Attachment 4 - SBPCD.pdf

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SDA Tranche 1 Transport Layer
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HQ085021R0002
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HQ085021R0002 Attachment 4

DISTRIBUTION STATEMENT A: Approved for public release: distribution unlimited.

SMALL BUSINESS PARTICIPATION

COMMITMENT DOCUMENT (SBPCD)

The contractor is required to submit a Small Business Participation Commitment Document

(SBPCD). The offeror shall submit an SBPCD in its own format which will be incorporated into the final contract. The two tables below shall be included in the SBPCD. The contractor shall provide the level of participation of small businesses (as a small business prime and/or small business subcontractors) in the performance of the acquisition relative to the objectives/goals set forth in the Request for Proposal (RFP), see Attachment 2 (Section L)

Section 4.5, for additional details.

1. Check the applicable size and applicable socioeconomic categories for the Prime

Offeror only (check all applicable boxes):

☐ Other than small business prime

☐ Historically Black Colleges or Universities and Minority Institutions

(HBCU)

Or

☐ Small Business Prime; 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. Submit the total combined percentage of work to be performed by both other than small and small businesses (include the percentage of work to be performed by both

Prime and Subcontractors):

For the plan, use this format as follows:

% of Total Contract Value

Percentage of your participation as Prime

Total Percentage planned for Other than Small Business

Total Percentage planned for Small Business Subcontractors

Total Contract Value 100%

For the purposes of this commitment document, the offeror shall base the small business participation percentage upon the total contract value amount (including options). The

Offeror is required to meet the Minimum Quantitative Requirement (MQR) level of small business participation, which is 5%.

HQ085021R0002 Attachment 4

DISTRIBUTION STATEMENT A: Approved for public release: distribution unlimited.

3. List principal supplies and/or services planned to be provided by Other than Small

Business and Small Businesses:

Category Type of Service/Supply

Other than Small Business

Small Business

Small Disadvantaged Business

Woman-Owned Small Business

HUBZone Small Business

Veteran Owned Small Business

Service Disabled Veteran Owned Small Business

4. Describe the extent of commitment to use small businesses (e.g. that types of commitments, if any, are in place for this specific acquisition either - written contract, verbal enforceable, non-enforceable, joint venturing, mentor-protégé, etc. Small business prime offerors should include their own participation as well).

5. The contactor shall provide a copy of the Individual Subcontract Report (ISR) or

Summary Subcontract Report (SSR) submitted in the Electronic Subcontracting

Reporting System (eSRS) to the PCO within 30 days of the required submittal time per

FAR 52.219-9, Small Business Subcontracting Plan (AUG 2018).

Other than small business prime: Off
Historically Black Colleges or Universities and Minority Institutions: Off
Small Business Prime also categorized as a: Off
Small Disadvantaged Business SDB: Off
WomanOwned Small Business WOSB: Off
Historically Underutilized Business Zone HUBZone Small Business: Off
Service Disabled Veteran Owned Small Business SDVOSB: Off
of Total Contract ValuePercentage of your participation as Prime:
of Total Contract ValueTotal Percentage planned for Other than Small Business:
of Total Contract ValueTotal Percentage planned for Small Business Subcontractors:
Total Contract Value:
Type of ServiceSupplyOther than Small Business:
Type of ServiceSupplySmall Business:
Type of ServiceSupplySmall Disadvantaged Business:
Type of ServiceSupplyWomanOwned Small Business:
Type of ServiceSupplyHUBZone Small Business:
Type of ServiceSupplyVeteran Owned Small Business:
Type of ServiceSupplyService Disabled Veteran Owned Small Business:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off

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