Exhibit D Historical SB Utilization.docx
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- Solicitation number
- N69450-21-R-0028
About this file
This document contains an historical small business utilization form and information on a related federal contract opportunity for repair work at a naval facility in the Bahamas. The utilization form requests information on five past projects, including contract details, dollar values, small business subcontracting percentages achieved versus any goals set. It will be used to evaluate an offeror's past small business participation under Factor 5. The related solicitation is for a firm-fixed-price design-bid-build contract between $25-100 million to repair the primary pier at the Atlantic Undersea Test and Evaluation Center in the Bahamas. Work includes removing the superstructure while reusing existing piles, installing a closed-pier structure with pipe piles and compacted structural fill, and adding utilities, lighting, and mooring systems while minimizing interruptions to facility operations. The Navy seeks these pier repairs through its Naval Facilities Engineering Command.
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ATTACHMENT D
HISTORICAL SMALL BUSINESS UTILIZATION
N69450-20-R-0063
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for the evaluation of Factor 5, Small Business Utilization and Participation. Attachment D documents the offeror’s historical small business utilization and achievements for each project submitted under Factor 1, Corporate Experience. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).
Include actual dollar values subcontracted for each of the categories listed. Include the whole dollar and percentage goals ONLY if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. Acknowledging a goal was missed, is not the same as providing an explanation for why a goal was missed. If goals were not established for a project, mark N/A. Enter zeroes (0) where applicable.
Project #1: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Explanation for a lack of small business subcontracting achievements (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #2: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #3: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #4: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Project #5: Contract/Project Number/Task Order Number:
Project Title:
Offeror Size: Large Business |_| Small Business |_|
Performed as: Prime Contractor |_| Subcontractor |_| JV Member |_|
Subcontracting Plan Required: |_| Yes |_| No
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Whole Dollars |
| Percent of line (c) |
| N/A |
Total Self Performed Value: $
Total Subcontracted Value: $
| (a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business) |
| $ |
| % |
| $ |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| $ |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns (SDB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns (WOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| $ |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns (VOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB) |
| $ |
| % |
| $ |
| % |
| |_| |
Explanation of each unmet goal (if applicable):
Name of customer reference for this project:
Email address:
Attachment D – Historical Small Business Utilization, Page 4 of 4
(Rev 3/2020)
File details come from the government source that posted it. Updated .