DCSA White Paper Template.docx

Attachment 2 – White Paper Template

XXXXXXX

OFFICE OF SMALL BUSINESS

MENTOR-PROTÉGÉ PROGRAM

BAA-XXX-XX-20XX

TEMPLATE FOR

WHITE PAPER SUBMISSIONS

Mentor Firm: Name

Protégé Firm: Name

Section A: Solicitation Information

BAA Number:

Title:

Section B: Proposed Agreement Information

Type: Check the agreement type that is being requested.

Reimbursable:

Credit:

Hybrid:

Period of Performance: State the period of time (in months) over which the developmental assistance will be performed - not to exceed three years.

Number of Months:

Anticipated Start Date:

Anticipated Completion Date:

Section C: Cost Estimate

Cost Estimate by Year: Provide an estimate of the cost of the total developmental assistance provided by the Mentor Firm. Include a cost breakdown of each year of effort by category of cost.

(Expressed in whole dollar amounts)

Cost Estimate by Development Assistance Type and By Task Performer: Provide an estimate of the cost of the Engineering and Technical Assistance (Technology Transfer) and General Business Development Assistance. Include a cost breakdown of the separate developmental assistance types by cost categories. Indicate the percentage of each cost category for the total effort.

The required minimum amount of Engineering and Technical Assistance is at least 50% of the total effort.

(Expressed in whole dollar amounts)

Engineering and Technical Assistance (Technology Transfer)

General Business Development Assistance

Subtotals by Year

Section D: Mentor Firm Eligibility

Provide a statement (be sure to include the date of approval) that the Mentor Firm has been previously approved under the DoW Mentor-Protégé Program (provide a copy of approval letter, if available) and is still eligible to participate as a Mentor Firm per the requirements set by DFARS Appendix I-102 or identify anticipated schedule to submit a Mentor Application.

Section E: Mentor Firm Information

Firm Name:

Mailing Address:

Phone Number:

Fax Number:

Homepage:

Industry:

Data Universal Numbering System (DUNS) Number:

CAGE Code:

Primary North American Industry Classification System (NAICS) Codes:

Product or Service (PSC) Codes:

Section F: Mentor Firm Background

Provide a brief summary about the Mentor Firm including a company profile, volume of DoW/DCSA contracts, and accomplishments under their Small Business programs. Indicate whether the Mentor Firm has one or more DoW contracts with an active small business subcontracting plan.

If yes, please indicate all that apply

Small Disadvantaged Business (SDB):

Woman-Owned Small Business (WOSB):

Economically Disadvantaged Woman-Owned Small Business (EDWOSB):

Historically Underutilized Business Zone (HUBZone) Business:

Veteran Owned Small Business (VOSB):

Service-Disabled Veteran Owned Small Business (SDVOSB):

An employer of severely disabled as defined in DFARS App. I-101.4:

A small business that was provider of critical capabilities to DoW:

Non-traditional defense contractor as defined in 10 USC 2302(9):

Business entity owned and controlled by an Indian Tribe;

Business entity owned and controlled by an Alaskan Native Corporation:

Business entity owned and controlled by a Native Hawaiian Organization:

If yes, indicate agreement with the Mentor Firm:

If yes, indicate previous agreement DoW sponsoring Agency:

If yes, indicate previous agreement completion date:

If yes, please Indicate all that apply

Under another Federal Agency's Mentor Protégé Program:

Partnership Intermediary:

Other assistance arrangement:

If yes, indicate graduation date:

Section G: Mentor Firm Capacity and Capability

Identify and describe the Mentor Firm's qualifications, capabilities, experience with small business assistance, expertise in related technical areas, proposed facilities and equipment, and capacity for achieving the proposed agreement objectives.

Section H: Mentor Firm Past Performance

Identify and describe the Mentor Firm’s past performance, if any, in the DoW and DCSA Mentor-Protégé program. Include all past and active Mentor Protégé Agreements and proposed agreements currently being considered (indicate agency). Identify any past Nunn-Perry awards and/or any significant mentoring accomplishments.

Section I: Protégé Firm Eligibility

Provide a statement that the Protégé Firm is currently eligible to participate in the DoW Mentor Protégé Program as a “disadvantaged small business concern” (DSB) as defined in Public Law 101-510, Section 831, as amended, pursuant to all of the following criteria below:

(1) A small business concern as defined in the Small Business Act, 15 U.S.C. 631 et seq., and implementing SBA regulations in Title 13 of the Code of Federal Regulations.

(2) Eligible for the award of Federal contracts.

(3) Not more than the Small Business Administration (SBA) size standard for its primary North American Industry Classification System (NAICS) code.

(4) Not owned or managed by individuals or entities that directly or indirectly have stock options or convertible securities in the Mentor Firm.

(5) Is not currently a party to another Mentor Protégé agreement under the DoW Mentor-Protégé Program authority, 10 U.S.C. 2302

(6) Has not had another Mentor Protégé agreement under the DoW Mentor-Protégé Program authority, 10 U.S.C. 2302

(7) At least one of the following:

(A) A small business concern owned and controlled by socially and economically disadvantaged individuals as defined in section 8(d)(3)(C) of the Small Business Act (15 U.S.C. 637(d)(3)(C)).

(B) A business entity owned and controlled by an Indian tribe as defined by section 8(a)(13) of the Small Business Act (15 U.S.C. 637(a)(13)).

(C) A business entity owned and controlled by a Native Hawaiian Organization as defined by section 8(a)(15) of the Small Business Act (15 U.S.C. 637(a)(15)).

(D) A qualified organization employing severely disabled individuals operating on a for-profit or nonprofit basis that -

(i) Uses rehabilitative engineering to provide employment opportunities for severely disabled individuals and integrates severely disabled individuals into its workforce.

(ii) Employs severely disabled individuals at a rate that averages not less than 20 percent of its total workforce.

(iii) Employs each severely disabled individual in its workforce generally based on 40 hours per week; and

(iv) Pays not less than the minimum wage prescribed pursuant to section 6 of the Fair Labor Standards Act (29 U.S.C. 206) to those employees who are severely disabled individuals (as defined in section 8501 of title 41, United States Code) or a severely disabled individual (as defined in such section).

(E) A small business concern owned and controlled by women, as defined in section 8(d)(3)(D) of the Small Business Act (15 U.S.C. 637(d)(3)(D)).

(F) A small business concern owned and controlled by service-disabled veterans (SDVOSB) as defined in Section 8(d)(3) of the Small Business Act (15 U.S.C. 637(d)(3)).

(G) A qualified HUBZone small business concern (as defined in section 31(b) of the Small Business Act [15 U.S.C. 657a(b)]).

(H) A small business concern that –

(i) Is a non-traditional defense contractor, as such term is defined in 10 U.S.C. 2302; or

(ii) Currently provides goods or services in the private sector that are critical to enhancing the capabilities of the defense supplier base and fulfilling key Department of War needs.

Indicate all that apply

A small business concern as defined in the Small Business Act, 15 U.S.C. 631 et seq., and implementing SBA regulations in Title 13 of the Code of Federal Regulations:

Eligible for the award of Federal contracts:

Not more than the SBA size standard for its primary NAICS code:

Not owned or managed by individuals or entities that directly or indirectly have stock options or convertible securities in the Mentor Firm:

Is not currently a party to another Mentor Protégé agreement under the DoW Mentor-Protégé Program authority, 10 U.S.C. 2302 note:

Has not had another Mentor Protégé agreement under the DoW Mentor-Protégé Program authority, 10 U.S.C. 2302 note, more than 5 years previously:

Indicate all that apply

Small Business Concern owned and controlled by socially and economically disadvantaged individuals

Business entity owned and controlled by an Indian tribe

Business entity owned and controlled by a Native Hawaiian organization

Qualified organization employing severely disabled individuals

Small Business Concern owned and controlled by women

Small Business Concern owned and controlled by service-disabled veterans

Qualified HUBZone small business concern

Non-traditional defense contractor

Currently provide goods or services in the private sector that are critical to enhancing the capabilities of the defense supplier base and fulfilling key DoW needs

Section J: Protégé Firm Information

Firm Name:

Mailing Address:

Phone Number:

Fax Number:

Homepage:

Industry / Business Type:

(e.g. Service - 80% Manufacturing - 20%) Construction:

Manufacturing:

R&D:

Service:

Year Established:

Number of years in business:

Number of Full Time Employees (FTE):

CAGE Code:

Data Universal Numbering System (DUNS) number:

If yes, indicate date graduated or the currently expected graduation date:

Provide the North American Industry Classification System (NAICS) code(s) which represents the supplies or services of the Protégé Firm and a statement that at the time the white paper is submitted for approval, the Protégé Firm, does not exceed the size standard for the appropriate NAICS code.

North American Industry Classification System (NAICS) Codes:

Primary NAICS:

Additional NAICS:

Section K: Protégé Firm Historical Background

Provide a brief summary about the company, including the company profile, and historical and recent activities and accomplishments. Include a description of the company’s ability to participate in the DoW Mentor-Protégé Program without impairing the company’s day-to-day operations (i.e., business management, revenue stream).

Section L: Protégé Firm Business Information

Protégé Firm-Obtained DoW Prime Contract Awards. Provide the number and total dollar amount of DoW Prime contract awards obtained by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represents the government’s fiscal year which runs October 1 through September 30.

Total Protégé Obtained DoW Prime Contract Awards

Value Dollar Amount Received

FY-___

FY-___

FY-___

Protégé Firm-Obtained Other Federal Prime Contract Awards. Provide the number and total dollar amount of Other Federal (non-DoW) Prime contract awards obtained by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represents the government’s fiscal year which runs October 1 through September 30.

Total Protégé Obtained Other Federal Prime Contract Awards

Value Dollar Amount Received

FY-___

FY-___

FY-___

Protégé Firm-Obtained DoW Subcontract Awards from Other than Mentor. Provide the number and total dollar amount of DoW subcontract awards obtained by the Protégé Firm from sources other than the proposed Mentor during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total Protégé Obtained DoW Subcontract Awards from Other than Mentor

Value Dollar Amount Received

FY-___

FY-___

FY-___

Protégé Firm-Obtained Other Federal Subcontract Awards from Other than Mentor. Provide the number and total dollar amount of Other Federal (non-DoW) subcontract awards obtained by the Protégé Firm from sources other than the proposed Mentor during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total Protégé Obtained Other Federal Subcontract Awards from Other than Mentor

Value Dollar Amount Received

FY-___

FY-___

FY-___

Protégé Firm DoW Subcontract Awards to Other than the Mentor Firm. Provide the number and total dollar amount of DoW subcontract awards made to other firms than the proposed Mentor by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total DoW Subcontract Awards to Other than the Mentor from the Protégé

FY-___

FY-___

Protégé Firm Other Federal Agency Subcontract Awards to Other than the Mentor Firm. Provide the number and total dollar amount of Other Federal Agency (other than DoW) subcontract awards made to other firms than the proposed Mentor Firm by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total Other Federal Subcontract Awards to the Other than the Mentor from the Protégé

FY-___

FY-___

Section M: Mentor Firm – Protégé Firm Relationship

Provide a statement on the current and/or past relationship of the Mentor Firm's with the Protégé Firm.

Provide the percentage of the Protégé Firm currently owned by the Mentor Firm

Mentor Firm DoW Subcontract Awards to Protégé Firm. Provide the number and total dollar amount of DoW subcontract awards made to the Protégé Firm by the Mentor Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total DoW Subcontract Awards to the Protégé from the Mentor

FY-___

FY-___

Mentor Firm Other Federal Subcontract Awards to Protégé Firm. Provide the number and total dollar amount of Federal Agency (other than DoW) subcontract awards made to the Protégé Firm by the Mentor Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total Other Federal Agency Subcontract Awards to the Protégé from the Mentor

FY-___

FY-___

Protégé Firm DoW Subcontract Awards to Mentor Firm. Provide the number and total dollar amount of DoW subcontract awards made to the Mentor Firm by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total DoW Subcontract Awards to the Mentor from the Protégé

FY-___

FY-___

Protégé Firm Other Federal Subcontract Awards to Mentor Firm. Provide the number and total dollar amount of Federal Agency (other than DoW) subcontract awards made to the Mentor Firm by the Protégé Firm during the two preceding fiscal years (if any). Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Total Other Federal Agency Subcontract Awards to the Mentor from the Protégé

FY-___

FY-___

Section N: Protégé Firm Past Participation in the DoW Mentor-Protégé Program

Provide the following information if the Protégé Firm has previously participated in the DoW Mentor-Protégé Program during the last five (5) years. Provide a statement (separate enclosure to this template) that there will be no duplication of effort (i.e., developmental assistance provided by the Mentor Firm) previously provided to the Protégé Firm under prior agreements. This must be agreed upon and presented on letterheads from both the Mentor Firm and Protégé Firm.

If yes, indicate previous agreement Mentor Firm:

If yes, indicate previous agreement DoW sponsoring Military Department or Agency:

If yes, indicate previous agreement contract or grant number:

Reimbursable:

Credit:

Hybrid:

If yes, indicate previous agreement completion date:

Indicate termination date (if applicable):

Indicate termination reason (if applicable):

Section O: Potential Mentor Firm Subcontracting Opportunities

Provide the Fiscal Year, description, subcontract type and estimated dollar value of subcontracts anticipated to be awarded to the Protégé Firm for both competitive and non-competitive awards. Please note fiscal year here represent the government’s fiscal year which runs October 1 through September 30.

Section P: Anticipated Developmental Assistance Approach

Describe the anticipated developmental assistance approach for the Protégé Firm specifying the type of assistance planned. Provide how this approach will address the Protégé Firm’s needs to enhance their ability to perform successfully under contracts or subcontracts within DoW and other Federal agencies.

Anticipated Engineering and Technical (Technology Transfer) Assistance Approach

Identify and describe the anticipated approach and timeline of anticipated engineering and technical assistance (technology transfer) to be provided to the Protégé Firm. Information shall include identification and description of major tasks anticipated to be accomplished. Technology transfer to the Protégé Firm must equate to at least 50% of the total proposed effort.

Anticipated General Business Development Assistance Approach

Identify and describe the anticipated business development assistance to be provided to the Protégé Firm. Information shall include identification and description of major tasks anticipated to be accomplished.

Section Q: Authorized Subcontractor(s)

Identify and describe the anticipated work effort(s) by all authorized subcontractor(s) such as a Historically Black College & University (HBCU), Minority Serving Institution (MSI), APEX, Small Business Development Center (SBDC), Women’s Business Center (WBC) or Manufacturing Innovation Institutes (MII) in the anticipated Protege Firm development efforts. The description should clearly identify whether the tasks are engineering and technical (technology transfer) assistance or general business development assistance. MPP agreements may include more than one HBCU, MSI, APEX, SBDC, WBC, and/or MII in their developmental assistance plan. If there will be multiple authorized subcontractors, identify the individual estimated percentage of the Protégé’s developmental assistance to be performed by individual authorized subcontractors.

Authorized Subcontractor #1 Name

Indicate the estimated percentage of the Protégé Firm's developmental assistance to be performed by the authorized subcontractor

Mailing Address

Authorized Subcontractor #1 Lead Name

Email Address

Historically Black College (HBCU)

Minority Institution (MI)

APEX Accelerators (APEX)

Small Business Development Center (SBDC)

Women's Business Center (WBC)

Manufacturing Innovation Institutes (MII)

Authorized Subcontractor #2 Name

Indicate the estimated percentage of the Protégé Firm's developmental assistance to be performed by the authorized subcontractor

Mailing Address

Authorized Subcontractor #2 Lead Name

Email Address

Historically Black College (HBCU)

Minority Serving Institution (MSI)

APEX Accelerators (APEX)

Small Business Development Center (SBDC)

Women's Business Center (WBC)

Manufacturing Innovation Institutes (MII)

Section R: Anticipated Benefits

Identify and describe how the overall anticipated developmental assistance (engineering and technical assistance (technology transfer) and general business development assistance) to the Protégé Firm will 1) enhance the capabilities of the Protégé Firm to perform as a subcontractor and supplier under DoW, Federal, and/or commercial contracts and subcontracts; and 2) increase small business subcontracting opportunities in industry categories where eligible Proteges or other small business firms are not dominant in the Mentor’s vendor base. Additionally, identify and describe the anticipated benefits to the DoW/DCSA, the Mentor Firm, and the Protégé Firm. Provide how and to what degree the mentoring of the Protégé Firm contributes to and is relevant to DCSA mission requirements. If applicable, provide the current Technical Readiness Level (TRL) and/or Manufacturing Readiness Level (MRL) of the Protégé in the mentoring areas (including engineering and technical assistance and general business developmental assistance) and indicate the anticipated TRL and/or MRL at completion of the agreement.

Section S: Agreement Alignment

Identify and describe how the proposed agreement is in alignment with current DoW and/or DCSA requirements.

Section T: Agreement Information

Identify if this anticipated effort has been previously proposed to DoW or another Federal Agency.

If yes, indicate to which DoW Military Department or Agency or other Federal Agency it was submitted

Identify if the proposed Mentor-Protégé relationship is to assist in the transition of technology and innovations, e.g., those developed under the Small Business Innovation Research (SBIR), Small Business Technology Transfer (STTR), Rapid Innovation Fund (RIF) Programs, technology licensed under a Patent License Agreement (PLA), or operating under a Cooperative Research and Development Agreement (CRADA).

If yes, indicate the SBIR/STTR topic number:

If yes, indicate the SBIR/STTR contract number:

If yes, indicate the Government point of contact:

If yes, indicate the RIF contract number:

If yes, indicate the Government point of contact:

If yes, indicate the CRADA or PLA contract number:

If yes, indicate the Government point of contact:

Section U: Contact Information

Mentor Firm

Mentor Protégé Program Manager Name:

Title:

Address:

Fax Number:

Email Address

Technical Effort Lead Name:

Title:

Address:

Fax Number:

Email Address

Contracting Lead Name:

Title:

Address:

Fax Number:

Email Address

Small Business Representative Name:

Title:

Address:

Fax Number:

Email Address

Endorsement and Commitment Letter Signatory:

Title:

Address:

Fax Number:

Email Address

Other Name:

Title:

Address:

Fax Number:

Email Address

Protégé Firm

Chief Executive Officer's / President's Name:

Title:

Address:

Fax Number:

Email Address

Technical Effort Lead Name:

Title:

Address:

Fax Number:

Email Address

Other Name:

Title:

Address:

Fax Number:

Email Address

Authorized Subcontractor

Program Manager Name:

Title:

Address:

Fax Number:

Email Address

Technical Effort Lead Name:

Title:

Address:

Fax Number:

Email Address

Section V: Key Personnel Addendum

As an addendum to the White Paper (see Key Personnel Addendum template, Attachment 4), include overviews of the key personnel who will perform the work, highlighting some of their qualifications and experience.

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