Attachment 7 - Small Business Participation Commitment Document.pdf
PDF 20 KB Posted
- Attached to
- DoD 4th Estate EAP & WorkLife Services Federal contract opportunity
- Solicitation number
- Solicitation_HQ0034-20-R-0210
- Issued by
- DOD Washington Headquarters Service
About this file
This document is a Small Business Participation Commitment template to be completed by offerors responding to Solicitation HQ0034-20-R-0210 from the Washington Headquarters Service for Employee Assistance Program and WorkLife services. It requires offerors to specify the small business categories that apply to their company size and socioeconomic status. Offerors must also commit to minimum quantitative small business participation requirements based on total contract value and allocate the work among small business categories including small disadvantaged businesses, woman-owned small businesses, HUBZone small businesses, and veteran or service-disabled veteran-owned small businesses. The template further requires offerors to list any small business participants, their CAGE and DUNS numbers, business categories, nature of commitment, NAICS codes for products/services to be provided under the contract.
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Text version
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 (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 $ %
Total: $ %
3. Small Business Participants *
* Changes 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
NAICS
Code
Nature of Commitment
| 1. Prime Contractor Size: |
| { } Other than Small Business or |
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