabled Veteran-Owned Small Business (SDVOSB) |
2. Participation of All Businesses:
| Category |
| Dollar Value |
| Percent of TAV |
| Total Acquisition Value (TAV) |
| $ |
| 100% |
| Total work self-performed |
| $ |
| % |
| Other Than Small Business |
| $ |
| % |
| Total Small Business |
| $ |
| % |
| Small Disadvantaged Business (SDB) |
| $ |
| % |
| Women-Owned Small Business (WOSB) |
| $ |
| % |
| Veteran-Owned Small Business (VOSB) |
| $ |
| % |
| Service-Disabled Veteran-Owned Small Business (SDVOSB) |
| $ |
| % |
| Historically Underutilized Business Zone Small Business (HUBZone) |
| $ |
| % |
3. List all Other than Small Business Participants (i.e. large business, educational institution, etc.) including the Prime Contractor, if applicable:
| Company Name |
| Time Frame |
| Type of Business |
| Products/Services |
| Nature of Commitment |
| Dollar Value |
| Percent of TAV* |
*TAV: Total Acquisition Value
4. List all Small Business Participants including the Prime Contractor, if applicable:
| Company Name |
| Time Frame |
| Type of Business* |
| Products/Services |
| Nature of Commitment |
| Dollar Value |
| Percent of TAV |
*Include all socioeconomic categories (SDB, WOSB, etc.), if applicable
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: __________________________________________________________________
Company Title: ________________________________________________________________
Date Signed: __________________________________________________________________
Contracting Officer APPROVAL:
Signature: ____________________________________________________________________
Typed Name: __________________________________________________________________
Title: ________________________________________________________________________
Date Signed: __________________________________________________________________
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
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