Attachment 9 - SDVOSB Self-Performance Certification Worksheet.pdf

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Attached to
SXHT 23-1030 Repair HVAC B535
Solicitation number
FA252125B0003
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This document is a Calculation of Self-Performed/Subcontracted Work worksheet for a Service-Disabled Veteran-Owned Small Business (SDVOSB) contract. The document relates to the SXHT 23-1030 Repair HVAC Building 535 project at Patrick Space Force Base, with solicitation number FA2521-25-B-0003. The worksheet requires contractors to calculate and certify that they will self-perform at least 25% of the contract value, excluding material costs, in compliance with FAR 52.219-14 limitations on subcontracting for construction special trade contractors. The form provides a step-by-step calculation method to demonstrate the percentage of work performed by the prime contractor and similarly situated entities, ensuring that no more than 75% of the contract value is subcontracted to non-SDVOSB entities.

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CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK

FA2521-25-B-0003

SXHT 23-1030 Repair HVAC Building 535

In accordance with FAR 52.219-14, (Limitations on Subcontracting (Oct 2022), by submission of an offer and execution of a contract, the Contractor agrees that in performance of a contract assigned a North American Industry Classification System (NAICS) code for— (4) Construction by special trade contractors, it will not pay more than 75 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities.

Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 75 percent subcontract amount that cannot be exceeded.

Complete Calculation below and submit with your proposal.

Calculation

#1. Total Contract Value (TCV) for Prime Offeror/Contractor (SDVOSB) and similarly situated entities $

#2. ALL Material Costs associated with this contract - $

#3. Subtract ALL Material Costs (#2) from TCV (#1) $ _____________ SubTotal 1

#4. Total Value of all NON-SDVOSB (excluding Materials Costs) $

#5. Subtract Total Value of all NON-SDVOSB costs (#4) from SubTotal 1 (#3) $ _____________ SubTotal 2

#6. (SubTotal 2 (#5) divided by SubTotal 1 (#3)) X 100% % (must be 25% or more)

I certify the above representations are true and correct to the best of my knowledge.

(Signature and Typed Name of Authorized Representative) Date

(Title of Authorized Representative) Name of Company

FA2521-23-B-0002
Calculation

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