Attachment 6 - SBPCD.docx
DOCX document 30 KB Posted
- Attached to
- Pentagon UPS Maintenance Support Services
- Solicitation number
- HQ003421R0005
- Issued by
-
DOD Washington Headquarters Service
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Small Business Participation Commitment Document (SBPCD)
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* *Small Business Participation, reporting applies
Total Contract Value Including all options (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 *
* Changes to this form must be pre-approved by Contracting Officer
| Company Name |
| Cage Code/DUNS # |
| Business Category(ies) (SB, WOSB, SDB, VOSB, SDVOSB) |
| Product(s)/Service(s) to be Provided. Offerors can only subcontract to the tasks listed below IAW with the PWS: |
NAICS
Code Nature of Commitment (i.e., letter of commitment, joint ventures, mentor protégé agreements, others
This form is not to be edited or modified. Please do not add notation(s) to the form. The form is to be used as it is presented in the solicitation. For every small business listed on this form you must submit a signed binding agreement with the Small Business Concern (SBC) (i.e., letter of commitment, joint ventures, mentor protégé agreements, others). Binding commitments shall become enforceable, contractual requirements.
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