Attachment 3b - SBPCD Sample.pdf

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Capabilities Contract ID/IQ (CAPCON)
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Section J, Attachment 3b -- SAMPLE MODEL CONTRACT LANGUAGE

REQUIREMENTS AS STATED IN THE SOLICITATION

SSmall Business Participation Commitment Document (SBPCD) Template

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

Total Contract Value (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

3. Small Business Participants

Company Name

Business Category(ies)

(SB, WOSB, SDB,

VOSB, SDVOSB)

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of Commitment

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