Attachment F - Small Business Subcontracting Record.docx.pdf
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- Solicitation number
- N4008520R0036
About this file
This document is an attachment to a federal solicitation providing historical small business utilization data for five past projects. The offeror details for each project include whether they performed as a prime contractor, subcontractor, or joint venture member. They provide actual dollar values and percentages subcontracted to small, small disadvantaged, women-owned, HUBZone, veteran-owned, and service-disabled veteran-owned small businesses. Where goals were established, they note the actual percentages achieved versus goals. For any unmet goals, the offeror explains the reasons. They also provide customer references for each past project. The related federal contract opportunity is for design-bid-build services for ordnance facilities recapitalization at Naval Weapons Station Yorktown in Virginia, solicited by the Department of the Navy Naval Facilities Engineering Command.
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Text version
Attachment X – Historical Small Business Utilization, Page 1 of 4
(Rev 3/2020)
ATTACHMENT F
HISTORICAL SMALL BUSINESS UTILIZATION
N40085-20-R-0036
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 XX, 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:
Attachment X – Historical Small Business Utilization, Page 2 of 4
Project #2: Contract/Project Number/Task Order Number:
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)
Project #3: Contract/Project Number/Task Order Number:
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: $
Attachment X – Historical Small Business Utilization, Page 3 of 4
(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)
Project #4: Contract/Project Number/Task Order Number:
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)
Attachment X – Historical Small Business Utilization, Page 4 of 4
Project #5: Contract/Project Number/Task Order Number:
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)
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