Exhibit H Small Business (SWaM) Subcontracting Plan.docx

RFx: 82834 Exhibit H Exhibit H Small Business (SWaM) Subcontracting Plan Supplier must complete and submit a Supplier Procurement and Subcontracting Plan (also known as a SWaM Plan or a Small Business Subcontracting Plan) using this template.

In order for a Supplier’s Small Business Subcontracting Plan to be awarded points for the SWaM Participation evaluation criterion, either Supplier or Supplier’s proposed subcontractor(s) must hold an active State of Virginia Department of Small Business and Supplier Diversity (“SBSD”) SWaM certification prior to the due date and time for receipt of proposals. This includes small women, small minority, or service disabled veteran-owned businesses when they have received SBSD small business certification. All small businesses must be certified by the Commonwealth of Virginia, Department of Small Business and Supplier Diversity (DSBSD) by the contract award date to participate in the SWAM program. Certification applications are available through DSBSD online at http://www.sbsd.virginia.gov/.

Offeror Name: ____________________________________________________

Preparer Name: ___________________________ Date: __________________

Instructions

A. If you are certified by the DSBSD as a small business or as a micro business, complete only Section A of this form. This shall include DSBSD-certified women, minority, or service-disabled veteran-owned businesses only when they have received DSBSD small business certification. Suppliers that DBSDB-certified small or micro businesses will receive the maximum available points for the SWaM Participate evaluation criterion, if appliable.

B. If Supplier is not a DSBSD certified small or micro business, but plans to utilize DSBSD certified small or micro businesses subcontractors in performing the requirements of the contract, complete Section B of this form.

For the Supplier to receive points for the SWAM Participation evaluation criterion, the Supplier shall state the amount of the overall spend utilization commitment percentage that will be directly with SWaM subcontractors in performing the Requirements of the contract. Points will be awarded based on commitment percentage amount.

3. If Supplier is not a DSBSD certified small or micro business and does not plan to utilize SBSD certified small or micro business subcontractor(s) in performing the requirements of the contract, please so state: ____________________________________________

Suppliers that are not certified small businesses and do not plan to use certified small business subcontractors will not receive any points for the SWAM Participation evaluation criterion.

Section A

If your firm is certified by the DSBSD, are you certified as a (check all that apply):

Certification Number: _______________________________________ Certification Approval Date: __________________________________ Certification Expiration Date: _________________________________

Section B

Populate the table below to show your firm's plans for utilization of DSBSD-certified SWaM businesses and Non-SWaM businesses directly performing the Requirements of this contract. This shall not exclude DSBSD-certified micro businesses or women, minority, or service disabled veteran-owned businesses when they have received the DSBSD small business certification. Include as well businesses which ARE NOT SWaM businesses that will be utilized in directly performing the Requirements of this contract. Include plans to utilize small businesses as part of joint ventures, partnerships, subcontractors, suppliers, etc.

Small Business Name & Address DSBSD Certificate # (Leave certificate number blank if Non-SWaM) Status if Small Business is also: Women (W), Minority (M) Service-Disabled Veteran (D), Micro Business (O) Non-SWaM (NS)

SWaM Overall Commitment Percentage

Please state here the overall commitment percentage for DSBSD-certified SWaM businesses directly performing the Requirements of this Contract:

Note: The percentage above ONLY APPLIES to DSBSD-certified SWaM businesses who are directly performing the Requirements of this Contract. Do not include in the percentage any businesses performing the Requirements of this Contract that are non-SWaM businesses.