About this file

This is a Small Business Participation Commitment Document (SBPCD) template for RFP #N00173-25-R-0004, which contractors must complete to document their small business participation plans. The template requires contractors to identify their business size status (Other than Small Business or Small Business) and any applicable socioeconomic categories (SDB, WOSB, HUBZone, SDVOSB).

The form includes sections for documenting the total contract value, minimum quantitative requirements for small business participation, work to be self-performed, and detailed breakdowns of both Other than Small Business and Small Business participants. For each participant, contractors must provide company names, products/services, NAICS codes, nature of commitment, dollar values, and percentages of total contract value. The document requires signatures from the submitting company official, Contracting Officer approval, and Small Business Professional approval to be valid.

View the file

Other files

Show all 16

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

RFP #N00173-25-R-0004

Attachment 5

Small 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. Participation of Small Businesses

Total Contract Value (Proposed)

Minimum Quantitative Requirement (MQR)

Business Category Dollar Value % of Total Contract Value

Total Contract Value – Prime Contractor $ % Total work to be self-performed $ % Other than Small Business (OTS) $ Dollar Value Total Small Business $ %

Small Disadvantaged Business $ % Woman-Owned Small Business $ % HUBZone Small Business $ %

Veteran-Owned Small Business $ % Service-Disabled Veteran-Owned Small

Business

3. Indicate any work to be self-performed and the total value associated

Type of Product/Service $ Dollar Value % of Total Contract Value

RFP #N00173-25-R-0004

Attachment 5

4. List all Other than Small Business Participants (OTS)

Company Name

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

NAICS

Code

Nature of Commitment

$ Dollar Value % of Total Contract Value

5. Small Business Participants

Company Name

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

NAICS

Code

Nature of Commitment

$ Dollar Value % of Total Contract Value

SIGNATURE REQUIRED: Must be signed and dated by a company official to be valid

This Small Business Participation Commitment Plan was SUBMITTED by:

Signature:

Typed Name:

Title:

Company Name:

Date Signed:

Contracting Officer APPROVAL:

Signature:

Typed Name:

Title:

Date Signed:

Small Business Professional APPROVAL:

Signature:

Typed Name:

Title:

Date Signed:

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