Attachment C Small Business Subcontracting Record.pdf
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- Solicitation number
- N6274225R0004
About this file
Attachment C is a Small Business Subcontracting Record template designed to document subcontracting achievements across multiple contract opportunities. The form allows contractors to record detailed subcontracting data, including total contract value, total subcontracted value, and breakdowns of subcontracting by business type such as Small Business Concerns, Small Disadvantaged Business Concerns, Women-Owned Small Business Concerns, HUBZone Small Business Concerns, and Veteran-Owned Small Business Concerns.
The template provides spaces to record subcontracting information for up to three separate contract opportunities, with columns for actual subcontracted amounts in whole dollars and percentages, as well as subcontract goals where applicable. It includes provisions for capturing non-federal certification examples like Minority Business Enterprise (MBE), Disadvantaged Business Enterprise (DBE), Disabled Veteran Business Enterprise (DVBE), and Women's Business Enterprise (WBE), along with a section for customer reference contact information. This document appears to be associated with a Naval Facilities Engineering Command solicitation (N6274225R0004) for A-E services related to structural and waterfront projects.
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Text version
ATTACHMENT C
SMALL BUSINESS SUBCONTRACTING RECORD
COMPANY NAME:
SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded.
(1) Contract Number/Title:
Check One: Prime Contract Subcontract
Subcontracting Plan Required Yes No
ACTUAL
SUBCONTRACTED
SUBCONTRACT
GOAL
(if applicable) Completion Date: Total Contract Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(a) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)
Small Business Concerns (Non-Federal Certifications Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE (Women’s Business Enterprise).
(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line c.)
(c) Total (sum of lines a & b above)
(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line c.) Including MBE & DBE
(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.) Including WBE
(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)
(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of
(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.) Including DVBE
Name of customer reference for this project:
Phone Number: FAX Number:
Email address:
(2) Contract Number/Title:
SUBCONTRACT
GOAL
(if applicable) Completion Date: Contract Dollar Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(b) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)
Small Business Concerns (Non-Federal Certifications Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),
(b) OTS Business Concerns (Dollar amount and percent of line c.)
Email address:
(3) Contract Number/Title:
SUBCONTRACT
GOAL
(if applicable) Completion Date: Contract Dollar Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(c) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)
Small Business Concerns (Non-Federal Certifications Examples:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),
(b) OTS Business Concerns (Dollar amount and percent of line c.)
Email address:
File details come from the government source that posted it. Updated .