Att 07 - Small Business Participation Commitment Doct.docx

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Attached to
Plasma Science Research in Support of the NRL Plasma Physics Division
Solicitation number
N00173-23-R-JD10
Issued by

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This document is a Small Business Participation Commitment template to be completed by offerors responding to Solicitation N00173-23-R-JD10 from the Department of the Navy for plasma science research in support of the Naval Research Laboratory Plasma Physics Division. The template requires offerors to specify their business size and socioeconomic categories, and provide the dollar value and percentage of total acquisition value for work to be performed by the prime contractor, other than small businesses, and small businesses including small disadvantaged businesses, women-owned small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. Offerors must also list all proposed subcontractors by company name, time frame, business type, products/services, and nature of commitment. A company official signature and contracting officer approval are required for the completed template to be considered valid.

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Solicitation # N00173-23-R-JD10 Attachment # 07 – 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

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