17. Sample SBPCD 26 April 2021.pdf

Sample Small Business Participation Commitment Document (SBPCD) Note: Submitted and Accepted

Contractor Document to be incorporated in Contract Section J

1. Prime Contractor Size: Indicate the applicable size and all socio-economic categories—all that apply.

{ } Other than Small Business (Large) or

{ } Small Business, also categorized as:

{ } Small Disadvantaged Business (SDB)

{ } Woman-Owned Small Business (WOSB)

{ } Historically Underutilized Business Zone (HUB Zone) Small Business

{ } Service Disabled Veteran Owned Small Business (SDVOSB)

{ } Veteran Owned Small Business (VOSB)

2. Minimum Quantitative Requirement (MQR) – Participation of Small Businesses

*Separate Small Business Participation Status Reporting Applies, Reference H001.

Total Contract Value

Base Period and All Option Periods (Separately Identifiable Tables for Each Period of Performance)

Business Category Dollar Value % of Total Contract Value Total Contract Value – Prime Offeror $ % Total Small Business $ % Small Disadvantaged Business $ % Woman-Owned Small Business $ % HUB Zone Small Business $ % Service-Disabled Veteran-Owned Small Business $ % Ability One Small Business (see note 1 below)

3. Small Business Concern (SBC) Participants

* Changes must be pre-approved by Contracting Officer IAW Section H, Special Requirements

Company Name and

Cage Code

Small Business

Category(ies)

(SB, SDB, VOSB, SDVOSB,

WOSB, HUBZone, Ability

One)

Product(s)/Service(s) to be provided, type/variety of work & specific SOW para

NAICS

Code

Nature of Commitment

$ Base Period and all Option Periods

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4. Description of Efforts: Description of the plan to assure that small, small disadvantaged and all other socio-economic categories will have equal opportunity to compete for work that is subcontracted out.

5. Extent of Commitment: Description of the plan to develop and increase subcontracting opportunities for small, small disadvantaged and all other socio-economic categories over the life of the contract and to correct any deficient participation percentages during the course of contract performance.

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