Attachment 0006 SBP Certification Form-Subcontractor.docx
DOCX document 30 KB Posted
- Solicitation number
- W56HZV-23-R-0072
About this file
This document is a Certification Form for Small Business Size and Socioeconomic Status to be completed by proposed subcontractors not registered in the System for Award Management (SAM) for a federal contract opportunity.
The key details are:
- The solicitation number is W56HZV-23-R-0072 for a Vehicular Track Shoe with NSN 2530-01-587-6141.
- The contract will be a single Firm-Fixed-Price (FFP) with a 100% option for one year.
- The base quantity is 37,599 units and the option quantity is also 37,599 units.
- The NAICS code is 336992 and the size standard is included.
- The subcontractor must certify if they qualify as a Small Business (SB), Small Disadvantaged Business (SDB), Woman-Owned Small Business (WOSB), Veteran-Owned Small Business (VOSB), or Service-Disabled Veteran-Owned Small Business (SDVOSB).
- The subcontractor cannot self-certify as an 8(a) Small Disadvantaged Business or HUBZone Small Business, which require SBA certification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Question and Answer Response W56HZV23R0072.xlsx | XLSX spreadsheet | |
| Question and Answer Response W56HZV23R0072.xlsx | XLSX spreadsheet | |
| Question and Answer Response W56HZV23R0072.xlsx | XLSX spreadsheet | |
| Attachment 0007 SBP Factor Workbook.xlsx | XLSX spreadsheet | |
| Attachment 0004 Pricing Workbook.xlsx | XLSX spreadsheet | |
| Solicitation W56HZV23R0072.pdf | ||
| Attachment 0005 SBP Factor Workbook Instructions.docx | DOCX document | |
| Attachment 0003 Past Performance Questionnaire.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Certification Form Small Business Size and Socioeconomic Status For Proposed Subcontractors Not Registered in the System for Award Management (SAM) Instructions for Prime Offeror:
1. Obtain this certification from any small business listed in the proposal that is not registered in SAM at https://www.sam.gov.
2. Before sending to a subcontractor to fill in, insert the Solicitation Number, NAICS code associated with the work to be done by the subcontractor, and the size standard for that NAICS code. Insertion of subcontract number or other internal tracking code is optional.
Instructions for Subcontractor:
1. Do not fill in this form if the NAICS code or one of the size standard fields has not been filled in by the prime offeror.
2. Fill in the other fields below. {The fields will expand as you type.}
3. Provide Name, Title, and Signature of official authorized to sign for the company and the date.
Solicitation Number: W56HZV-{ }-{ }-{ } Subcontract Number or Other Internal Tracking Code (Optional): { }
| Company Name: | { } | |
| Address: | { } |
I hereby certify that for the North American Industry Classification System (NAICS) code of { } defined in https://www.census.gov/eos/www/naics/ with a size standard of { } employees / $ { } average annual receipts assigned at https://www.sba.gov/contracting/getting-started-contractor/make-sure-you-meet-sba-size-standards, the above named business is a (check all that apply):
|_| Small Business (SB) |_| Small Disadvantaged Business (SDB) |_| Woman Owned Small Business (WOSB) |_| Veteran Owned Small Business (VOSB) |_| Service Disabled Veteran Owned Small Business (SDVOSB) as defined in Federal Acquisition Regulation (FAR) 2.101, FAR Clause 52.219-8, and taking into consideration the 13 CFR 121.103 “How does SBA determine affiliation” at http://www.ecfr.gov.
The contractor may self-certify in the above categories. A Contractor cannot self-certify as an 8(a) Small Disadvantaged Business or a Historically Underutilized Small Business Zone Small Business (HUBZone SB). These require certification by the Small Business Administration (SBA) and registration in the System for Award Management (SAM) and the SBA’s Dynamic Small Business Search Database.
Official authorized to sign for the company
| Name: | { } |
| Title: | { } |
Electronic Signature: { } or Handwritten Signature: _______________________________________________________________
| Electronic Date: | { } |
| or Handwritten Date: | ___________________ |
Form version: 27 Mar 2019
File details come from the government source that posted it. Updated .