ATTACHMENT D HISTORICAL SMALL BUSINESS UTILIZATION.docx
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- Attached to
- Restore Outfitting Capacity, Berth 6C Federal contract opportunity
- Solicitation number
- N4008522R2578
About this file
This document is an attachment to a solicitation requesting proposals for the Restore Outfitting Capacity project at Berth 6C of the Portsmouth Naval Shipyard in Kittery, Maine. Offerors are required to complete the form detailing up to five past projects demonstrating their corporate experience on similar design-build (DBB) projects involving ship repair or industrial facility construction. For each project, offerors must provide the contract details, their role as prime contractor or subcontractor, dollar values for total project cost and own versus subcontracted work, and actual small business subcontracting percentages achieved versus any established goals. References are also required. The solicitation number is N4008522R2578 and is issued by the Department of the Navy, Naval Facilities Engineering Command for a design-build project to restore outfitting capacity at Berth 6C of the Portsmouth Naval Shipyard.
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Text version
ATTACHMENT D
HISTORICAL SMALL BUSINESS UTILIZATION
N40085-22-R-2578
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 3, 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:
File details come from the government source that posted it. Updated .