11-Small_Business_Participation_Proposal.pdf

PDF 51 KB Posted

Attached to
Repair Airfield Lighting: Phase One, Phase Two Federal contract opportunity
Solicitation number
FA440718R0003
Issued by
Department of the Air Force Air Mobility Command

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Attachment 11 - Small Business Participation Proposal

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SMALL BUSINESS PARTICIPATION PROPOSAL

1. Both Large and Small offerors are required to submit Small Business Participation Proposal information in accordance with DFARS 215.304 that shall include the following:

2. Total Contract Value (including options): $_______________

3. Dollar Value of your participation as a prime contractor: $___________

4. Dollar Value and Percentage of Total Contract Value of Subcontracts Planned For:

Dollar Percentage of Total

Value Contract Value

Large $_____________ _____________%

Total Small $_____________ _____________%

Small Non-Disadvantaged $_____________ _____________%

Small Disadvantaged $_____________ _____________%

Small Woman Owned $_____________ _____________%

Small HUBZone $_____________ _____________%

Small Veteran Owned $_____________ _____________%

Small Service Disabled Veteran Owned $_____________ _____________%

Veteran Owned $_____________ _____________%

NOTE: The sum of the dollar values and percentages of Small Non-Disadvantaged and Small Disadvantaged should equal the entries for the Total Small. However, the sum of all the percentages under Paragraph (4) need not equal 100% since the prime is not included and individual subcontractors/consultants may be counted towards more than one category. All percentages should use the TOTAL CONTRACT VALUE as a baseline.

a. List principal supplies/services (be specific) to be subcontracted to:

Name of CAGE Description of Company Code Service/Supply

Large

Total Small

Small Non-Disadvantaged

Small Disadvantaged

Small Woman Owned

Small HUBZone

Small Veteran Owned

Service Disabled Veteran Owned

NOTE: For purposes of subcontracting, Historically Black Colleges and Universities/Minority Institutions (HBCUs/MIs) are considered as disadvantaged and should be broken out separately

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