Attachment 5 - Small Business Subcontracting Record.docx
DOCX document 29 KB Posted
- Attached to
- MCTSSA TSS-3 Solicitation Federal contract opportunity
- Solicitation number
- M6890922R7602
- Issued by
- United States Marine Corps
About this file
This document contains a small business subcontracting record template for tracking subcontracting achievements under federal contracts. The template includes fields for the contractor name, contract details like number and title, whether a subcontracting plan was required, total contract and subcontracted values, and actual dollars and percentages subcontracted to various small business categories including small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. Contact information for a customer reference is also requested. The related federal contract opportunity is a solicitation from the United States Marine Corps for technical systems expertise, tactical communications network analysis and diagnostics support, and equipment set-up, maintenance, and training services in support of the Marine Corps Tactical Systems Support Activity under solicitation number M6890922R7602.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 8_MCTSSA Activity Order P5510.3A.pdf | ||
| Attachment 7_MCTSSA Support Center Standard Operating Procedure FY22.1_Redacted.pdf | ||
| Attachment 3 - Labor Category Pricing Sheet.xlsx | XLSX spreadsheet | |
| Attachment 1-TSS-3_PWS_Final.pdf | ||
| Attachment 2_TSS-QASP_Final.pdf | ||
| MCTSSA TSS-3 RFP M6890922R7602.pdf | ||
| Attachment 6 - Small Business Participation Committment Strategy.docx | DOCX document | |
| DD 254_Solicitation_TSS3.pdf |
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Text version
Small Business Subcontracting Record M67854-22-R-7602 Attachment 5
SMALL BUSINESS SUBCONTRACTING RECORD
CONTRACTOR NAME: Click or tap here to enter text.
SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded. Click or tap here to enter text.
(1) Contractor Name/DUNS/Contract Number/Title:
Check One: ☐ Prime Contract ☐ Subcontract
Subcontracting Plan Required ☐ Yes ☐ No
ACTUAL
SUBCONTRACTED
SUBCONTRACT GOAL
(if applicable)
Completion Date: Click or tap here to enter text. Total Contract Value: $ Click or tap here to enter text.
| Total Subcontracted Value: $ Click or tap here to enter text. |
| Whole Dollars |
| Percent |
| Percent |
(a) Small Business Concerns (Include SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line (c)) Small Business Concerns (Non-Federal Certifications) Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE (Women Business Enterprise).
(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line (c))Click or tap here to enter text.
(c) Total (sum of lines a & b above)Click or tap here to enter text.
(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line (c)) Including MBE & DBE
(e) Women-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including WBE
(f) HUBZone Small Business Concerns (Dollar amount and percent of line (c))
(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c))
(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including DVBE
Name of customer reference for this project: Click or tap here to enter text.
Phone Number: Click or tap here to enter text. FAX Number: Click or tap here to enter text.
Email address: Click or tap here to enter text.
SMALL BUSINESS SUBCONTRACTING RECORD
CONTRACTOR NAME: _______________________________________
SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded.
(2) Contractor Name/DUNS/Contract Number/Title:
Check One: ____ Prime Contract ____ Subcontract
Subcontracting Plan Required ____ Yes ____ No
ACTUAL
SUBCONTRACT GOAL
Completion Date: Total Contract Value: $
| Total Subcontracted Value: $ |
| Whole Dollars |
| Percent |
| Percent |
(b) Small Business Concerns (Include SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line (c)) Small Business Concerns (Non-Federal Certifications) Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),
(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line (c))
(c) Total (sum of lines a & b above)
(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line (c)) Including MBE & DBE
(e) Women-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including WBE
(f) HUBZone Small Business Concerns (Dollar amount and percent of line (c))
(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c))
(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including DVBE
Name of customer reference for this project: ___________________________________________ Phone Number: _______________________ FAX Number: _______________________ Email address: ________________________________________
SMALL BUSINESS SUBCONTRACTING RECORD
CONTRACTOR NAME: _______________________________________
SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded.
(3) Contractor Name/DUNS/Contract Number/Title:
Check One: ____ Prime Contract ____ Subcontract
Subcontracting Plan Required ____ Yes ____ No
ACTUAL
SUBCONTRACT GOAL
Completion Date: Total Contract Value: $
| Total Subcontracted Value: $ |
| Whole Dollars |
| Percent |
| Percent |
(c) Small Business Concerns (Include SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line (c)) Small Business Concerns (Non-Federal Certifications) Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),
(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line (c))
(c) Total (sum of lines a & b above)
(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line (c)) Including MBE & DBE
(e) Women-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including WBE
(f) HUBZone Small Business Concerns (Dollar amount and percent of line (c))
(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c))
(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line (c)) Including DVBE
Name of customer reference for this project: ___________________________________________ Phone Number: _______________________ FAX Number: _______________________ Email address: ________________________________________
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