ATTACHMENT D HISTORICAL SMALL BUSINESS UTILIZATION.docx

DOCX document 32 KB Posted

Attached to
P197 DB Aircraft Maintenance Hangar, MCAS Cherry Point, NC
Solicitation number
N4008521R2516
Issued by

About this file

This document is an attachment to a solicitation requesting proposals for aircraft maintenance hangar construction at Marine Corps Air Station Cherry Point in North Carolina. The Naval Facilities Engineering Command is seeking to award a firm fixed-price construction contract with a period of performance of 730 calendar days from notice to proceed. Offerors must complete the historical small business utilization form to document past performance subcontracting with small businesses on similar projects, including percentages and dollar values subcontracted to small, small disadvantaged, women-owned, HUBZone, veteran-owned, and service-disabled veteran-owned small businesses. Proposals are due by June 4, 2021 as per solicitation N4008521R2516. Award is expected by September 2021 to provide a new aircraft maintenance hangar capable of housing KC-130J aircraft.

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ATTACHMENT D

HISTORICAL SMALL BUSINESS UTILIZATION

N40085-21-R-2516

This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for the evaluation of Factor 7, Small Business Utilization and Participation. Attachment D documents the offeror’s historical small business utilization and achievements for each project submitted under Factor 1, Corporate Experience. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).

Include actual dollar values subcontracted for each of the categories listed. Include the whole dollar and percentage goals ONLY if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. Acknowledging a goal was missed, is not the same as providing an explanation for why a goal was missed. If goals were not established for a project, mark N/A. Enter zeroes (0) where applicable.

Project #1: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business |_| Small Business |_|

Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|

Subcontracting Plan Required: |_| Yes |_| No

ACTUAL
GOAL

(if applicable)

Total Project Dollar Value: $
Whole Dollars
Percent of line (c)
Whole Dollars
Percent of line (c)
N/A

Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)
$
%
$
%
|_|
(b) Large Business Concerns
$
%
$
%
|_|
(c) Total (sum of lines a & b above)
$
%
$
%
|_|
(d) Small Disadvantaged Business Concerns (SDB)
$
%
$
%
|_|
(e) Women-Owned Small Business Concerns (WOSB)
$
%
$
%
|_|
(f) HUBZone Small Business Concerns
$
%
$
%
|_|
(g) Veteran-Owned Small Business Concerns (VOSB)
$
%
$
%
|_|
(h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)
$
%
$
%
|_|

Explanation of each unmet goal (if applicable):

Explanation for a lack of small business subcontracting achievements (if applicable):

Name of customer reference for this project:

Phone Number:

Email address:

Project #2: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business |_| Small Business |_|

Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|

Subcontracting Plan Required: |_| Yes |_| No

ACTUAL
GOAL

(if applicable)

Total Project Dollar Value: $
Whole Dollars
Percent of line (c)
Whole Dollars
Percent of line (c)
N/A

Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)
$
%
$
%
|_|
(b) Large Business Concerns
$
%
$
%
|_|
(c) Total (sum of lines a & b above)
$
%
$
%
|_|
(d) Small Disadvantaged Business Concerns (SDB)
$
%
$
%
|_|
(e) Women-Owned Small Business Concerns (WOSB)
$
%
$
%
|_|
(f) HUBZone Small Business Concerns
$
%
$
%
|_|
(g) Veteran-Owned Small Business Concerns (VOSB)
$
%
$
%
|_|
(h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)
$
%
$
%
|_|

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #3: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business |_| Small Business |_|

Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|

Subcontracting Plan Required: |_| Yes |_| No

ACTUAL
GOAL

(if applicable)

Total Project Dollar Value: $
Whole Dollars
Percent of line (c)
Whole Dollars
Percent of line (c)
N/A

Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)
$
%
$
%
|_|
(b) Large Business Concerns
$
%
$
%
|_|
(c) Total (sum of lines a & b above)
$
%
$
%
|_|
(d) Small Disadvantaged Business Concerns (SDB)
$
%
$
%
|_|
(e) Women-Owned Small Business Concerns (WOSB)
$
%
$
%
|_|
(f) HUBZone Small Business Concerns
$
%
$
%
|_|
(g) Veteran-Owned Small Business Concerns (VOSB)
$
%
$
%
|_|
(h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)
$
%
$
%
|_|

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #4: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business |_| Small Business |_|

Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|

Subcontracting Plan Required: |_| Yes |_| No

ACTUAL
GOAL

(if applicable)

Total Project Dollar Value: $
Whole Dollars
Percent of line (c)
Whole Dollars
Percent of line (c)
N/A

Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)
$
%
$
%
|_|
(b) Large Business Concerns
$
%
$
%
|_|
(c) Total (sum of lines a & b above)
$
%
$
%
|_|
(d) Small Disadvantaged Business Concerns (SDB)
$
%
$
%
|_|
(e) Women-Owned Small Business Concerns (WOSB)
$
%
$
%
|_|
(f) HUBZone Small Business Concerns
$
%
$
%
|_|
(g) Veteran-Owned Small Business Concerns (VOSB)
$
%
$
%
|_|
(h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)
$
%
$
%
|_|

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #5: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business |_| Small Business |_|

Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|

Subcontracting Plan Required: |_| Yes |_| No

ACTUAL
GOAL

(if applicable)

Total Project Dollar Value: $
Whole Dollars
Percent of line (c)
Whole Dollars
Percent of line (c)
N/A

Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)
$
%
$
%
|_|
(b) Large Business Concerns
$
%
$
%
|_|
(c) Total (sum of lines a & b above)
$
%
$
%
|_|
(d) Small Disadvantaged Business Concerns (SDB)
$
%
$
%
|_|
(e) Women-Owned Small Business Concerns (WOSB)
$
%
$
%
|_|
(f) HUBZone Small Business Concerns
$
%
$
%
|_|
(g) Veteran-Owned Small Business Concerns (VOSB)
$
%
$
%
|_|
(h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)
$
%
$
%
|_|

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

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