Attachment_H_-_Subcontracting_Plan_Review_Form.docx

U.S. Department of Education

SUBCONTRACTING PLAN REVIEW FORM

Attachment H TIMSS 2015 iesne 120004

PROJECT INFORMATION

Title of Acquisition:

Contractor’s Name:

SUBCONTRACT PLAN REQUIREMENTS

Master

Commercial

(A=Acceptable; U=Unacceptable)

a. Total Subcontracting Dollars [(2b+2h=2a), except when subcontract baseline equals contract value]

b. Total Subcontracting Dollars & Percentage with Small Businesses (incl. SDB, WOSB, HUBZone, SDVOSB) - [Percentage of 2a.]

c. Total Subcontracting Dollars & Percentage with Small Disadvantaged Businesses - [Percentage of 2.a.]

d. Total Subcontracting Dollars & Percentage with Woman-owned Small Businesses - [Percentage of 2.a.]

e. Total Subcontracting Dollars & Percentage with HUBZone Small Businesses - [Percentage of 2.a.]

f. Total Subcontracting Dollars & Percentage with Veteran Owned Small Businesses - [Percentage of 2.a.]

g. Total Subcontracting Dollars & Percentage with Service-Disabled Veteran Small Businesses - [Percentage of 2.a.]

h. Total Subcontracting Dollars & Percentage with “Other” than Small Businesses (i.e., large companies, non profits, etc.) [Percentage of 2.a.]

h. Subcontracting Opportunities (description of all principal products/services to be subcontracted to all types of concerns) i.j.k. Methodology used to develop goals & identify potential sources (e.g. historical trends, information on technical and competitive bidding, formula for calculating goals, etc.).

U.S. Department of Education

SUBCONTRACTING PLAN REVIEW FORM

Attachment H

3. Subcontracting Plan Administrator’s Name (Contractor):

4. Description of efforts to ensure the Small Businesses (incl. SDB, WOSB, HUBZone, SDVOSB) entities has equitable opportunity to compete for subcontracts.

5. Required flow-down clause(s) to be included in prime contractor’s subcontracts (i.e, FAR Clause 52.219-8, 52-219-9, 52.212-5(e)):

6. Reporting and Cooperation:

a. Agreement to submit required reports

b. Agreement to cooperate in studies and surveys

7. Record keeping

8. Timely Payments to Subcontractors

9. Description of Good Faith Effort

1. The proposed plan meets the requirements of FAR 19.704.

2. In accordance with 19.705-4, past performance has been considered when determining acceptability of this plan.

3. The proposed plan requires an additional pre-award review.

Contracting Officer Signature

Contracting Officer:

Date:

Additional Comments:

Small Business Signature

Small Business Specialist:

Date:

COMMENTS: If any elements are determined to be unacceptable, summarize below:

SBA PCR Signature

SBA PCR:

Date:

COMMENTS: If any elements are determined to be unacceptable, summarize below:

SUBCONTRACTING PLAN REVIEW FORM INSTRUCTIONS

Requisition No.: Insert the requisition number assigned by the CO/CS.

Multiple Awards: indicate as appropriate. If yes, attach a copy of each subcontracting plan.

PROJECT INFORMATION:

· Solicitation/Contract No.: Enter the assigned RFP or Contract Number

· Modification: Identify the modification number for the contract if applicable.

· Title of Acquisition: Enter the item/service description or project title

· Contractor’s Name: Enter Successful Offeror/Contractor’s name

· Period of Performance: Enter the estimated performance period, including all options, in the following format (mm/dd/yy – mm/dd/yy)

· Total Contract Amount: Enter the total estimated dollar value of the contract, including all options & modifications.

· Total Modification Amount: (if applicable)

· Base Period & Options 1 through Option 4: Complete these boxes if options are part of the contract.

· CO/CS Contact Information: Enter Contracting Officer/Specialist‘s Name, Room, Telephone, and Fax and e-mail.

SUBCONTRACTING PLAN REQUIREMENTS (ITEMS 1 – 9)

1. Enter type of plan: individual, master or commercial

2. For each of the sub-items 2.a. through 2k., the C.O. must review the plan & determine if the requirement is acceptable or unacceptable.

For each of the sub-items 2.b. through 2.g., the C.O. shall include the subcontracting dollars & percentage for the category. In calculating percentage, use the subcontracting dollars for the sub-item as the numerator & the total subcontracting dollars for the contract as the denominator. (i.e. 2.b. divided by 2.a. = % for 2.b.)

3. 3 through 9: the C.O. must review the plan & determine if the requirements are acceptable or unacceptable.

CONTRACTING OFFICER DETERMINATION, SMALL BUSINESS SPECIALIST & SBA PCR RECOMMENDATION (ITEMS 1 – 3)

1. The CO must review the plan to determine if it meets the requirements in FAR 19.7.

2. Indicate whether past performance had been considered when determining acceptability of plan

3. Indicate whether plan requires further pre-award review.

SIGNATURES

· The CO who has the authority to bind the government will make a determination, sign and date.

· The SBS will sign and date the review form and the subcontracting plan signature page if acceptable. During the plan review, the SBS may require additional input from the CO and/or contractor. The SBS may also include comments regarding the plan as necessary

· The SBA PCR shall sign and date the review form & the subcontracting plan signature page if acceptable. concurrence or non-concurrence of the acquisition method determined by the CO The SBA PCR may also include comments regarding the plan as necessary.

NOTE: In order for the Small Business Specialist to conduct a comprehensive review of each plan, at a minimum, the documentation forwarded by the CO should include:

1. A completed Subcontracting Plan Review Form signed by the Contracting Official

2. A completed Subcontracting Plan, using the Department of Education Plan, reviewed, signed by the offeror and the CO.