SAMPLE-SBSubcontractingPlan forms.pdf

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Delaware Water Gap National Rec Area 14(12)
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DTFH71-08-B-00007
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SB Subcontracting Plan

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SMALL BUSINESS

SUBCONTRACTING PLAN

Date:

Solicitation Number:

Project Number:

Contractor Name: _

Address:

The following individual contract plan, together with any attachments, is hereby submitted as a Small Business Subcontracting Plan to satisfy the applicable requirements of Section 8(d) of the Small Business Act (15 U.S.C. 637(d)) and FAR Contract Clause 52.219-9, Alternate II.

1. The following percentage goals, expressed in terms of percentage of the total planned subcontracting dollars, will be applicable to any contract awarded as a result of this solicitation:

a. Small Business Concerns (SBC): ____ percent of total planned subcontracting dollars under this contract will go to subcontractors who are small business concerns.

b. Veteran-Owned Small Business Concerns (VSBC): ____ percent of total planned subcontracting dollars under this contract will go to subcontractors who are veteran-owned small business concerns.

c. Service-Disabled Veteran-Owned Small Business Concerns (SDVSBC): ____ percent of total planned subcontracting dollars under this contract will go to subcontractors who are veteran-owned small business concerns.

d. HUBZone Small Business Concerns (HSBC): ____ percent of total planned subcontracting dollars under this contract will go to subcontractors who are HUBZone

e. Small Disadvantaged Business Concern (SDBC): ____ percent of total planned subcontracting dollars under this contract will go subcontractors who are small disadvantaged business concerns.

f. Women-Owned Small Business Concerns (WSBC): ____ percent of total planned subcontracting dollars under this contract will go to subcontractors who are women-owned

2. The following dollar values correspond to the percentage goals shown in Section 1 above:

Revised 06/03/2005 1

a. The total dollars planned to be subcontracted to ALL TYPES (LARGE & SMALL) of businesses under this contract is $_______________________.

b. The total dollars planned to subcontracted to Small Business Concerns (SBC) is

c. The total dollars planned to subcontracted to Veteran-Owned SBC is

d. The total dollars planned to subcontracted to Service-Disabled Veteran-Owned

SBC is $_______________________.

e. The total dollars planned to subcontracted to HUBZone SBC is

f. The total dollars planned to be subcontracted to Small Disadvantaged SBC is

g. The total dollars planned to subcontracted to Women-Owned SBC is

3. The following principal types of supplies and/or services are planned to be subcontracted under this contract. (Indicate if planned to subcontract to a non-small business concern, SBC, VSBC, SDVSBC, HSBC, SDBC, or WSBC. Use additional sheets if necessary).

Type of Supply/Service to be Sub-contracted under this contract

Planned to be subcontracted to Non-SBC, SBC, VSBC, SDVSBC, HSBC, SDBC, WSBC (enter one)

Revised 06/03/2005 2

4. The following method was used to develop the subcontract percentage goals.

5. The following method was used to identify potential subcontract sources for solicitation purposes. (What source lists were used and what organizations were contacted to identify potential SBC, VSBC, SDVSBC, HSBC, SDBC, and WSBC subcontractors.)

6. Indirect costs ____ were ____ were not included in establishing the subcontracting goals specified in Sections 1 and 2 above. If indirect costs were included, the following method was used to determine the proportionate share of indirect costs to be incurred with SBC, VSBC, SDVSBC, HSBC, SDBC, and WSBC subcontractors.

7. The following individual will administer the subcontracting program (please print):

Name:

Title:

Address:

Telephone: EMAIL:

This individual's specific duties, as they relate to the subcontracting program, are as follows:

General overall responsibility for review, monitoring, and execution of the plan, including, but not limited to (list duties):

Revised 06/03/2005 3

8. The following efforts will be taken to ensure that SBC, VSBC, SDVSBC, HSBC, SDBE, and WSBC subcontractors will have an equitable opportunity to compete for subcontracts:

9. It is agreed that FAR Clause 52.219-8, Utilization of Small Business Concerns, will be included in all subcontracts, which offer further subcontracting opportunities. It is further agreed that all subcontractors (except small business concerns) who receive subcontracts in excess of $1,000,000 will be required to adopt and comply with a subcontracting plan in accordance with FAR Clause 52.219-9.

10. The Contractor agrees to:

a. Cooperate in any studies or surveys as may be required.

b. Submit periodic reports so that the Government can determine the extent of compliance by the Contractor with the subcontracting plan.

c. Submit Standard Form (SF) 294 (attached), Subcontracting Report for Individual

Contracts and/or SF 295 (attached), Summary Subcontract Report, following the instructions on the forms.

d. Ensure that its large business subcontractors agree to submit SF 294 and SF 295.

Revised 06/03/2005 4

11. The following types of records will be maintained concerning procedures that have been adopted to comply with the requirements and goals in the plan:

a. Source lists, guides, and other data that identify SBC, VSBC, SDVSBC, HSBC, SDBC, and WSBC.

b. Organizations contacted in an attempt to locate sources that are SBC, VSBC, SDVSBC, HSBC, SDBC, and WSBC.

c. Records on each subcontract solicitation over $100,000 indicating:

i Whether SBC's were solicited, and if not, why not;

ii Whether VSBC's were solicited, and if not, why not;

iii Whether SDVSBC's were solicited, and if not, why not;

iv Whether HSBC's were solicited, and if not, why not;

v Whether SDBC's were solicited, and if not, why not;

vi Whether WSBC's were solicited, and if not, why not;

vii If applicable, the reason award was not made to a small business concern.

d. Records of any outreach efforts to contact--i Trade associations.

ii Business development organizations iii Conferences and trade fairs to locate SBC, VSBC, SDVSBC, HSBC, SDBC, and WSBC sources.

iv Veterans service organizations

Revised 06/03/2005 5

e. Records of internal guidance and encouragement provided to buyers through--i Workshops, seminars, training programs, etc.

ii Monitoring performance to evaluate compliance with the program’s requirements.

f. On a contract-by contract basis, records to support award data submitted by the

Contractor to the Government, including the name, address and business size of each subcontractor.

PRINTED NAME

COMPANY TITLE

Date

Revised 06/03/2005 6

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

(See instructions on reverse)

OMB No.: 9000-0006 Expires: 04/30/2004

Public reporting burden for this collection of information is estimated to average 9 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVP), Acquisition Policy Division, GSA, Washington, DC 20405.

1. CORPORATION, COMPANY OR SUBDIVISION COVERED

a. COMPANY NAME

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE

2. CONTRACTOR IDENTIFICATION NUMBER

3. DATE SUBMITTED

4. REPORTING PERIOD FROM INCEPTION OF CONTRACT THRU:

MAR 31 SEPT 30

YEAR

5. TYPE OF REPORT

REGULAR FINAL REVISED

6. ADMINISTERING ACTIVITY (Please check applicable box)

ARMY

NAVY

AIR FORCE DEFENSE CONTRACT MANAGEMENT AGENCY

DOE OTHER FEDERAL AGENCY (Specify)

7. REPORT SUBMITTED AS (Check one and provide appropriate number)

PRIME CONTRACTOR

PRIME CONTRACT NUMBER

SUBCONTRACTOR

SUBCONTRACT NUMBER

8. AGENCY OR CONTRACTOR AWARDING CONTRACT

a. AGENCY'S OR CONTRACTOR'S NAME

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE9. DOLLARS AND PERCENTAGES IN THE FOLLOWING BLOCKS:

DO INCLUDE INDIRECT COSTS DO NOT INCLUDE INDIRECT COSTS

SUBCONTRACT AWARDS

TYPE

CURRENT GOAL ACTUAL CUMULATIVE

WHOLE DOLLARS PERCENT WHOLE DOLLARS PERCENT

10a. SMALL BUSINESS CONCERNS (Include SDB, WOSB, HBCU/MI, HUBZone SB, and VOSB (Including Service-Disabled VOSB)) (Dollar Amount and Percent of 10c)

10b. LARGE BUSINESS CONCERNS (Dollar Amount and Percent of 10c.)

10c. TOTAL (Sum of 10a and 10b.)

100.0% 100.0%

11. SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS

(Include HBCU/MI) (Dollar Amount and Percent of 10c.)

12. WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS

(Dollar Amount and Percent of 10c.)

17. REMARKS

18a. NAME OF INDIVIDUAL ADMINISTERING SUBCONTRACTING PLAN

13. HISTORICALLY BLACK COLLEGES AND UNIVERSITIES

(HBCU) AND MINORITY INSTITUTIONS (MI) (If applicable) (Dollar Amount and Percent of 10c.)

14. HUBZone SMALL BUSINESS (HUBZone SB) CONCERNS (Dollar Amount and Percent of 10c.)

15. VETERAN-OWNED SMALL BUSINESS CONCERNS

(Includng Service-Disabled Veteran-Owned SB Concerns) (Dollar Amount and Percent of 10c.)

16. SERVICE-DISABLED VETERAN-OWNED SMALL

BUSINESS CONCERNS (Dollar Amount and Percent of10c.)

18b. TELEPHONE NUMBER

AREA CODE NUMBER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is not usable

STANDARD FORM 294 (REV. 9/2001)

Prescribed by GSA-FAR (48 CFR) 53.219(a)

GSA NASA

GENERAL INSTRUCTIONS

1. This report is not required from small businesses.

2. This report is not required for commercial items for which a commercial plan has been approved, nor from large businesses in the Department of Defense (DOD) Test Program for Negotiation of Comprehensive Subcontracting Plans. The Summary Subcontract Report (SF 295) is required for contractors operating under one of these two conditions and should be submitted to the Government in accordance with the instructions on that form.

3. This form collects subcontract award data from prime contractors/subcontractors that: (a) hold one or more contracts over $500,000 (over $1,000,000 for construction of a public facility); and

(b) are required to report subcontracts awarded to Small Business (SB), Small Disadvantaged Business (SDB), Women-Owned Small Business (WOSB), HUBZone Small Business (HUBZone SB), Veteran-Owned Small Business (VOSB) and Service-Disabled Veteran-Owned Small Business concerns under a subcontracting plan. For the Department of Defense (DOD), the National Aeronautics and Space Administration (NASA), and the Coast Guard, this form also collects subcontract award data for Historically Black Colleges and Universities (HBCUs) and Minority Institutions (MIs).

4. This report is required for each contract containing a subcontracting plan and must be submitted to the administrative contracting officer (ACO) or contracting officer if no ACO is assigned, semi-annually during contract performance for the periods ended March 31st and September 30th. A separate report is required for each contract at contract completion. Reports are due 30 days after the close of each reporting period unless otherwise directed by the contracting officer. Reports are required when due, regardless of whether there has been any subcontracting activity since the inception of the contract or since the previous report.

5. Only subcontracts involving performance in the U.S. or its outlying areas should be included in this report.

6. Purchases from a corporation, company, or subdivision that is an affiliate of the prime/subcontractor are not included in this report.

7. Subcontract award data reported on this form by prime contractors/subcontractors shall be limited to awards made to their immediate subcontractors. Credit cannot be taken for awards made to lower tier subcontractors.

SPECIFIC INSTRUCTIONS

BLOCK 2: For the Contractor Identification Number, enter the nine-digit Data Universal Numbering System (DUNS) number that identifies the specific contractor establishment. If there is no DUNS number availble that identifies the exact name and address entered in Block 1, contact Dun and Bradstreet Information Services at 1-800-333-0505 to get one free of charge over the telephone. Be prepared to provide the following information: (1) Company name; (2) Company address; (3) Company telephone number; (4) Line of business; (5) Chief executive officer/key manager; (6) Date the company was started; (7) Number of people employed by the company; and; (8) Company affiliation.

BLOCK 4: Check only one. Note that all subcontract award data reported on this form represents activity since the inception of the contract through the date indicated in this block.

BLOCK 5: Check whether this report is a "Regular," "Final," and/or "Revised" report. A "Final" report should be checked only if the contractor has completed the contract or subcontract reported in Block

7. A "Revised" report is a change to a report previously submitted for the same period.

BLOCK 6: Identify the department or agency administering the majority of subcontracting plans.

BLOCK 7: Indicate whether the reporting contractor is submitting this report as a prime contractor or subcontractor and the prime contract or subcontract number.

BLOCK 8: Enter the name and address of the Federal department or agency awarding the contract or the prime contractor awarding the subcontract.

BLOCK 9: Check the appropriate block to indicate whether indirect costs are included in the dollar amounts in blocks 10a through 14.

To ensure comparability between the goal and actual columns, the contractor may include indirect costs in the actual column only if the subcontracting plan included indirect costs in the goal.

BLOCKS 10a through 16: Under "Current Goal," enter the dollar and percent goals in each category (SB, SDB, WOSB, VOSB, service-disabled VOSBs, and HUBZone SB) from the subcontracting plan approved for this contract. (If the original goals agreed upon at contract award have been revised as a result of contract modifications, enter the original goals in Block 16. The amounts entered in Blocks 10a through 15 should reflect the revised goals.)

Under "Actual Cumulative," enter actual subcontract achievements (dollar and percent) from the inception of the contract through the date of the report shown in Block 4. In cases where indirect costs are included, the amounts should include both direct awards and an appropriate prorated portion of indirect awards.

BLOCK 10a: Report all subcontracts awarded to SBs including subcontracts to SDBs, WOSBs, VOSBs, service-disabled VOSBs, and HUBZone SBs. For DOD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs.

BLOCK 10b: Report all subcontracts awarded to large businesses (LBs).

BLOCK 10c: Report on this line the total of all subcontracts awarded under this contract (the sum of lines 10a and 10b).

BLOCKS 11 through 16: Each of these items is a subcategory of Block 10a. Note that in some cases the same dollars may be reported in more than one block (e. g., SDBs owned by women or veterans).

BLOCK 11: Report all subcontracts awarded to SDBs (including women-owned, veteran-owned, service-disabled VOSBs, and HUBZone SB SDBs). For DOD, NASA, and Coast Guard contracts, include subcontract awards to HBCUs and MIs.

BLOCK 12: Report all subcontracts awarded to Women-Owned firms (including SDBs, VOSB's, service-disabled VOSBs, and HUBZone SBs owned by women).

BLOCK 13 (For contracts with DoD, NASA, and Coast Guard):

Report all subcontracts with HBCUs/MIs. Complete the column under "Current Goal" only when the subcontracting plan establishes a goal.

BLOCK 14: Report all subcontracts awarded to HUBZone SBs (including women-owned, veteran-owned, service-disabled VOSBs, and SDB HUBZone SBs).

BLOCK 15: Report all subcontracts awarded to VOSBs including service-disabled VOSBs (include VOSBs that are also SDBs, WOSBs and HUBZone SBs.).

BLOCK 16: Report all subcontracts awarded to service-disabled veteran-owned SB concerns that are also SDBs, WOSBs, and HUBZone SBs.

BLOCK 17: Enter a short narrative explanation if (a) SB, SDB, WOSB, VOSBs, Service-Disabled VOSBs, or HUBZone SB accomplishments fall below that which would be expected using a straight-line projection of goals through the period of contract performance; or (b) if this is a final report, any one of the three goals was not met.

DEFINITIONS

1. Direct Subcontract Awards are those that are identified with the performance of one or more specific Government contract(s).

2. Indirect costs are those which, because of incurrence for common or joint purposes, are not identified with specific Government contracts; these awards are related to Government contract performance but remain for allocation after direct awards have been determined and identified to specific Government contracts.

STANDARD FORM 294 (REV. 9/2001) PAGE 2

DISTRIBUTION OF THIS REPORT

For the Awarding Agency or Contractor:

The original copy of this report should be provided to the contracting officer at the agency or contractor identified in Block 8.

For contracts with DOD, a copy should also be provided to the Defense Contract Management Agency (DCMA) at the cognizant Defense Contract Management Area Operations (DCMAO) office.

For the Small Business Administration (SBA):

A copy of this report must be provided to the cognizant Commerical Market Representative (CMR) at the time of a compliance review. It is NOT necessary to mail the SF 294 to SBA unless specifically requested by the CMR.

STANDARD FORM 294 (REV. 9/2001) PAGE 3

SUMMARY SUBCONTRACT REPORT

(See instructions on reverse)

OMB No.: 9000-0007 Expires: 09/30/2003

Public reporting burden for this collection of information is estimated to average 15.9 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVP), Acquisition Policy Division, GSA, Washington, DC 20405.

17. REMARKS

1. CORPORATION, COMPANY OR SUBDIVISION COVERED

4. REPORTING PERIOD:

5. TYPE OF REPORT

6. ADMINISTERING ACTIVITY (Please check applicable box)

7. REPORT SUBMITTED AS (Check one ) 8. TYPE OF PLAN

IF PLAN IS A COMMERCIAL PLAN, SPECIFY THE

PERCENTAGE OF THE DOLLARS ON THIS REPORT

ATTRIBUTABLE TO THIS AGENCY.

9. CONTRACTOR'S MAJOR PRODUCTS OR SERVICE LINES

CUMULATIVE FISCAL YEAR SUBCONTRACT AWARDS

(Report cumulative figures for reporting period in Block 4)

TYPE WHOLE DOLLARS

PERCENT

(To nearest tenth of a %)

a. NAME

b. TITLE

c. SIGNATURE

d. DATE

a. NAME b. TITLE c. TELEPHONE NUMBER

AREA CODE NUMBER

a. COMPANY NAME

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE

2. CONTRACTOR IDENTIFICATION NUMBER

3. DATE SUBMITTED

OCT 1 -

MAR 31

OCT 1 -

SEPT 30

YEAR

REGULAR FINAL REVISED

10a. SMALL BUSINESS CONCERNS (Include SDB, WOSB, HBCU/MI, HUBZone SB, and VOSB (including Service-Disabled VOSB)) (Dollar Amount and Percent of 10c.)

10b. LARGE BUSINESS CONCERNS (Dollar Amount and Percent of 10c.)

10c. TOTAL (Sum of 10a and 10b.)

100.0%

11. SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS (Include HBCU/MI) (Dollar Amount and Percent of 10c.)

12. WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS

(Dollar Amount and Percent of 10c.)

13. HISTORICALLY BLACK COLLEGES AND UNIVERSITIES (HBCU) AND MINORITY

INSTITUTIONS (MI) (If applicable) (Dollar Amount and Percent of 10c.)

14. HUBZONE SMALL BUSINESS (HUBZone SB) CONCERNS (Dollar Amount and Percent of10c.)

15. VETERAN-OWNED SMALL BUSINESS (VOSB) CONCERNS (Including Service-Disabled VOSB Concerns) (Dollar Amount and Percent of10c.)

16. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS CONCERNS

(Dollar Amount and Percent of10c.)

18. CONTRACTOR'S OFFICIAL WHO ADMINISTERS SUBCONTRACTING PROGRAM

19. CHIEF EXECUTIVE OFFICER

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is not usable

STANDARD FORM 295 (REV. 10-2001)

Prescribed by GSA - FAR (48 CFR) 53.219(b)

DEFENSE CONTRACT MANAGEMENT AGENCY

NASA

GSA

DOE

OTHER FEDERAL AGENCY (Specify)

ARMY

NAVY

AIR FORCE

PRIME CONTRACTOR

SUBCONTRACTOR

BOTH

INDIVIDUAL

COMMERCIAL PRODUCTS

a b

GENERAL INSTRUCTIONS

1. This report is not required from small businesses.

2. This form collects subcontract award data from prime contractors/subcontractors that: (a) hold one or more contracts over $500,000 (over $1,000,000 for construction of a public facility); and (b) are required to report subcontracts awarded to Small Business (SB), Small Disadvantaged Business (SDB), Women-Owned Small Business (WOSB), Veteran-Owned Small Business (VOSB), Service-Disabled Veteran-Owned Small Business, and HUBZone Small Business (HUBZone SB) concerns under a subcontracting plan. For the Department of Defense (DOD), the National Aeronautics and Space Administration (NASA), and the Coast Guard, this form also collects subcontract award data for Historically Black Colleges and Universities (HBCUs) and Minority Institutions (MIs).

3. This report must be submitted semi-annually (for the six months ended March 31st and the twelve months ended September 30th) for contracts with the Department of Defense (DOD) and annually (for the twelve months ended September 30th) for contracts with civilian agencies, except for contracts covered by an approved Commercial Plan (see special instructions in right-hand column).

Reports are due 30 days after the close of each reporting period.

4. This report may be submitted on a corporate, company, or subdivision (e.g., plant or division operating on a separate profit center) basis, unless otherwise directed by the agency awarding the contract.

5. If a prime contractor/subcontractor is performing work for more than one Federal agency, a separate report shall be submitted to each agency covering only that agency's contracts, provided at least one of that agency's contracts is over $500,000 (over $1,000,000 for construction of a public facility) and contains a subcontracting plan. (Note that DOD is considered to be a single agency; see next instruction.)

6. For DOD, a consolidated report should be submitted for all contracts awarded by military departments/agencies and/or subcontracts awarded by DOD prime contractors. However, DOD contractors involved in construction and related maintenance and repair must submit a separate report for each DOD component.

7. Only subcontracts involving performance in the U.S. or its outlying areas should be included in this report.

8. Purchases from a corporation, company, or subdivision that is an affiliate of the prime/subcontractor are not included in this report.

9. Subcontract award data reported on this form by prime contractors/subcon-tractors shall be limited to awards made to their immediate subcontractors. Credit cannot be taken for awards made to lower tier subcontractors.

10. See special instructions in right-hand column for Commercial Plans.

SPECIFIC INSTRUCTIONS

BLOCK 2: For the Contractor Identification Number, enter the nine-digit Data Universal Numbering System (DUNS) number that identifies the specific contractor establishment. If there is no DUNS number available that identifies the exact name and address entered in Block 1, contact Dun and Bradstreet Information Services at 1-800-333-0505 to get one free of charge over the telephone. Be prepared to provide the following information: (1) Company name; (2) Company address; (3) Company telephone number; (4) Line of business; (5) Chief executive officer/key manager; (6) Date the company was started; (7) Number of people employed by the company; and (8) Company affiliation.

BLOCK 4: Check only one. Note that March 31 represents the six months from October 1st and that September 30th represents the twelve months from October 1st. Enter the year of the reporting period.

BLOCK 5: Check whether this report is a "Regular," "Final," and/or "Revised" report. A "Final" report should be checked only if the contractor has completed all the contracts containing subcontracting plans awarded by the agency to which it is reporting. A "Revised" report is a change to a report previously submitted for the same period.

BLOCK 6: Identify the department or agency administering the majority of subcontracting plans.

BLOCK 7: This report encompasses all contracts with the Federal Government for the agency to which it is submitted, including subcontracts received from other large businesses that have contracts with the same agency. Indicate in this block whether the contractor is a prime contractor, subcontractor, or both (check only one).

BLOCK 8: Check only one. Check "Commercial Plan" only if this report is under an approved Commercial Plan. For a Commercial Plan, the contractor must specify the percentage of dollars in Blocks 10a through 15b attributable to the agency to which this report is being submitted.

BLOCK 9: Identify the major product or service lines of the reporting organization.

BLOCKS 10a through 16: These entries must include all subcontract awards resulting from contracts or subcontracts, regardless of dollar amount, received from the agency to which this report is submitted. If reporting as a subcontractor, report all subcontracts awarded under prime contracts. Amounts must include both direct awards and an appropriate prorated portion of indirect awards. (The indirect portion is based on the percentage of work being performed for the organization to which thereport is being submitted in relation to other work being performed by the prime contractor/subcontractor.) Do not include awards made in support of commercial business unless "Commerical" is checked in Block 8 (see Special Instructions for Commercial Plans in right hand column). Report only those dollars subcontracted this fiscal year for the period indicated in Block 4.

BLOCK 10a: Report all subcontracts awarded to SBs including subcontracts to SDBs, WOSBs, VOSBs, Service-Disabled VOSBs, and HUBZone SBs. For DOD, NASA, and Coast Guard contracts, include subcontracting awards to HBCUs and MIs.

BLOCK 10b: Report all subcontracts awarded to large businesses (LBs).

BLOCK 10c: Report on this line the grand total of all subcontracts (the sum of lines 10a and 10b).

BLOCKS 11 through 16: Each of these items is a subcategory of Block 10a. Note that in some cases the same dollars may be reported in more than one block (e.g., SDBs owned by women); likewise subcontracts to HBCUs or MIs should be reported on both Block 11 and 13.

BLOCK 11: Report all subcontracts awarded to SDBs (including women-owned, veteran-owned, service-disabled VOSBs, and HUBZone SB SDBs). For DOD, NASA, and Coast Guard contracts, include subcontract awards to HBCUs and MIs.

BLOCK 12: Report all subcontracts awarded to WOSB firms (including SDBs, VOSBs, service-disabled VOSBs, and HUBZone SBs owned by women).

BLOCK 13: (For contracts with DOD, NASA, and Coast Guard): Enter the dollar value of all subcontracts with HBCUs/MIs.

BLOCK 14: Report all subcontracts awarded to HUBZone SBs (including women-owned, veteran-owned, service-disabled VOSBs, and SDB HUBZone SBs).

BLOCK15: Report all subcontracts awarded to VOSBs (including women-owned, SDB, and HUBZone SB VOSBs).

BLOCK 16: Report all subcontracts awarded to service disabled VOSBs (including Service-Disabled Veteran Owned Small Business Concerns that are SDBs, WOSBs, and HUBZone SBs). These subcontracts should also be reported in Block 15.

SPECIAL INSTRUCTIONS FOR COMMERCIAL PLANS

1. This report is due on October 30th each year for the previous fiscal year ended September 30th.

2. The annual report submitted by reporting organizations that have an approved company-wide annual subcontracting plan for commercial items shall include all subcontracting activity under commercial plans in effect during the year and shall be submitted in addition to the required reports for other-than-commercial items, if any.

3. Enter in Blocks 10a through 15b the total of all subcontract awards under the contractor's Commercial Plan. Show in Block 8 the percentage of this total that is attributable to the agency to which this report is being submitted. This report must be submitted to each agency from which contracts for commercial items covered by an approved Commercial Plan were received.

DEFINITIONS

1. Direct Subcontract Awards are those that are identified with the performance of one or more specific Government contract(s).

2. Indirect Subcontract Awards are those which, because of incurrence for common or joint purposes, are not identified with specific Government contracts;

these awards are related to Government contract performance but remain for allocation after direct awards have been determined and identified to specific Government contracts.

SUBMITTAL ADDRESSES FOR ORIGINAL REPORT

For DOD Contractors, send reports to the cognizant contract administration office as stated in the contract.

For Civilian Agency Contractors, send reports to awarding agency:

1. NASA: Forward reports to NASA, Office of Procurement (HS), Washington, DC 20546

2. OTHER FEDERAL DEPARTMENTS OR AGENCIES: Forward report to the OSDBU Director unless otherwise provided for in instructions by the Department or Agency.

FOR ALL CONTRACTORS:

SMALL BUSINESS ADMINISTRATION (SBA): Send "info copy" to the cognizant Commercial Market Representative (CMR) at the address provided by SBA. Call SBA Headquarters in Washington, DC at (202) 205-6475 for correct address if unknown.

STANDARD FORM 295 (REV. 10-2001) BACK

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7PrimeNo:
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6Army: Off
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6Def: Off
6NASA: Off
6GSA: Off
6DOE: Off
6Other: Off
6Specify:
7Report: Off
8TypeIndividual: Off
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8Percent:
9b:
10a-1:
10a-2:
10b-1:
10b-2:
10c-1:
11-1:
11-2:
12-1:
12-2:
13-1:
13-2:
14-1:
14-2:
15-1:
15-2:
16-1:
16-2:
17Remarks:
18a:
18b:
18aArea:
18cNumber:
19a:
19b:
19c:
19d:

File details come from the government source that posted it. Updated .