Attachment 003 - Small Business Participation Report.xls

XLS spreadsheet 35 KB Posted

Attached to
DA01--Independent Enterprise Testing and Support Services (IETSS)
Solicitation number
36C10B25R0003
Issued by

About this file

This document is a Small Business Participation Report template for a federal contract opportunity. The report requires the contractor to provide details on their small business subcontracting goals and achievements, including the percentage and dollar amount of work performed by small businesses, small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. The report is required to be submitted quarterly and cumulative for the life of the contract. The related federal contract opportunity is for Independent Enterprise Testing and Support Services (IETSS) for the Department of Veterans Affairs Technology Acquisition Center, with a solicitation number of 36C10B25R0003. The question and answer period for this opportunity will close on Tuesday, November 19, 2024 at 12PM EST.

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Text version

SB Stats

IETSS SMALL BUSINESS PARTICIPATION / SUBCONTRACTING REPORT
1. Company Name:
2. Company CAGE Code:
3. Company Size:
3. Prime Contract Number:
4. Date Report Submitted:
5. POC for questions on this report (name, phone, email):
6. Small Business Participation Report Quarter and Year
7. Total Obligated Dollars (cumulative to date):$ - 0
GOAL 1 - Small Business Actuals
REQUIRED GOAL (%)FUNDED /OBLIGATED % (Funded SB $/Total Obligated $)FUNDED/OBLIGATED SB DOLLARSTOTAL OBLIGATED DOLLARS
Total Small Business Subcontracting/Participation25%%$ - 0$ - 0
GOAL 2 - Breakout of Small Business Dollars on Total Contract Obligated Dollars
PROPOSEDFUNDED/OBLIGATED % (SB Category funded$/Total Obligated $)SB Category CUMULATIVE FUNDED/OBLIGATED DOLLARS
Small Disadvantaged Business%%$ - 0
Women Owned Small Business%%$ - 0
HUBZone%%$ - 0
Veteran Owned Small Business%%$ - 0
Service Disabled Veteran Owned Small%%$ - 0
Small Business (No other category above)N/A%$ - 0
GUIDANCE:
1. Provide detailed explanations for percentages less than what was proposed.
2. Goal 1. Large Business: shall include all small business dollars subcontracted. Small Business: Shall include their prime dollars in this calculation for total participation.
3. Goal 2. Shall include all small business dollars. SB Primes shall include their prime dollars in these computations.
4. Dollars and percentages are cumulative for the life of the contract.
5. Highlighted cells should be the same dollar amount.
6. Complete Subk ID tab with specific subcontractor information.

Subk ID

Subcontractor NameSocioeconomic StatusTotal $ Obligated (Cumulative)
Total

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