ATTACHMENT D - Historical Small Business Utilization.docx

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P3009 MILITARY DOG KENNEL
Solicitation number
N4008021R1178
Issued by

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This document contains a past performance form and details of a federal contract solicitation for a military working dog kennel project. The past performance form requests information on three prior contracts, including contract numbers and titles, dollar values, completion dates, subcontracting percentages to various small business categories such as small disadvantaged businesses, women-owned small businesses, and service-disabled veteran-owned small businesses.

The federal contract solicitation is from the Department of the Navy Naval Facilities Engineering Command for project number P3009 to construct a new military working dog kennel. The project scope includes an administrative building, dog kennel, quarantine kennel, and dog training areas. It will also demolish three existing kennel buildings totaling 2,703 square feet. The project delivery method is design-bid-build. The response is due based on the standard solicitation process and timelines.

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Company Name:N40080-21-R-1178
P3009 Military Working Dog KennelSubcontracting Past Performance

ATTACHMENT D

SMALL BUSINESS PAST PERFORMANCE

Small Business Offerors, newly established Large Business Offerors, or Large Business Offerors with no prior SF294/ISR history shall complete this form. Large Business Offerors with a SF294 or ISR history shall submit SF294s or ISRs in lieu of completing this form.

(a) SUBCONTRACTING ACHIEVEMENT – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established.

(1) Contract Number/Title:

ACTUAL
GOAL

(if applicable)

Completion Date: Total Contract Value: $

Total Subcontracted Value: $
Whole Dollars
Percent
Percent

(a) Small Business Concerns (Including SDB, WOSB, HBCU/MI, HUBZone, VOSB, and SDVOSB) (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) Large 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 line c.)

(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:

ACTUAL
GOAL

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $
Whole Dollars
Percent
Percent

(b) Small Business Concerns (Including SDB, WOSB, HBCU/MI, HUBZone, VOSB, and SDVOSB) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),

(b) Large 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.)

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.)

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar

(3) Contract Number/Title:

ACTUAL
GOAL

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $
Whole Dollars
Percent
Percent

(c) Small Business Concerns (Including SDB, WOSB, HBCU/MI, HUBZone, VOSB, and SDVOSB) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),

(b) Large 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.)

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.)

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar

Note: Form may be expanded.

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

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