Attachment 7 - Small Business Participation Commitment.pdf
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- Solicitation number
- Solicitation_HQ0034-20-R-0211
- Issued by
-
DOD Washington Headquarters Service
About this file
This document is an attachment to a solicitation providing details on small business participation commitments required from offerors. The solicitation from the Washington Headquarters Service seeks occupational health and medical case review services with a total contract value over $150,000. Offerors must commit to allocating a minimum of 20% of total contract dollars to small businesses, 5% to small disadvantaged businesses, 5% to women-owned small businesses, 3% to HUBZone small businesses, and 3% to veteran-owned small businesses. The small business participation commitment form requires offerors to specify their own size status and socioeconomic categories, proposed small business subcontractors including name, CAGE code, business categories, NAICS codes, products/services to be provided, and nature of commitments.
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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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