ATTACHMENT F - Small Business Commitment Document.pdf

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Attached to
REPAIR MACDONOUGH HALL BUILDING 102, U. S. NAVAL ACADEMY, ANNAPOLIS, MD
Solicitation number
N40080-21-R-0033-0004
Issued by

About this file

This document is a small business commitment template to be submitted by offerors bidding on the Renovation of MacDonough Hall project at the U.S. Naval Academy in Annapolis, Maryland. Offerors must provide estimated subcontracting dollar values and percentages that will be awarded to large businesses and various categories of small businesses, including small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. The subcontracting breakdown must cover estimated values for the base year and all bid items excluding options. The sum of dollars awarded to large and small businesses must equal the total estimated value of planned subcontracting. Subcontracts awarded to companies qualifying in multiple small business categories must be reported under each applicable category.

The related federal contract opportunity is Amendment 0004 to solicitation N40080-21-R-0033-0004 for repair work at MacDonough Hall Building 102 at the U.S. Naval Academy. Only shortlisted offerors selected to advance from the pre-qualification phase to the final phase may respond. The work is being conducted by the Department of the Navy Naval Facilities Engineering Command.

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SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

ATTACHMENT F

PROPOSED SUBCONTRACTING PARTICIPATION BREAKDOWN

(TO BE SUBMITTED BY SMALL BUSINESSES)

(CONTRACTOR’S NAME)

(ADDRESS)

N4008021R0033

Renovation of MacDonough Hall

U.S. Naval Academy, Annapolis, Maryland

(Date Prepared)

SUBCONTRACTING BREAKDOWN – (Base Year and/or All Bid Items excluding Options)

1. Estimated $ value of all planned subcontracting $________________

2. Estimated $ value of all work to be performed by Offeror’s workforce $________________

3. Total $ value of the proposal (sum of 1 and 2) $________________

4. Subcontracts for products and services to be awarded under this project.

a. Large Business: (LB)

NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT

TOTAL: $________________

b. Small Business (SB)

(1) SMALL DISADVANTAGED BUSINESSES: (SDB)

(2) WOMEN-OWNED SMALL BUSINESSES: (WOSB)

TOTAL: $_______________

(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) BUSINESS:

(4) VETERAN OWNED SMALL BUSINESS: (VOSB)

(5) SERVICE-DISABLED VETERAN OWNED SMALL BUSINESS: (SDVOSB)

(6) HISTORICALLY BLACK COLLEGES AND UNIVERSITIES & MINORITY INSTITUTIONS:

(HBCU/MI)

NAME OF C, U, OR MI TYPE OF SERVICES $ VALUE OF SUBCONTRACT

(7) ABILITYONE PROGRAM (FORMERLY JWOD) - NISH

NOTES:

1. The sum of lines 4.a and 4.b must equal line 1.

2. Lines 4.b. (1) through 4.b (7) identify various categories of small businesses under the main small business (SB) group. Subcontracts to companies that qualify in multiple categories must be reported under each category. For example: if you are planning to subcontract $100,000 to ABC, a woman-owned small disadvantaged business that is also a certified HUBZone small business, you will report $100,000 on line 4.b SB, line 4.b (1) SDB, line 4.b (2) WOSB and line 4.b.(3)

HUBZone SB.

Line Item Base Option 1 Option 2 TOTAL

DOLLARS

Total dollar value of this contract.

Total

Subcontracted

Large Business $ $ $ $

Small Business $ $ $ $

SDB $ $ $ $

WOSB $ $ $ $

HUBZone SB $ $ $ $

VOSB $ $ $ $

SDVOSB

HBCU/MI $ $ $ $

ABILITYONE -

NISH

PERCENTAGES

*Large Business % % % %

*Small Business % % % %

*SDB % % % %

*WOSB % % % %

*HUBZone SB % % % %

*VOSB % % % %

*SDVOSB

*HBCU/MI % % % %

*ABILITYONE

-NISH

*% of total dollars subcontracted

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