Attachment 04b Small Business Participation Commitment Document.docx
DOCX document 29 KB Posted
- Solicitation number
- HQ003421R0130
- Issued by
-
DOD Washington Headquarters Service
About this file
This Small Business Participation Commitment Document outlines the minimum quantitative requirements for small business participation on a federal contract opportunity for integrated security services. The draft solicitation is for the Integrated Security Services Contract 4 (ISSC4) through the Department of Defense Washington Headquarters Service. The document requires the prime contractor to commit a minimum percentage of the total contract value, including all options, to various small business categories such as small disadvantaged businesses, woman-owned small businesses, and service-disabled veteran-owned small businesses. For each small business included, the prime contractor must submit a signed binding agreement outlining the products or services to be provided according to the task requirements in the performance work statement and the nature of the commitment between the parties.
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Text version
ATTACHMENT 4
SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)
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) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)
2. Minimum Quantitative Requirement (MQR) -- Participation of Small Businesses* *Small Business Participation, reporting applies
Total Contract Value Including all options (Awarded) $
Minimum Quantitative Requirement (MQR)
| Business Category |
| Dollar Value |
| % of Total Contract Value |
| Total Contract Value – Prime Contractor |
| $ |
| % |
| Total Small Business |
| $ |
| % |
| Small Disadvantaged Business |
| $ |
| % |
| Woman-Owned Small Business |
| $ |
| % |
| HUBZone Small Business |
| $ |
| % |
| Veteran-Owned Small Business |
| $ |
| % |
| Service-Disabled Veteran-Owned Small Business | |
| $ | |
| % |
| Total: |
| $ |
| % |
3. Small Business Participants *
* Changes to this form must be pre-approved by Contracting Officer
| Company Name |
| Cage Code/DUNS # |
| Business Category(ies) |
(SB, WOSB, SDB, VOSB, SDVOSB)
Product(s)/Service(s) to be Provided (List task(s) as prescribed in the PWS)
NAICS
Code Nature of Commitment (i.e., letter of commitment, joint ventures, mentor protégé agreements, others)
This form is not to be edited or modified. Please do not add notation(s) to the form. The form is to be used as it is presented in the solicitation. For every small business listed on this form you must submit a signed binding agreement with the SBC (i.e., letter of commitment, joint ventures, mentor protégé agreements, others). Binding commitments shall become enforceable, contractual requirements.
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