Attachment E Subcontractor Participation Document.pdf

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Attached to
36C78625Q50246 Janitorial Services Black Hills National Cemetery -- S201
Solicitation number
QSE--36C78625Q50246
Issued by

About this file

The document is a Sub-Contractor Participation Document for a janitorial services contract for the Black Hills National Cemetery. The form allows the prime contractor to specify their business size and socioeconomic status, including options such as Small Business, Small Disadvantaged Business (SDB), Woman-Owned Small Business (WOSB), HUBZone Small Business, and Service-Disabled Veteran-Owned Small Business (SDVOSB).

The document provides a template for detailing the total contract value, minimum quantitative requirements for small business participation across different categories, and a table for listing sub-contractor participants. The sub-contractor section requires information including company name, contact details, business category, products/services to be provided, NAICS code, and percentage of work to be performed based on total contract value. This form is part of the solicitation for QSE-36C78625Q50246, which is a janitorial services contract for the Department of Veterans Affairs National Cemetery Administration.

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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

Contac t

Inform ation

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

1. Prime Contractor Size:
2. Participation of Small Businesses
Minimum Quantitative Requirement (MQR)
3. Sub-Contractor Participants (List all names, company name, and business size.

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