ATTACHMENT E - SB Subcontracting Record.pdf
PDF 224 KB Posted
- Attached to
- Replace Failing Yard Patrol (YP) Pier and Wave Screen, 87NS, Naval Support Activity (NSA) Annapolis, MD
- Solicitation number
- N4008023R0015
About this file
This document contains an attachment for tracking small business subcontracting achievements on federal contracts. The attachment requires contractors to provide data on actual dollar values subcontracted to various small business categories on up to three different contracts, including small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. Contractors must also provide the name and contact information for a customer reference for each contract. The purpose of the attachment is to collect contracting data to assess a company's compliance with small business subcontracting goals on federal contracts.
The related federal contract opportunity is a solicitation from the Department of the Navy Naval Facilities Engineering Command to replace a failing yard patrol pier and wave screen at Naval Support Activity Annapolis in Maryland. Offerors are instructed to review attached documents and submit proposals through the Procurement Integrated Enterprise Environment in accordance with Standard Form 1442. The solicitation provides an opportunity for contractors to compete for a project to repair infrastructure at a Navy facility.
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Text version
ATTACHMENT E
SMALL BUSINESS SUBCONTRACTING RECORD
COMPANY NAME: _______________________________________
SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded.
(1) Contract Number/Title:
Check One: ____ Prime Contract ____ Subcontract
Subcontracting Plan Required ____ Yes ____ No
ACTUAL
SUBCONTRACTED
SUBCONTRACT
GOAL
(if applicable)
Completion Date: Total Contract Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(a) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (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) Other Than Small (OTS) 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
(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:
SUBCONTRACT
GOAL
(if applicable)
Completion Date: Contract Dollar Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(b) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (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
(b) OTS Business Concerns (Dollar amount and percent of line c.)
(3) Contract Number/Title:
SUBCONTRACT
GOAL
(if applicable)
Completion Date: Contract Dollar Value: $
Total Subcontracted Value: $ Whole Dollars Percent Percent
(c) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (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
(b) OTS Business Concerns (Dollar amount and percent of line c.)
File details come from the government source that posted it. Updated .