B08_Attachment_4_-_Solit_PSP.pdf

For Technical Volume I:

1. Experience Questionnaire

2. Subcontractor Reference

3. Key Personnel Qualifications

4. Past Performance Questionnaire

For Business & Price Volume II:

1. Small Business Subcontracting Plan

2. SF 24 Bid Bond

3. Contract Price Schedule

4. General References

5. Hazardous Materials Identification Listing

6. Report on Limitation on Subcontracting

Project Experience Questionnaire Solicitation: 140P2022R0069

Submit responses to the questions below that address experience relative to the elements noted under the Project Experience evaluation subfactor in solicitation section L. Limit submittals to the quantity of projects and timeframes required in the solicitation. Expand the response sections shown below as needed to adequately address each question (this questionnaire may be expanded to multiple pages if needed).

Offeror Company Name

REFERENCED PROJECT INFORMATION

Project Title Title

Project Location City, State

Brief Project Description

Description

Project Owner Company Name POC: First & Last Name Phone: (XXX) XXX‐XXXX

CONTRACTOR LIST

List Contractor(s) whose experience on the referenced project is being submitted for evaluation on this proposed project. If more than one contractor is listed (i.e. prime and subcontractors), provide information specific to that contractor.

Contractor Name

Role on Referenced Project

(Prime or Sub)

Trade

Price (list for each contractor’s specific work)

Performance Period

(calendar days) (list for each contractor’s specific work)

Original Final Original Final

Sparky’s Electrical Company Prime Prime $XXX,XXX $X,XXX,XXX XX XX

ABC Plumbing & Heating, Co Subcontractor Plumbing & Mechanical

$X,XXX,XXX $X,XXX,XXX XXX XXX

Subcontractor

PROJECT EXPERIENCE QUESTIONS

1. Describe the project work performed by all contractors listed above.

Response

2. Identify which Project Experience elements listed in section L of the solicitation each contractor’s work addresses.

Response

3. Describe & provide reasons for any changes to the original price for the work described in question 2 above.

Response

4. Describe and provide reasons for any changes to the original schedule for the work described in question 2 above.

Response

5. Describe problems, associated with the work described in question 2 above, which were encountered and how they were resolved. Describe how the offeror’s proposal accounts for similar issues.

Response

6. Describe the means and methods, associated with the work described in question 2 above, which were successful. Would you implement the same means and methods on the proposed project? Why or why not?

7. Provide any other additional project information you believe should be presented.

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO. 140P2022R0069

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

Notice to Contractor

Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.

This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.

The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.

A. OFFEROR INFORMATION

Company Name Company Street Address Address City City State State Zip Code XXXXX Unique Entity Identifier (UEI) Number / SAM

XXXXXXX

Point of Contact Name, Email, Phone

B. CONTRACT INFORMATION FOR PAST PROJECT (PROJECT SUBMITTED UNDER PROJECT

EXPERIENCE)

Project Title Title Contract Number XXXXXXXXXX Contract Type Firm Fixed Price / Time & Materials / Cost Reimbursable / Other Awarded Contract Price $X,XXX,XXX Current / Final Price $X,XXX,XXX Contract Award Date XX/XX/XXXX Contract Completion Date XX/XX/XXXX Period of Performance XX/XX/XXX – XX/XX/XXX Project Location Park or Street address, City, State Client / Owner Company Brief description of the contract & work effort:

Scope of work description

C. REFERENCE:

Name First, Last Position / Title Title Organization Agency or Company Phone Number XXX-XXX-XXXX Email Address Email Signature Signature Date XX/XX/XXXX

D. EVALUATION

Rating Definition

Exceptional Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Evaluation Area Rating Quality Quality of workmanship (including subcontractors)? Choose an item.

Quality of and adherence to quality control plan? Choose an item.

Quality of informational and technical submittals? Choose an item.

Overall Quality Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule (& Time Management) Met project schedule milestones? Choose an item.

Responded to owner requests in a timely manner? Choose an item.

Informational and technical submittals submitted timely? Choose an item.

Promptly addressed scheduling issues? Choose an item.

Overall Schedule (& Time Management) Rating Choose an item.

Cost Control Addressed differing & unforeseen site conditions so as to minimize additional costs? Choose an item.

Provided fair and reasonable pricing for contract modifications? Choose an item.

Submitted accurate and complete invoices? Choose an item.

Promptly paid subcontractors and suppliers? Choose an item.

Overall Cost Control Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Management General oversight by project manager and superintendent? Choose an item.

Coordination with and control of subcontractors? Choose an item.

Avoidance of accidents & safety violations? Choose an item.

Addressed location factors (especially remote locations)? Choose an item.

Maintained good working relationship with owner representatives? Choose an item.

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems? Choose an item.

Overall Management Rating Choose an item.

Small Business Subcontracting (& Labor Standards) Met regulatory and contractual labor standards? Choose an item.

Successfully contracted with small and socio-economically disadvantaged businesses? Choose an item.

Quality and adherence to applicable subcontracting plans? Choose an item.

Overall Small Business Subcontracting (& Labor Standards) Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Regulatory Compliance Met building and life safety codes? Choose an item.

Overall Regulatory Compliance Rating Choose an item.

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts: Choose an item.

Overall Comments:

E. RETURN:

Return by Time / Date Name CO or CS name Title Contracting Officer / Contract Specialist Organization National Park Service – Denver Service Center Email First_Last@nps.gov

SMALL BUSINESS SUBCONTRACTING PLAN

***Blue text is offeror instructions and shall be deleted by the offeror prior to Plan submission. *** ***Red Text is sample and shall be tailored, by the offeror, to the specific acquisition***

Large business Offerors proposing a total price greater than $750,000 ($1,500,000 for construction) shall complete and submit this Subcontracting Plan with their proposal. Failure to complete and submit this form may result in rejection of an offer.

This form is consistent with contract clause 52.219-9. Refer to clause 52.219-9 for additional guidance.

Use of this form is not intended to waive other solicitation & contract requirements.

The term "Subcontract" within this document means any agreement (other than one involving an employer-employee relationship) entered into by a federal government prime contractor or subcontractor calling for supplies or services required for performance of the contract or subcontract.

The National Park Service (NPS) FY21 subcontracting goals are as follows:

o Small Business Concerns: 44%;

o Veteran Owned Business Concerns: 3.0%, o Service-Disabled Veteran Owned Concerns: 3.0%, o HUBZone Small Business Concerns: 3.0%;

o Small Disadvantaged Business Concerns: 5.0%;

o Small Women-Owned Business Concerns: 5.0%.

If your firm indicates in Item No. 2 below any percentages less than the above noted NPS goals then specify in an attachment the reason(s) your firm cannot meet the NPS goals.

Revisions:

5/2/2022: Replaced DUNS with UEI in all locations

1/27/22: Updated subcontracting goals for FY22

9/14/21: Added Commercial Market Representative and eSRS info at the end of this document

2/7/21: Updated Goals for FY21

8/24/20: Added comment lines just above CO’s signature

12/11/19: Updated Small Business goals for FY20

11/26/18: Updated Small Business goals for FY19

7/17/18: Added Subcontractor UEI # column to table in Part 3

Date of Submission:

Contractor:

Name:

Address:

State / Zip Code:

Contractor’s SAM Unique Entity Identifier (UEI) #:

Contract Information:

Contract or Solicitation #:

Contract Scope of Work:

Contract Period of Performance:

Total Proposed Price:

1. Type of Plan

Individual plan. This plan:

a. Covers the entire contract period of performance,

b. Applies to the specific contract noted above,

c. Includes subcontracting goals in support of the contract action referenced above,

2. Goals ***Response to this section corresponds to contract clause 52.219-9(d)(1) & (2)***

Following are the dollar and percentage goals for Small Businesses, Small Disadvantaged Businesses including Alaska Native Corporations and Indian Tribes, Women-Owned and Economically Disadvantaged Women-Owned Businesses, Historically Underutilized Business Zone concerns, Veteran Owned Small Businesses, and Service-Disabled Veteran-Owned Small Businesses concerns as subcontractors.

***Include all subcontracts that contribute to contract performance. If noted in item 1 above you may include a proportionate share of products and services that are normally allocated as indirect costs in the following format.***

a. Total estimated dollar value of ALL planned subcontracting, with ALL types of concerns (large & small), under this contract:

Dollar Value: $

b. Total estimated dollar value and percent of planned subcontracting:

***Please note: Zero dollars is not an acceptable goal since it does not demonstrate a good faith effort***

SMALL BUSINESSES (SB):

(Including VOSB, SDVOSB, HUBZone SDB, and WOSB)

Dollar Value: $ % of “a” above: XX.X%

VETERAN-OWNED SMALL BUSINESSES (VOSB):

Dollar Value: $ % of “a” above: XX.X%

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (SDVOSB):

Dollar Value: $ % of “a” above: XX.X%

HUBZone SMALL BUSINESSES (HUBZone):

Dollar Value: $ % of “a” above: XX.X%

SMALL DISADVANTAGED BUSINESSES (SDB):

Dollar Value: $ % of “a” above: XX.X%

WOMEN-OWNED SMALL BUSINESSES (WOSB):

Dollar Value: $ % of “a” above: XX.X%

OTHER THAN SMALL BUSINESSES

(Defined by the Small Business Administration (SBA) as “any entity that is not classified as a U.S. small business. This includes large businesses, state and local governments, non-profit organizations, public utilities, educational institutions and foreign-owned firms.)

Dollar Value: $ % of “a” above: XX.X% (This $ amount + the SB $ amount above must equal the $ amount in 2.a. above)

3. Subcontracted Products / Services and Subcontractors Following is a listing of 1) products and/or services to be subcontracted, 2) subcontractors that we used in preparing our proposal and 3) the business size and socio-economic status of each listed subcontractor. Refer to sections 12 & 13 for related information.

Subcontracted Products &

Services (List even if subcontractors are not yet known)

Subcontractors (Listed below are subcontractors that were used in preparing our proposal. Additional firms may be added during contract performance)

Business Size & Socio-Economic

Status

(SB / SDB / WOSB /

HUBZone / SDVOSB / Other)* UEI No. Company Name

* Attached is SBA confirmation of current certification for each of the above listed HUBZone firms.

(SBA confirmation of current certification will also be provided for any HUBZone firms added during contract performance.)

4. Method for Determining Goals Following is a description of the method used to develop the subcontracting goals for SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns.

*** Address efforts made to ensure that maximum practicable subcontracting opportunities have been and will be made available for SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns.

Explain the method and state the quantitative basis (in dollars) used to establish the percentage goals. Expand this section or attach additional sheets and reference here if needed.***

5. Method for Identifying Potential Subcontractors The following sources were used to identify potential subcontractors for solicitation purposes:

***Check each line below as applicable.*** Existing company source lists, System for Award Management (SAM), Small Business Administration’s (SBA) Dynamic Small Business Search web page, Veterans service organizations, National Minority Purchasing Council Vendor Information Service, The Research & Infor. Div. of the Minority Business Dev. Agency in the Dept of Commerce, Small business trade associations.

***list other sources used***

The following narrative explains how the areas to be subcontracted to SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns were determined, how the capabilities of those concerns were considered contract opportunities and how such data relates to the proposal.

***Expand this section or attach additional sheets and reference here if needed.***

6. Indirect Costs Indirect costs have / have not been included in the dollar and percentage subcontracting goals above.

***If indirect costs have been included then include the following, otherwise delete. ***

Following is the method used to determine the proportionate share of such costs to be allocated as subcontracts to SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns:

7. Subcontracting Program Administrator (SPA):

The following named individual has general overall responsibility for the company’s subcontracting program, i.e., developing, preparing, and executing subcontracting plans and monitoring performance relative to the requirements of this subcontracting plan.

Name:

Title:

Address:

Phone #:

E-mail:

SPA Authorities and Responsibilities:

***Confirm the following authorities & responsibilities***

a. Develops and promotes company-wide policy initiatives that demonstrate the company’s support for awarding contracts and subcontracts to SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns; and for assuring that these concerns are included on the source lists for solicitations for products and services they are capable of providing;

b. Develops and maintains bidder source lists of SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns from all possible sources;

c. Ensures periodic rotation of potential subcontractors on bidder’s lists;

d. Assures that SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB businesses are included on the bidders’ list for every subcontract solicitation for products and services that they are capable of providing;

e. Ensures that Requests for Proposals (RFPs) are designed to permit the maximum practicable participation of SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns;

f. Reviews subcontract solicitations to remove statements, clauses, etc., which might tend to restrict or prohibit SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB participation;

g. Accesses various sources for the identification of SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns, including 1) SBA’s Dynamic Small Business Search web page (http://dsbs.sba.gov/dsbs/search/dsp_dsbs.cfm), 2) the System for Awards Management (www.sam.gov), 3) local small business and minority associations, 4) local chambers of commerce and 5) Federal agencies’ Small Business Offices;

h. Establishes and maintains contract and subcontract award records;

i. Participates in Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade Fairs, Procurement Conferences, etc;

j. Ensures that SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns are made aware of subcontracting opportunities and assists concerns in preparing responsive bids to the company;

k. Monitors the company’s subcontracting program performance and makes any adjustments necessary to achieve the subcontract plan goals;

l. Prepares and submits timely, required subcontract reports;

m. Conducts or arranges training for purchasing personnel regarding the intent and impact of 8(d) of the Small Business Act on purchasing procedures;

n. Coordinates the company’s activities during the conduct of compliance reviews by Federal agencies;

o. Other duties:

8. Equitable Opportunity The following efforts will be undertaken to ensure that SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns will have an equitable opportunity to compete for subcontracts.

a. Outreach efforts to obtain sources:

I. Contact minority and small business trade associations

II. Contact business development organizations and local chambers of commerce

III. Attend SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB procurement conferences and trade fairs

IV. Review sources from the Dynamic Small Business Search web page (http://dsbs.sba.gov/dsbs/search/dsp_dsbs.cfm)

V. Review sources from the System for Award Management web page (www.sam.gov)

***Note additional efforts if any. ***

VI.

VII.

b. Internal efforts to guide and encourage purchasing personnel:

I. Conduct workshops, seminars and training programs;

II. Establish, maintain, and utilize SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB source lists, guides, and other data for soliciting subcontractors; and

III. Monitor activities to evaluate compliance with the subcontracting plan.

***Note additional efforts if any.***

IV.

V.

9. Flow-Down Clauses Clause 52.219-8, “Utilization of Small Business Concerns,” shall be included in all subcontracts that offer further subcontracting opportunities. All subcontractors (except small business concerns) that receive subcontracts in excess of $750,000 ($1,500,000 for construction) and possess further subcontracting opportunities will be required to adopt and comply with a subcontracting plan that complies with contract clause 52.219-9, “Small Business Subcontracting Plan.”

10. Reporting and Cooperation As the prime contractor we will:

a. Cooperate in any studies or surveys that may be required;

b. Submit periodic reports which illustrate compliance with the subcontracting plan;

c. Submit Individual Subcontracting Report (ISR) and Summary Subcontract Report (SSR);

via the Electronic Subcontracting Reporting System (eSRS) website (www.esrs.gov)

Reports will be submitted, per the schedule below, regardless of whether there has been any subcontracting activity since the inception of the contract or the previous reporting period.

Reporting Period Report Due Due Date

Oct 1 - Mar 31 ISR 4/30 Apr 1 - Sept 30 ISR 10/30 Oct 1 - Sept 30 SSR 10/30 Oct 1 – Sep 30 Year End SDB Report 90 days after SSR submission

Contract Completion Final ISR 30 days after completion

d. Ensure that subcontractors with subcontracting plans agree to submit an ISR and/or a SSR using eSRS.

e. Provide our prime contract number, our UEI number, and the e-mail address of our official responsible for acknowledging receipt of or rejecting the ISRs, to all first-tier subcontractors with subcontracting plans so they can enter this information into the eSRS when submitting their ISRs; and

f. Require that each subcontractor with a subcontracting plan provide the prime contract number, its own UEI number, and the e-mail address of the subcontractor’s official responsible for acknowledging receipt of or rejecting the ISRs, to its subcontractors with subcontracting plans.

11. Recordkeeping The following is a description of the types of records that will be maintained concerning procedures that have been adopted to comply with the requirements and goals in this subcontracting plan, including establishing source lists; and a description of our efforts to locate SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB concerns and award subcontracts to them.

***Refer to contract clause 52.219-9(d)(11) for a listing of recordkeeping requirements. Also include a description of your firm’s records maintenance procedures for locating each category of small business for use as a subcontractor. ***

12. Acquiring Supplies & Services As the prime contractor we will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that we used in preparing our proposal, in the same or greater scope, amount, and quality used in preparing and submitting our proposal.

13. Contracting Officer Notice Regarding the Acquisition of Supplies & Services As the prime contractor we will provide the Contracting Officer with a written explanation if we fail to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work as described in section 12 above. This written explanation will be submitted to the Contracting Officer within 30 days of contract completion.

14. Prohibition of Subcontractor Discussions As the prime contractor we will not prohibit a subcontractor from discussing with the Contracting Officer any material matter pertaining to payment to or utilization of a subcontractor.

15. Subcontractor Payments As the prime contractor we will 1) pay our small business subcontractors on time and in accordance with the terms and conditions of the underlying subcontract, 2) notify the Contracting

Officer when we make either a reduced or an untimely payment to a small business subcontractor, 3) accelerate payment to our subcontractors in accordance with contract clause 52.232-40.

***Refer to contract clause 52.242-5 for additional subcontractor payment requirements. ***

16. Description of Good Faith Effort Maximum practicable utilization of SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns as subcontractors in Government contracts is a matter of national interest with both social and economic benefits. When a contractor fails to make a good faith effort to comply with a subcontracting plan, these objectives are not achieved and 15 U.S.C. 637(d) (4) (F) directs that liquidated damages shall be paid by the contractor.

Following is a description of our firm’s commitment to making a good faith effort towards the subcontracting goals noted above.

Required Signatures:

Contractor Company Name

This Subcontracting Plan is submitted by:

Signature:

Print Name: Date:

Title:

Contracting Officer, National Park Service – Denver Service Center

As the Contracting Officer I:

Have confirmed all subcontractors evaluated are included in this Subcontracting Plan, (Because a prime contract has not yet been awarded not all subcontractors have been determined and evaluated.)

Have confirmed certification for all submitted HUBZone firms are current, (We will also confirm current certification of any HUBZone firms added during contract performance.)

Will monitor the contractor to ensure subcontractors evaluated are used in performance of the work, Am registered in eSRS and will monitor the prime contractor’s eSRS reports to verify good faith efforts are made to meet the goals of this plan, Will insure a copy of the final award document is submitted to the SBA Area Director, Office of Government Contracting, where the contract will be performed, Will submit a copy of the final subcontracting plan to the SBA’s Commercial Market Representative (CMR). (Refer to attached list of CMRs.

Am committed to assuring compliance with applicable contract requirements.

In accordance with FAR Part 19.705-4 and based upon the information noted above I have determined the Contractor’s proposed Subcontracting Plan is acceptable.

Additional Comments:

Small Business Specialist, National Park Service - Denver Service Center

The Subcontracting Plan has been reviewed and determined:

Acceptable.

Acceptable contingent upon the comments noted below.

Rejected. Revise per the comments noted below and resubmit.

Comments:

Small Business Specialist, National Park Service – Headquarters (Washington Support Office)

Acceptable

Acceptable contingent upon the comments noted below.

Rejected. Revise per the comments noted below and resubmit.

Small Business Administration Procurement Center Representative

Acceptable. (Please retain a copy of this final negotiated subcontracting plan for SBA records to meet the requirement of FAR 19.705-6(c)(2)) and DOI-AAAP 0076.)

Acceptable contingent upon the comments noted below.

Rejected. Revise per the comments noted below and resubmit.

(Please retain a copy of this final negotiated subcontracting plan for SBA records to meet the requirement of FAR 19.705-6(c)(2)) and DOI-AAAP 0076.)

Commercial Market Representatives CO/CS shall remove this attachment prior to issuing to Offerors or Contractors

CO/CS shall email, after award, a copy of the final subcontracting plan to the CMR whose address is in the same state the work will be performed. If no such address is listed the CO/CS shall email a copy to all CMR’s listed for the “Area” in which the work will be performed.

Area 1 Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, Commonwealth of Puerto Rico & the U.S. Virgin Islands

MR. CHRISTOPHER SAO

Commercial Market Representative U.S. Small Business Administration Office of Government Contracting, Area I 10 Causeway Street, Room 265 Boston, MA 02222-1093 Tel: (617) 565-5570 Fax: (202) 481-4951 Email: christopher.sao@sba.gov

MR. EUGENE SPILLANE

Commercial Market Representative U.S. Small Business Administration Office of Government Contracting, Area I U.S. Army Contracting Command - New Jersey Attn: SBA, Bldg. 1610 Picatinny Arsenal, NJ 07806-5000 Tel: (973) 724-6960 Fax: (202) 292-3664 Email: eugene.spillane@sba.gov

MS. MALINDA CHEN

Industrial Specialist for Size & COC Programs; Commercial Market Representative U.S. Small Business Administration Office of Government Contracting, Area I 26 Federal Plaza, Room 3100 New York, NY 10278 Tel: (212) 264-3230 Fax: (202) 481-4286 Email: malinda.chen@sba.gov

MS. SANDY LIU

Industrial Specialist for Size & COC Programs; Commercial Market Representative U.S. Small Business Administration\ Office of Government Contracting, Area I 26 Federal Plaza, Room 3100 New York, NY 10278 Tel: (212) 264-2455 Fax: (202) 481-5490 Email: sandy.liu@sba.gov

Area 2 District of Columbia, Delaware, Maryland, Pennsylvania, Virginia, West Virginia

No commercial market representative available. Email copy of subcontracting plan to Subcontracting Program Assistance at SPA@SBA.gov.

Area 3 Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee

MS. ARNETTE L. MAYHEW

Commercial Marketing Representative U. S. Small Business Administration Office of Government Contracting – Area III 233 Peachtree Street NE, Suite 225 Atlanta, Georgia 30303 Office: 404-331-0266 Cell: 404-977-7171 Fax: (202) 481-5163 Email: arnette.mayhew@sba.gov

MR. GARY W. HEARD, PH.D.

COC Coordinator/ Commercial Marketing Representative U.S. Small Business Administration Office of Government Contracting – Area III 4890 University Square, Suite 3 Huntsville, AL 35816 Cell: (256) 309-9282 Fax: (202)481-2037 Email: gary.heard@sba.gov

Area 4 Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio, Wisconsin

MS. DEBORAH CRUMITY

U.S. Small Business Administration Office of Government Contracting, Area IV 1222 Spruce Street, Room 10.103 St. Louis, MO 63103 Tel: (314) 539-6610 Fax: (202) 481-2231 Email: deborah.crumity@sba.gov

Area 5 Arkansas, Colorado, Louisiana, Montana, New Mexico, North Dakota, Oklahoma, South Dakota, Texas, Utah, Wyoming

MS. SOPHIA CHOU

U.S. Small Business Administration Office of Government Contracting, Area 5 150 Westpark Way, Suite 245 (Mailbox 8) Euless, TX 76040 Tel: (817) 684-5304; Cell: (817) 774-1426 Fax: (202) 481-4850 Email: sophia.chou@sba.gov

Area 6 Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington, Territories of Guam, and Northern Marianas Islands

Ms. Janice K. Nietes Commercial Market Representative/Size Program Specialist Office of Government Contracting, Area VI U.S. Small Business Administration 455 Market Street, Suite 600 San Francisco, CA 94105 Tel: (415) 744-6844 Cell (415) 920-0377 janice.nietes@sba.gov eSRS Registration CO/CS shall remove this attachment prior to issuing to Offerors or Contractors

The SBA is requiring that we provide documentation that COs are registered in the eSRS system before they will approve contractor's subcontracting plans. Thus, we are requesting that all DSC COs to please register in the eSRS system now so that there will not be any award delays later. Below is a list of DSC COs that are currently registered in eSRS. You can find a link to eSRS in the Quicklinks section on our SharePoint site. For your convenience I've also included an eSRS link here. You can locate direction for registering on the eSRS home page.

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045 Expiration Date: 8/31/2022

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal) (Seal)

CORPORATE SURETY(IES)

S U

R E

T Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

JOINT VENTURE

OTHER (Specify)

PARTNERSHIPINDIVIDUAL

CORPORATION

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond.

The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

S U

R E

T Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)STATE OF INCORPORATION

2.

2.

1.

1.NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

C

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

D

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

E

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

F

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

G

STANDARD FORM 24 (REV. 8/2016) BACK

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

NAME OF CONTRACTOR/OFFEROR:

SURETY

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

INSURANCE COMPANY

Address:

Name of Agent:

Types of Policies:

SUBCONTRACTOR

Address:

Name of Contact:

Area of Specialized Work:

Address:

Name of Contact:

Address:

Name of Contact:

MATERIAL SUPPLIER

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Types of Material:

Contract Number:

Prime Contractor:

Current Total Contract Price:

Type of Set Aside:

Period of Performance MM/DD/YYYY - MM/DD/YY

Type of Service (Required Participation):

$0

$0 Total Amount Paid To: [Insert SSS company name] $0 Total Amount Paid To: [Insert SSS company name] $0 Total Amount Paid To: [Insert SSS company name] $0 Total Amount Paid To: [Insert SSS company name] $0

Total Amount Paid To: [Insert SSS company name] $0 Add additional rows if more than 5

SSS

$0

Total Amount Paid To: [Insert NSS company name] $0 Total Amount Paid To: [Insert NSS company name] $0 Total Amount Paid To: [Insert NSS company name] $0 Total Amount Paid To: [Insert SSS company name] $0

Total Amount Paid To: [Insert SSS company name] $0 Add additional rows if more than 5

NSS

#DIV/0! Modify formula if additional rows added above

#DIV/0! Modify formula if additional rows added above

[Insert the amount of the original contract + all excuted contract modifications]

If the NSS % noted in line 5 above is not in compliance with the % required by contract clause 52.219-3, 14, 27,29,30 then the prime contractor shall provide a written corrective action plan below:

Corrective Action Plan

Report on Limitations on Subcontracting [Template Version 7/25/19]

1) Services (except construction). 50% maximum may be subcontracted to non-similary situated Subcontractors

2) General construction. 85% maximum may be subcontracted to non-similary situated Subcontractors

3) Construction by special trade contractors. 75% maximum may be subcontracted to non-similary situated Subcontractors

This report is required for small business, 8(a) or other socio-economic set-aside service contracts (including construction) priced at or above $150,000.

[Insert prime contractor's company name]

[Insert contract #]

[Put an X in the applicable box below per clause 52.219-3, 14, 27,29,30]

1) Amount Invoiced by the Prime Contractor:

[Insert type of set-aside: Small Business, HUBZone, SDVOSB, WOSB, 8(a), etc.]

Amounts shown below shall include amounts from all previous invoices and the current invoice. Exclude the cost of materials.

* Similarly Situated Subcontractor (SSS): is a small business subcontractor that is a participant of the same Small Business Administration (SBA) program that qualified the prime contractor as an eligible offeror and awardee of the contract as defined in 13 CFR 125.6 (i.e. Small Business, HUBZone Business, Service Disabled Veteran Owned Small Business (SDOVB), etc.)

2) Portion of Amount Invoiced for All Similarly Situated Subcontractors (SSS)*

3) Portion of Amount Invoiced for Non-Similarly Situated Subcontractors (NSS)

4) Prime & SSS Participation %

** Limitation on Subcontracting Percentage = (Total amount invoiced by the Prime Contractor - Portion of total amount invoiced for Non-Similarly Situated Subcontractors (NSS)/ Total amount invoiced by the Prime Contractor)

Participartion Calculation as of the Current Invoice

5) % subcontracted to NSS