Attachment D- Subcontractor Participation Document.docx
DOCX document 23 KB Posted
- Attached to
- Massachusetts National Cemetery Janitorial Services Base and Four, One Year Options -- S201
- Solicitation number
- QSE--36C78625Q50143
About this file
This is a subcontractor participation document template that requires prime contractors to indicate their business size classification and planned small business subcontracting participation for a janitorial services contract at Massachusetts National Cemetery.
The document includes sections for identifying the prime contractor's size status (small or other than small) and socioeconomic categories (SDB, WOSB, HUBZone, SDVOSB), as well as tables to record total contract value and percentage allocations across various small business categories. The form requires detailed information about subcontractors, including company names, addresses, contact information, business categories, products/services to be provided, NAICS codes, and percentage of work to be performed based on total contract value. This template appears to be Attachment D to solicitation QSE--36C78625Q50143 for the Department of Veterans Affairs National Cemetery Administration.
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Text version
Sub-Contractor Participation Document
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. Participation of Small Businesses
Total Contract Value $
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. Sub-Contractor Participants (List all names, company name, and business size.
| Company Name, Address, Employee Name |
| Contact Information |
| Business Category(ies) |
(SB, WOSB, SDB, VOSB, SDVOSB)
| Product(s)/Service(s) to be Provided |
| NAICS |
Code % of work to be performed based on total contract value
File details come from the government source that posted it. Updated .