Attachment 11 SF294 Subcontracting Report.pdf

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Attached to
Integrated Security Services Contract (ISSC4) Solicitation
Solicitation number
HQ003421R0130
Issued by

About this file

This is a solicitation for an Integrated Security Services Contract (ISSC4) to provide security services at multiple locations. The Washington Headquarters Services Acquisition Directorate will award an indefinite delivery indefinite quantity contract with firm-fixed pricing to a single contractor. Required security services include guarding, law enforcement, physical security, and emergency response at facilities in the Washington D.C. area. The contract period of performance is a one year base period with four one-year options. Questions regarding this solicitation must be submitted by August 20, 2021 and the anticipated award date is not specified. Offerors must register in the System for Award Management to receive solicitation amendments electronically.

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File Type Posted
SF30 - HQ003421R0130 - Amend 0004.pdf PDF
Attachment 05 Labor Categories Amend 0003.xlsx XLSX spreadsheet
Attachment 01b1 PWS Task Order 1 Amend 0003.pdf PDF
Attachment 01a PWS IDIQ Amend 0003.pdf PDF
Attachment 17 2nd QA Document Amend 0003.pdf PDF
Attachment 01c1 PWS Task Order 2 Amend 0003.pdf PDF
SF30 - HQ003421R0130 - Amend 0003.pdf PDF
Attachment 08a Task Order 1 Pricing Template Amend 0003.xlsx XLSX spreadsheet
SF30 - HQ003421R0130 - Amend 0002.pdf PDF
SF30 - HQ003421R0130 - Amend 0001.pdf PDF
Attachment 16 - QA Document - Amend 0001.pdf PDF
Attachment 08d Sample Task Order 2 Pricing Template.xlsx XLSX spreadsheet
Attachment 15a Key Personnel Task Order 1.docx DOCX document
Attachment 14 DD254.pdf PDF
Attachment 07b Personnel Matrix Task Order 2.xlsx XLSX spreadsheet
Attachment 07a Personnel Matrix Task Order 1.xlsx XLSX spreadsheet
Attachment 03 Past Performance Questionnaire.pdf PDF
Attachment 08c Sample Task Order 1 Pricing Template.xlsx XLSX spreadsheet
Attachment 08b Task Order 2 Pricing Template.xlsx XLSX spreadsheet
Attachment 01b1 Task Order 1 PWS.pdf PDF
Attachment 04a Small Business Subcontracting Plan.pdf PDF
Attachment 01c1 Task Order 2 PWS.pdf PDF
Attachment 12 Ordering Procedures.pdf PDF
Attachment 15b Key Personnel Task Order 2.docx DOCX document
Attachment 07c Personnel Matrix Sample Task Order 1.xlsx XLSX spreadsheet
Attachment 10 Organizational Conflict of Interest.pdf PDF
Attachment 02 Non-disclosure Agreement.pdf PDF
Attachment 15d Key Personnel Sample Task Order 2.docx DOCX document
Attachment 04b Small Business Participation Commitment Document.pdf PDF
Attachment 01d Sample Task Order 1 PWS.pdf PDF
Attachment 01e Sample Task Order 2 PWS.pdf PDF
Attachment 05 Labor Categories v4.xlsx XLSX spreadsheet
Attachment 01a IDIQ PWS.pdf PDF
Attachment 06 Wage Determination.pdf PDF
Attachment 07d Personnel Matrix Sample Task Order 2.xlsx XLSX spreadsheet
Attachment 15c Key Personnel Sample Task Order 1.docx DOCX document
A23 HQ003421R0130 FINAL.pdf PDF
Attachment 08a Task Order 1 Pricing Template.xlsx XLSX spreadsheet
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a. COMPANY NAME

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE

2. CONTRACTOR IDENTIFICATION NUMBER

3. DATE SUBMITTED

YEAR

PRIME CONTRACT NUMBER

SUBCONTRACT NUMBER

a. AGENCY'S OR CONTRACTOR'S NAME

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE

CURRENT GOAL ACTUAL CUMULATIVE

100.0% 100.0%

17. ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN TRIBES

THAT HAVE NOT BEEN CERTIFIED BY THE SMALL BUSINESS

ADMINISTRATION AS SMALL DISADVANTAGED BUSINESSES

(Dollar Amount) (SEE SPECIFIC INSTRUCTIONS)

18. ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN TRIBES THAT ARE NOT SMALL BUSINESSES (Dollar Amount) (SEE SPECIFIC INSTRUCTIONS)

STANDARD FORM 294 (REV. 10/2020)

Prescribed by GSA-FAR (48 CFR 53.219)

Previous Edition is NOT Usable

OMB Control Number: 9000-0007 Expiration Date: 3/31/2022

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

(See instructions on page 3)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0007. We estimate that it will take 2 hours to read the instructions, gather the facts, and answer the questions.

Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to:

General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1. CORPORATION, COMPANY, OR SUBDIVISION COVERED

4. REPORTING PERIOD FROM INCEPTION OF CONTRACT THRU:

5. TYPE OF REPORT

6. ADMINISTERING ACTIVITY (Please check applicable box)

7. REPORT SUBMITTED AS (Check one and provide appropriate number) 8. AGENCY OR CONTRACTOR AWARDING CONTRACT

9. DOLLARS AND PERCENTAGES IN THE FOLLOWING BLOCKS:

SUBCONTRACT AWARDS

TYPE

WHOLE DOLLARS PERCENT WHOLE DOLLARS PERCENT

10a. SMALL BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

10b. LARGE BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

10c. TOTAL (Sum of 10a and 10b.)

11. SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

12. WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

13. HISTORICALLY BLACK COLLEGES AND UNIVERSITIES (HBCU)

AND MINORITY INSTITUTIONS (MI) (If applicable) (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

14. HUBZone SMALL BUSINESS (HUBZone SB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

15. VETERAN-OWNED SMALL BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

16. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

CONCERNS (Dollar Amount and Percent of 10c) (SEE

SPECIFIC INSTRUCTIONS)

MAR 31

REGULAR

ARMY

NAVY

AIR FORCE DEFENSE CONTRACT MANAGEMENT AGENCY

DOE

NASA

OTHER FEDERAL AGENCY (Specify)

DO INCLUDE INDIRECT COSTS DO NOT INCLUDE INDIRECT COSTS

PRIME CONTRACTOR

SUBCONTRACTOR

GSA

REVISEDFINAL

SEPT 30

19. REMARKS

20a. NAME OF INDIVIDUAL ADMINISTERING SUBCONTRACTING PLAN 20b. TELEPHONE NUMBER

NUMBERAREA CODE

STANDARD FORM 294 (REV. 10/2020) PAGE 2

SPECIFIC INSTRUCTIONS

8. FAR 19.703 sets forth the eligibility requirements for participating in the subcontracting program.

9. Actual achievements must be reported on the same basis as the goals set forth in the contract. For example, if goals in the plan do not include indirect and overhead items, the achievements shown on this report should not include them either.

3. This form collects subcontract award data from prime contractors/ subcontractors that: (a) hold one or more contracts over the applicable thresholds found at 19.702(a); and (b) are required to report subcontracts awarded to Small Business (SB), Small Disadvantaged Business (SDB), Women-Owned Small Business (WOSB), HUBZone Small Business (HUBZone SB), Veteran-Owned Small Business (VOSB) and Service-Disabled Veteran- Owned Small Business concerns under a subcontracting plan. For the Department of Defense (DOD), the National Aeronautics and Space Administration (NASA), and the Coast Guard, this form also collects subcontract award data for Historically Black Colleges and Universities (HBCUs) and Minority Institutions (MIs).

2. This report is not required for commercial items for which a commercial plan has been approved, nor from large businesses in the Department of Defense (DOD) Test Program for Negotiation of Comprehensive Subcontracting plans.

The Summary Subcontract Report (SSR) is required for contractors operating under one of these two conditions and should be submitted to the Government in accordance with the instructions on that form.

4. This report is required for each contract containing a subcontracting plan and must be submitted to the administrative contracting officer (ACO) or contracting officer if no ACO is assigned, semi-annually, during contract performance for the periods ended March 31st and September 30th. A separate report is required for each contract at contract completion. Reports are due 30 days after the close of each reporting period unless otherwise directed by the contracting officer. Reports are required when due, regardless of whether there has been any subcontracting activity since the inception of the contract or since the previous report.

5. Only subcontracts involving performance in the United States or its outlying areas should be included in this report with the exception of subcontracts under a contract awarded by the State Department or any other agency that has statutory or regulatory authority to require subcontracting plans for subcontracts performed outside the United States and its outlying areas.

6. Purchases from a corporation, company, or subdivision that is an affiliate of the prime/subcontractor are not included in this report.

7. Subcontract award data reported on this form by prime contractors/ subcontractors shall be limited to awards made to their immediate subcontractors. Credit cannot be taken for awards made to lower tier subcontractors unless you have been designated to receive an SB and SDB credit from an Alaska Native Corporation (ANC) or Indian tribe.

BLOCK 5: Check whether this report is a "Regular," "Final," and/or "Revised" report. A "Final" report should be checked only if the contractor has completed the contract or subcontract reported in Block 7. A "Revised" report is a change to a report previously submitted for the same period.

BLOCK 10a: Report all subcontracts awarded to SBs including subcontracts to SDBs, WOSB, VOSB, service-disabled VOSB, and HUBZone SBs. For DOD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs. Include subcontracts awarded to ANCs and Indian tribes that are not small businesses and that are not certified by the SBA as SDBs where you have been designated to receive their SB and SDB credit. Where your company and other companies have been designated by an ANC or Indian tribe to receive SB and SDB credit for a subcontract awarded to the ANC or Indian tribe, report only the portion of the total amount of the subcontract that has been designated to your company.

BLOCK 12: Report all subcontracts awarded to WOSBs (including SDBs, VOSBs (including service-disabled VOSBs), and HUBZone SBs that are also WOSBs).

1. This report is not required for small businesses.

BLOCK 15: Report all subcontracts awarded to VOSBs including service-disabled VOSBs (and including SDBs, WOSBs, and HUBZone SBs that are also VOSBs).

STANDARD FORM 294 (REV. 10/2020) PAGE 3

BLOCK 6: Identify the department or agency administering the majority of subcontracting plans.

BLOCKS 11 - 16: Each of these items is a subcategory of Block 10a.

Note that in some cases the same dollars may be reported in more than one block (e.g., SDBs owned by women or veterans).

BLOCK 10c: Report on this line the total of all subcontracts awarded under this contract (the sum of lines 10a and 10b).

BLOCK 10b: Report all subcontracts awarded to large businesses (LBs) and any other-than-small businesses. Do not include subcontracts awarded to ANCs and Indian tribes that have been reported in 10a above.

BLOCK 17: Report all subcontracts awarded to ANCs and Indian tribes that are reported in Block 11, but have not been certified by SBA as SDBs.

GENERAL INSTRUCTIONS

BLOCK 2: For the Contractor Identification Number, enter the unique entity identifier that identifies the specific contractor establishment. If there is no unique entity identifier that identifies the exact name and address entered in Block 1, contact the entity designated at SAM for establishment of the unique entity identifier.

BLOCK 4: Check only one. Note that all subcontract award data reported on this form represents activity since the inception of the contract through the date indicated on this block.

BLOCK 9: Check the appropriate block to indicate whether indirect costs are included in the dollar amounts in blocks 10a through 16. To ensure comparability between the goal and actual columns, the contractor may include indirect costs in the actual column only if the subcontracting plan included indirect costs in the goal.

BLOCKS 10a through 18: Under "Current Goal," enter the dollar and percent goals in each category (SB, SDB, WOSB, VOSB,service-disabled VOSB, and HUBZone SB) from the subcontracting plan approved for this contract. (If the original goals agreed upon at contract award have been revised as a result of contract modifications, enter the original goals in Block 19. The amounts entered in Blocks 10a through16 should reflect the revised goals.) There are no goals for Blocks 17 and

18. Under "Actual Cumulative," enter actual subcontract achievements (dollars and percent) from the inception of the contract through the date of the report shown in Block 4. In cases where indirect costs are included, the amounts should include both direct awards and an appropriate prorated portion of indirect awards. However, the dollar amounts reported under "Actual Cumulative" must be for the same period of time as the dollar amounts shown under "Current Goal." For a contract with options, the current goal should represent the aggregate goal since the inception of the contract. For example, if the contractor is submitting the report during Option 2 of a multiple year contract, the current goal would be the cumulative goal for the base period plus the goal for Option 1 and the goal for Option 2.

BLOCK 11: Report all subcontracts awarded to SDBs (including WOSB, VOSB, service-disabled VOSBs, and HUBZone SB SDBs). Include subcontracts awarded to ANCs and Indian tribes that have not been certified by SBA as SDBs where you have been designated to receive their SDB credit. Where your company and other companies have been designated by an ANC or Indian tribe to receive their SDB credit for a subcontract awarded to the ANC or Indian tribe, report only the portion of the total amount of the subcontract that has been designated to your company. For DoD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs.

BLOCK 13: (For contracts with DoD, NASA, and Coast Guard):

Reportall subcontracts with HBCUs/MIs. Complete the column under"Current Goal" only when the subcontracting plan establishes a goal.

BLOCK 14: Report all subcontracts awarded to HUBZone SBs (including WOSBs, VOSBs (including service-disabled VOSBs), and SDBs that are also HUBZone SBs).

BLOCK 16: Report all subcontracts awarded to service-disabled VOSBs (including SDBs, WOSBs, and HUBZone SBs that are also service-disabled VOSBs).

BLOCK 7: Indicate whether the reporting contractor is submitting this report as a prime contractor or subcontractor and the prime contract or subcontract number.

BLOCK 8: Enter the name and address of the Federal department or agency awarding the contract or the prime contractor awarding the subcontract.

DISTRIBUTION OF THIS REPORT

For the Awarding Agency or Contractor:

For the Small Business Administration (SBA):

DEFINITIONS

BLOCK 19: Enter a short narrative explanation if (a) SB, SDB, WOSB,VOSB, service-disabled VOSB, or HUBZone SB accomplishments fall below that which would be expected using a straight-line projection of goals through the period of contract performance; or (b) if this is a final report, any one of the six goals were not met.

STANDARD FORM 294 (REV. 10/2020) PAGE 4

BLOCK 18: Report all subcontracts awarded to ANCs and Indian tribes that are reported in Block 10a, but are not small businesses.

1. Direct Subcontract Awards are those that are identified with the performance of one or more specific Government contract(s).

2. Indirect costs are those which, because of incurrence for common or joint purposes, are not identified with specific Government contracts; these awards are related to Government contract performance but remain for allocation after direct awards have been determined and identified to specific Government contracts.

The original copy of this report should be provided to the contracting officer at the agency or contractor identified in Block 8. For contracts with DOD, a copy should also be provided to the Defense Contract Management Agency (DCMA) at the cognizant Defense Contract Management Area Operations (DCMAO) office.

A copy of this report must be provided to the cognizant Commercial Market Representative (CMR) at the time of a compliance review. It is NOT necessary to mail the SF 294 to SBA unless specifically requested by the CMR.

1.4

C:\PERFORM\FORMS\S294_7.FRP

Barbara Williams ADOBEPS4.DRV Version 4.50 Acrobat Distiller 5.0 (Windows) D:20010924163340Z D:20030221134405-05'00' ADOBEPS4.DRV Version 4.50 Standard Form 294 - Subcontracting Report for Individual Contracts

a. COMPANY NAME

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

2. CONTRACTOR IDENTIFICATION NUMBER

3. DATE SUBMITTED

YEAR

PRIME CONTRACT NUMBER

SUBCONTRACT NUMBER

a. AGENCY'S OR CONTRACTOR'S NAME

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

CURRENT GOAL

ACTUAL CUMULATIVE

100.0% 100.0%

17. ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN TRIBES

THAT HAVE NOT BEEN CERTIFIED BY THE SMALL BUSINESS

ADMINISTRATION AS SMALL DISADVANTAGED BUSINESSES

(Dollar Amount) (SEE SPECIFIC INSTRUCTIONS)

18. ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN TRIBES THAT ARE NOT SMALL BUSINESSES (Dollar Amount) (SEE SPECIFIC INSTRUCTIONS)

STANDARD FORM 294 (REV. 10/2020)

Prescribed by GSA-FAR (48 CFR 53.219) Previous Edition is NOT Usable OMB Control Number: 9000-0007 Expiration Date: 3/31/2022

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

(See instructions on page 3) Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0007. We estimate that it will take 2 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

1. CORPORATION, COMPANY, OR SUBDIVISION COVERED

4. REPORTING PERIOD FROM INCEPTION OF CONTRACT THRU:

5. TYPE OF REPORT

6. ADMINISTERING ACTIVITY (Please check applicable box)

7. REPORT SUBMITTED AS (Check one and provide appropriate number)

8. AGENCY OR CONTRACTOR AWARDING CONTRACT

9. DOLLARS AND PERCENTAGES IN THE FOLLOWING BLOCKS:

SUBCONTRACT AWARDS

TYPE

WHOLE DOLLARS

PERCENT

WHOLE DOLLARS

PERCENT

10a. SMALL BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS) 10b. LARGE BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS) 10c. TOTAL (Sum of 10a and 10b.)

11. SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

12. WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

13. HISTORICALLY BLACK COLLEGES AND UNIVERSITIES (HBCU)

AND MINORITY INSTITUTIONS (MI) (If applicable) (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

14. HUBZone SMALL BUSINESS (HUBZone SB) CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

15. VETERAN-OWNED SMALL BUSINESS CONCERNS (Dollar Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)

16. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

CONCERNS (Dollar Amount and Percent of 10c) (SEE

SPECIFIC INSTRUCTIONS)

19. REMARKS

20a. NAME OF INDIVIDUAL ADMINISTERING SUBCONTRACTING PLAN 20b. TELEPHONE NUMBER

NUMBER

AREA CODE

STANDARD FORM 294 (REV. 10/2020) PAGE 2

SPECIFIC INSTRUCTIONS

8. FAR 19.703 sets forth the eligibility requirements for participating in the subcontracting program.

9. Actual achievements must be reported on the same basis as the goals set forth in the contract. For example, if goals in the plan do not include indirect and overhead items, the achievements shown on this report should not include them either.

3. This form collects subcontract award data from prime contractors/subcontractors that: (a) hold one or more contracts over the applicable thresholds found at 19.702(a); and (b) are required to report subcontracts awarded to Small Business (SB), Small Disadvantaged Business (SDB), Women-Owned Small Business (WOSB), HUBZone Small Business (HUBZone SB), Veteran-Owned Small Business (VOSB) and Service-Disabled Veteran-Owned Small Business concerns under a subcontracting plan. For the Department of Defense (DOD), the National Aeronautics and Space Administration (NASA), and the Coast Guard, this form also collects subcontract award data for Historically Black Colleges and Universities (HBCUs) and Minority Institutions (MIs).

2. This report is not required for commercial items for which a commercial plan has been approved, nor from large businesses in the Department of Defense (DOD) Test Program for Negotiation of Comprehensive Subcontracting plans. The Summary Subcontract Report (SSR) is required for contractors operating under one of these two conditions and should be submitted to the Government in accordance with the instructions on that form.

4. This report is required for each contract containing a subcontracting plan and must be submitted to the administrative contracting officer (ACO) or contracting officer if no ACO is assigned, semi-annually, during contract performance for the periods ended March 31st and September 30th. A separate report is required for each contract at contract completion. Reports are due 30 days after the close of each reporting period unless otherwise directed by the contracting officer. Reports are required when due, regardless of whether there has been any subcontracting activity since the inception of the contract or since the previous report.

5. Only subcontracts involving performance in the United States or its outlying areas should be included in this report with the exception of subcontracts under a contract awarded by the State Department or any other agency that has statutory or regulatory authority to require subcontracting plans for subcontracts performed outside the United States and its outlying areas.

6. Purchases from a corporation, company, or subdivision that is an affiliate of the prime/subcontractor are not included in this report.

7. Subcontract award data reported on this form by prime contractors/ subcontractors shall be limited to awards made to their immediate subcontractors. Credit cannot be taken for awards made to lower tier subcontractors unless you have been designated to receive an SB and SDB credit from an Alaska Native Corporation (ANC) or Indian tribe.

BLOCK 5: Check whether this report is a "Regular," "Final," and/or "Revised" report. A "Final" report should be checked only if the contractor has completed the contract or subcontract reported in Block 7. A "Revised" report is a change to a report previously submitted for the same period.

BLOCK 10a: Report all subcontracts awarded to SBs including subcontracts to SDBs, WOSB, VOSB, service-disabled VOSB, and HUBZone SBs. For DOD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs. Include subcontracts awarded to ANCs and Indian tribes that are not small businesses and that are not certified by the SBA as SDBs where you have been designated to receive their SB and SDB credit. Where your company and other companies have been designated by an ANC or Indian tribe to receive SB and SDB credit for a subcontract awarded to the ANC or Indian tribe, report only the portion of the total amount of the subcontract that has been designated to your company.

BLOCK 12: Report all subcontracts awarded to WOSBs (including SDBs, VOSBs (including service-disabled VOSBs), and HUBZone SBs that are also WOSBs).

1. This report is not required for small businesses.

BLOCK 15: Report all subcontracts awarded to VOSBs including service-disabled VOSBs (and including SDBs, WOSBs, and HUBZone SBs that are also VOSBs).

STANDARD FORM 294 (REV. 10/2020) PAGE 3

BLOCK 6: Identify the department or agency administering the majority of subcontracting plans.

BLOCKS 11 - 16: Each of these items is a subcategory of Block 10a. Note that in some cases the same dollars may be reported in more than one block (e.g., SDBs owned by women or veterans).

BLOCK 10c: Report on this line the total of all subcontracts awarded under this contract (the sum of lines 10a and 10b).

BLOCK 10b: Report all subcontracts awarded to large businesses (LBs) and any other-than-small businesses. Do not include subcontracts awarded to ANCs and Indian tribes that have been reported in 10a above.

BLOCK 17: Report all subcontracts awarded to ANCs and Indian tribes that are reported in Block 11, but have not been certified by SBA as SDBs.

GENERAL INSTRUCTIONS

BLOCK 2: For the Contractor Identification Number, enter the unique entity identifier that identifies the specific contractor establishment. If there is no unique entity identifier that identifies the exact name and address entered in Block 1, contact the entity designated at SAM for establishment of the unique entity identifier.

BLOCK 4: Check only one. Note that all subcontract award data reported on this form represents activity since the inception of the contract through the date indicated on this block.

BLOCK 9: Check the appropriate block to indicate whether indirect costs are included in the dollar amounts in blocks 10a through 16. To ensure comparability between the goal and actual columns, the contractor may include indirect costs in the actual column only if the subcontracting plan included indirect costs in the goal.

BLOCKS 10a through 18: Under "Current Goal," enter the dollar and percent goals in each category (SB, SDB, WOSB, VOSB,service-disabled VOSB, and HUBZone SB) from the subcontracting plan approved for this contract. (If the original goals agreed upon at contract award have been revised as a result of contract modifications, enter the original goals in Block 19. The amounts entered in Blocks 10a through16 should reflect the revised goals.) There are no goals for Blocks 17 and 18. Under "Actual Cumulative," enter actual subcontract achievements (dollars and percent) from the inception of the contract through the date of the report shown in Block 4. In cases where indirect costs are included, the amounts should include both direct awards and an appropriate prorated portion of indirect awards. However, the dollar amounts reported under "Actual Cumulative" must be for the same period of time as the dollar amounts shown under "Current Goal." For a contract with options, the current goal should represent the aggregate goal since the inception of the contract. For example, if the contractor is submitting the report during Option 2 of a multiple year contract, the current goal would be the cumulative goal for the base period plus the goal for Option 1 and the goal for Option 2.

BLOCK 11: Report all subcontracts awarded to SDBs (including WOSB, VOSB, service-disabled VOSBs, and HUBZone SB SDBs). Include subcontracts awarded to ANCs and Indian tribes that have not been certified by SBA as SDBs where you have been designated to receive their SDB credit. Where your company and other companies have been designated by an ANC or Indian tribe to receive their SDB credit for a subcontract awarded to the ANC or Indian tribe, report only the portion of the total amount of the subcontract that has been designated to your company. For DoD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs.

BLOCK 13: (For contracts with DoD, NASA, and Coast Guard): Reportall subcontracts with HBCUs/MIs. Complete the column under"Current Goal" only when the subcontracting plan establishes a goal.

BLOCK 14: Report all subcontracts awarded to HUBZone SBs (including WOSBs, VOSBs (including service-disabled VOSBs), and SDBs that are also HUBZone SBs).

BLOCK 16: Report all subcontracts awarded to service-disabled VOSBs (including SDBs, WOSBs, and HUBZone SBs that are also service-disabled VOSBs).

BLOCK 7: Indicate whether the reporting contractor is submitting this report as a prime contractor or subcontractor and the prime contract or subcontract number.

BLOCK 8: Enter the name and address of the Federal department or agency awarding the contract or the prime contractor awarding the subcontract.

DISTRIBUTION OF THIS REPORT

For the Awarding Agency or Contractor:

For the Small Business Administration (SBA):

DEFINITIONS

BLOCK 19: Enter a short narrative explanation if (a) SB, SDB, WOSB,VOSB, service-disabled VOSB, or HUBZone SB accomplishments fall below that which would be expected using a straight-line projection of goals through the period of contract performance; or (b) if this is a final report, any one of the six goals were not met.

STANDARD FORM 294 (REV. 10/2020) PAGE 4

BLOCK 18: Report all subcontracts awarded to ANCs and Indian tribes that are reported in Block 10a, but are not small businesses.

1. Direct Subcontract Awards are those that are identified with the performance of one or more specific Government contract(s).

2. Indirect costs are those which, because of incurrence for common or joint purposes, are not identified with specific Government contracts; these awards are related to Government contract performance but remain for allocation after direct awards have been determined and identified to specific Government contracts.

The original copy of this report should be provided to the contracting officer at the agency or contractor identified in Block 8. For contracts with DOD, a copy should also be provided to the Defense Contract Management Agency (DCMA) at the cognizant Defense Contract Management Area Operations (DCMAO) office.

A copy of this report must be provided to the cognizant Commercial Market Representative (CMR) at the time of a compliance review. It is NOT necessary to mail the SF 294 to SBA unless specifically requested by the CMR.

1a. Enter the Company Name for the corporation, company, or subdivision covered.:
1b. Enter the Street Address for the corporation, company, or subdivision covered.:
1c. Enter the City for the corporation, company, or subdivision covered.:
8d. Enter the State of the Agency or Contractor Awarding the Contract.:
8e. Enter the Zone Improvement Plan (ZIP) Code of the Agency or Contractor Awarding the Contract.:
2. Enter the Contractor Identification Number.:
3. Enter the Date Submitted.:
4. Enter the Year the Reporting Period from Inception of Contract thru applies. :
6. If Other was selected, enter the name of the Federal Agency here. :
7. If Prime Contractor was selected, enter the Prime Contract Number.:
7. If Subcontractor was selected, enter the Subcontract Number.:
8a. Enter the Name of the Agency or Contractor Awarding the Contract. :
8b. Enter the Street Address of the Agency or Contractor Awarding the Contract. :
8c. Enter the City of the Agency or Contractor Awarding the Contract. :
10a. Enter the Current Goal amount in Whole Dollars for Small Business Concerns.:
10a. Enter the Current Goal Percent amount for Small Business Concerns.:
10a. Enter the Actual Cumulative amount in Whole Dollars for Small Business Concerns.:
10a. Enter the Actual Cumulative Percent amount for Small Business Concerns.:
10b. Enter the Current Goal amount in Whole Dollars for Large Business Concerns.:
10c. The Current Goal amount in Whole Dollars of the Total of Small and Large Business Concerns. :
10c. The Actual Cumulative amount in Whole Dollars of the Total of Small and Large Business Concerns. :
10b. Enter the Actual Cumulative amount in Whole Dollars for Large Business Concerns.:
10b. Enter the Actual Cumulative Percent amount for Large Business Concerns.:
11. Enter the Current Goal amount in Whole Dollars for Small Disadvantaged Business (SDB) Concerns.:
11. Enter the Current Goal Percent amount for Small Disadvantaged Business (SDB) Concerns.:
11. Enter the Actual Cumulative amount in Whole Dollars for Small Disadvantaged Business (SDB) Concerns.:
11. Enter the Actual Cumulative Percent amount for Small Disadvantaged Business (SDB) Concerns.:
12. Enter the Current Goal amount in Whole Dollars for Women-Owned Small Business (WOSB) Concerns.:
12. Enter the Current Goal Percent amount for Women-Owned Small Business (WOSB) Concerns.:
12. Enter the Actual Cumulative amount in Whole Dollars for Women-Owned Small Business (WOSB) Concerns.:
12. Enter the Actual Cumulative Percent amount for Women-Owned Small Business (WOSB) Concerns.:
13. Enter the Current Goal amount in Whole Dollars for Historically Black Colleges and Universities (HBCU) and Minority Institutions (MI).:
13. Enter the Current Goal Percent amount for Historically Black Colleges and Universities (HBCU) and Minority Institutions (MI).:
13. Enter the Actual Cumulative amount in Whole Dollars for Historically Black Colleges and Universities (HBCU) and Minority Institutions (MI).:
13. Enter the Actual Cumulative Percent amount for Historically Black Colleges and Universities (HBCU) and Minority Institutions (MI).:
14. Enter the Current Goal amount in Whole Dollars for Historically Underutilized Business Zone Small Business (HUBZone SB) Concerns.:
14. Enter the Current Goal Percent amount for Historically Underutilized Business Zone Small Business (HUBZone SB) Concerns.:
14. Enter the Actual Cumulative amount in Whole Dollars for Historically Underutilized Business Zone Small Business (HUBZone SB) Concerns.:
14. Enter the Actual Cumulative Percent amount for Historically Underutilized Business Zone Small Business (HUBZone SB) Concerns.:
15. Enter the Current Goal amount in Whole Dollars for Veteran-Owned Small Business Concerns.:
15. Enter the Current Goal Percent amount for Veteran-Owned Small Business Concerns.:
15. Enter the Actual Cumulative amount in Whole Dollars for Veteran-Owned Small Business Concerns.:
15. Enter the Actual Cumulative Percent amount for Veteran-Owned Small Business Concerns.:
16. Enter the Current Goal amount in Whole Dollars for Service-Disabled Veteran-Owned Small Business Concerns.:
17. If applicable, enter the Current Goal amount in Whole Dollars for Alaska Native Corporations (ANCs) and Indian Tribes that have NOT been certified by the Small Business Administration as Small Disadvantaged Businesses. :
18. If applicable, enter the Current Goal amount in Whole Dollars for Alaska Native Corporations (ANCs) and Indian Tribes that are NOT Small Businesses. :
16. Enter the Current Goal Percent amount for Service-Disabled Veteran-Owned Small Business Concerns.:
17. If applicable, enter the Current Goal Percent amount for Alaska Native Corporations (ANCs) and Indian Tribes that have NOT been certified by the Small Business Administration as Small Disadvantaged Businesses. :
18. If applicable, enter the Current Goal Percent amount for Alaska Native Corporations (ANCs) and Indian Tribes that are NOT Small Businesses. :
16. Enter the Actual Cumulative amount in Whole Dollars for Service-Disabled Veteran-Owned Small Business Concerns.:
17. If applicable, enter the Actual Cumulative amount in Whole Dollars for Alaska Native Corporations (ANCs) and Indian Tribes that have NOT been certified by the Small Business Administration as Small Disadvantaged Businesses. :
18. If applicable, enter the Actual Cumulative amount in Whole Dollars for Alaska Native Corporations (ANCs) and Indian Tribes that are NOT Small Businesses. :
16. Enter the Actual Cumulative Percent amount for Service-Disabled Veteran-Owned Small Business Concerns.:
17. If applicable, enter the Actual Cumulative Percent amount for Alaska Native Corporations (ANCs) and Indian Tribes that have NOT been certified by the Small Business Administration as Small Disadvantaged Businesses. :
18. If applicable, enter the Actual Cumulative Percent amount for Alaska Native Corporations (ANCs) and Indian Tribes that are NOT Small Businesses. :
4. Click here to select March 31 as the day the Reporting Period from Inception of Contract thru applies.: 0
5. Click here to select Regular as the Type of Report. : 0
6. Click here to select Department of the Army as the Administrative Activity. : 0
6. Click here to select Department of the Navy as the Administrative Activity. : 0
6. Click here to select Department of the Air Force as the Administrative Activity. : 0
6. Click here to select Defense Contract Management Agency as the Administrative Activity. : 0
6. Click here to select Department of Energy (DOE) as the Administrative Activity. : 0
6. Click here to select National Aeronautics and Space Administration (NASA) as the Administering Activity.: 0
6. Click here to select Other Federal Agency as the Administrative Activity. : 0
6. Click here to select Other Federal Agency as the Administrative Activity. : 0
6. Click here to select Other Federal Agency as the Administrative Activity. : 0
7. Click here to select Prime Contractor as the entity submitting the report. : 0
7. Click here to select Subcontractor as the entity submitting the report. : 0
6. Click here to select U.S. General Services Administration (GSA) as the Administrative Activity. : 0
5. Click here to select Revised as the Type of Report. : 0
5. Click here to select Final as the Type of Report. : 0
4. Click here to select September 30 as the day the Reporting Period from Inception of Contract thru applies.: 0
19. Enter any additional remarks. :
20a. Enter the Name of the Individual Administering the Subcontracting Plan.:
20b. Enter the Phone Number.:
20b. Enter the Area Code.:

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