Attachment 2 - Small Business Participation Commitment.xls
XLS spreadsheet 36 KB Posted
- Attached to
- DA01--New Contract - Polypharmacy (VA-26-00018584) Federal contract opportunity
- Solicitation number
- 36C10B26R0004
About this file
This document is a Small Business Participation Commitment template for a Department of Veterans Affairs (VA) contract related to reducing inappropriate polypharmacy. The template requires contractors to report small business subcontracting and participation goals, with a primary small business participation goal of 17.5% and breakout goals for specific socioeconomic business categories including Small Disadvantaged Business, Women Owned Small Business, HUBZone, Veteran Owned Small Business, and Service Disabled Veteran Owned Small Businesses. The form captures cumulative contract dollars, subcontractor details, and requires explanation for any participation percentages that fall below proposed levels, with guidance emphasizing that both prime and subcontractor dollars should be included in participation calculations.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF30_36C10B26R0004_Amendment 0002.pdf | ||
| 36C10B26R0004 0002_1.docx | DOCX document | |
| Attachment 2 - Small Business Participation Commitment_1.16.26.xls | XLS spreadsheet | |
| Attachment 1_Business Associates Agreement_VHA.docx | DOCX document | |
| QA_Polypharmacy 36C10B26R0004_1.20.26 .pdf | ||
| Polypharmacy 36C10B26R0004_Amended_1.20.26 .pdf | ||
| Attachment 3 - Small Business Participation Subcontracting Report_1.16.26.xlsx | XLSX spreadsheet | |
| 36C10B26R0004 0001.docx | DOCX document | |
| 36C10B26R0004 0001_SF30.pdf | ||
| Attachment 1 - BAA Agreement.doc | DOC document | |
| Polypharmacy 36C10B26R0004_Final.pdf | ||
| 36C10B26R0004_1.docx | DOCX document |
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Text version
SB Stats
| POLYPHARMACY SMALL BUSINESS PARTICIPATION / SUBCONTRACTING REPORT | ||||
| 1. Company Name: | ||||
| 2. Company SAM UEI: | ||||
| 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 | ||||
| GOAL (%) | FUNDED /OBLIGATED % (Funded SB $/Total Obligated $) | FUNDED/OBLIGATED SB DOLLARS | TOTAL OBLIGATED DOLLARS | |
| Total Small Business Subcontracting/Participation | 17.5% | % | $ - 0 | |
| GOAL 2 - Breakout of Small Business Dollars on Total Contract Obligated Dollars | ||||
| PROPOSED | FUNDED/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 Name | Socioeconomic Status | Total $ Obligated (Cumulative) |
| Total |
File details come from the government source that posted it. Updated .