Exhibit E Historical SB Utilization.docx

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Attached to
Hurricane Maria Communications Facility and Contingency Response Facility Muñiz Air National Guard Base, Isla Verde, Puerto Rico
Solicitation number
N69450-21-R-0004
Issued by

About this file

This document contains a federal contract solicitation for construction services. The solicitation seeks to construct a Communications Facility and Contingency Response Facility at Muniz Air National Guard Base in Puerto Rico utilizing conventional design and construction methods. The facilities must be designed as permanent construction and comply with DoD antiterrorism/force protection requirements. The Communications Facility will accommodate communications equipment and include a reinforced concrete foundation and standby power generator. The Contingency Response Facility will include administrative, shop, and warehouse space and require reinforced foundations, drainage improvements, and utility upgrades due to soil and water conditions. The solicitation is issued by the Naval Facilities Engineering Command with a total project magnitude between $25-100 million. The NAICS code is 236220 and responses are due by the 4th quarter of FY2021, with award anticipated at that time as well. The prime contractor must self-perform at least 20% of work.

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ATTACHMENT X

HISTORICAL SMALL BUSINESS UTILIZATION

NXXXXX-XX-R-XXXX

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 XX, Small Business Utilization and Participation. Attachment X 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 X – Historical Small Business Utilization, Page 1 of 4

(Rev 3/2020)

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