ATTACHMENT S1 SMALL BUSINESS PARTCIPATION CALCULATION TEMPLATE.docx

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DHA OMNIBUS IV MILITARY MEDICAL RESEARCH AND DEVELOPMENT RFP
Solicitation number
HT001121R0004
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ATTACHMENT S-1:

SMALL BUSINESS PARTICIPATION CALCULATION TEMPLATE

SMALL BUSINESS PARTICIPATION COMMITMENT

SOLICITATION: HT0011-21-R-0004

NAICS: 541714

Description of Subcontracted Work
DOLLARS
PERCENT

Total Contract Price Proposed

Subcontract Dollars Proposed for Small Business(s)*

Subcontractor Name
Cage Code
Size Status
Socio-Economic Status

Small Business TOTAL $$s and % of Total Contract Value (Requirement of at least 32%)

Small Disadvantaged Business TOTAL $$s and % of Total Contract Value (Requirement of at least 5%)

Service-Disabled Veteran-Owned Small Business TOTAL $$s and % of Total Contract Value (Requirement of at least 3%)

Woman-Owned Small Business/Economically Disadvantaged Women Owned Small Business TOTAL $$ and % of Total Contract Value (Requirement of at least 5%)

Historically Underutilized Business Zone TOTAL $$s and % of Total Contract Value (Requirement of at least 3%)

*See paragraph L.5.1 of the Solicitation for Explanation of the Small Business Participation Commitment Requirement.

(End of Section L)

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