Attachment E - Historical SB Utilization.docx

DOCX document 38 KB Posted

Attached to
P-095 Pier 3 Recap Naval Station Norfolk, VA
Solicitation number
N4008521R0219
Issued by

About this file

This document is an attachment to a federal solicitation requesting proposals for the recapitalization of Pier 3 at Naval Station Norfolk in Virginia. The solicitation was issued by the Department of the Navy's Naval Facilities Engineering Command for a project involving repair and renovation of the pier. Offerors are required to submit details on relevant past experience with similar projects, including historical small business utilization rates achieved as prime contractors or subcontractors. For each submitted project, information must be provided on dollar values and percentages awarded to various socioeconomic small business categories. Goals and explanations for any unmet goals must also be included. The response deadline and award date are not specified in this attachment document.

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ATTACHMENT E

HISTORICAL SMALL BUSINESS UTILIZATION

N40085-20-R-0021

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 5, Small Business Utilization and Participation. Attachment X 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:

Attachment E – Historical Small Business Utilization, Page 4 of 4

(Rev 3/2020)

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