Attachment A -Small Business Participation Commitment Document.pdf
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- Attached to
- FUSRAP/HTRW Verification & Laboratory Services
- Solicitation number
- w9
About this file
This document is an Attachment A Small Business Participation Commitment form for a federal contract opportunity for FUSRAP/HTRW Verification & Laboratory Services issued by the Department of the Army Corps of Engineers Engineering District St Louis. The form requires the prime contractor to indicate its business size and socioeconomic categories and to commit to minimum quantitative requirements for small business participation, including dollar values and percentages of the total contract value that will be awarded to small businesses, small disadvantaged businesses, woman-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. The contractor must also provide details of any small business participants, including their business categories, the products or services they will provide according to NAICS codes, and the nature of their commitment to the contract.
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Text version
Attachment A
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
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
3. Small Business Participants *
* Changes must be pre-approved by Contracting Officer per: (insert required clause which should be written as a ‘special contract requirement’ if a canned clause does not fit for SBPCDs)
Company Name
Business Category(ies)
(SB, WOSB, SDB,
VOSB, SDVOSB)
Product(s)/Service(s) to be Provided
NAICS
Code
Nature of Commitment
File details come from the government source that posted it. Updated .