Attachment 23 Subcontracting plan.pdf

FOR OFFICIAL GOVERNMENT USE ONLY, ONCE COMPLETED

(template version dated 23 Nov 04)

FA7000-12-R-0004

Attachment 23

SUBCONTRACTING PLAN

(IAW FAR 19.704)

Company: ______________________________________________________

Company Representative (printed name): _____________________________

Address: _______________________________________________________

Phone: _________________________________________________________

E-Mail Address: _________________________________________________

NOTE: This Subcontracting Plan is for a commercially provided product/service vs. a non-commercially provided product/service.

Directions: To be filled out by all large businesses (over 500 employees) and submitted with the offeror's proposal, not later than the date and time listed in Block 8 of the SF 1449. If more space is needed to provide an answer, please submit a continuation page(s) accordingly.

1. The percentage of total small business subcontracted dollars is expected to be no less than 30 percent of the total contract dollars, on an annual basis. If an offeror cannot attain the 30 percent, justification shall be provided to support a goal less than 30 percent.

Percentage of total contract dollars subcontracted to small business: _____37.2_____%

If less than 37.2% percent, the following justification is provided:

2. Of the total percentage identified in Question 1, please break it down to show representation of the following small business categories:

a. Small Business ______________%

b. Veteran-Owned Small Business ______________%

c. Service-Disabled Veteran-Owned Small Business ______________%

d. HUBZone Small Business ______________%

e. Small Disadvantage Business ______________%

f. Woman-Owned Small Business ______________%

g. Historically Black Colleges and Universities (non-commercial only) ______________%

Total Shall Equal the Total % Stated in Question 1: ______________%

3. Total dollars (of this contract effort) to be contracted out: $_______________________________

4. Of the total dollars listed in #3, break it down to show representation of the following small business categories:

a. Small Business $______________

b. Veteran-Owned Small Business $______________

c. Service-Disabled Veteran-Owned Small Business $______________

d. HUBZone Small Business $______________

e. Small Disadvantage Business $______________

f. Woman-Owned Small Business $______________

g. Historically Black Colleges and Universities (non-commercial only) $______________

TOTAL Shall Equal the Total $'s Stated in Question 3: $______________

5. Provide a description of the principle types of supplies and/or services to be subcontracted, and note its applicable small business category (as identified in Questions 2 and 4 above):

Type of Supplies and/or Service Small Business Category

6. Provide a description of the method used to develop subcontracting goals:

7. Did you include indirect costs in establishing subcontracting goals? Yes No (Circle One)

If yes, please provide a description of the method used to determine the proportionate share of indirect costs to be incurred in each of the following categories:

a. Small Business:

b. Veteran-Owned Small Business:

c. Service-Disabled Veteran-Owned Small Business:

d. HUBZone Small Business:

e. Small Disadvantage Business:

f. Woman-Owned Small Business:

8. Please provide the name of the individual employed by the offeror who will administer the offeror’s subcontracting program, and a description of the individual’s duties:

Name: _______________________________________________________________________

Description of Duties:

9. Agree Disagree (Circle One) to include clause at FAR 52.219-8, Utilization of Small Business Concerns

(reference FAR 19-708[a]) in all subcontracts that offer further subcontracting opportunities, and that the offeror will require all subcontractors (except small business concerns) that receive subcontracts in excess of

$650,000 to adopt a plan that complies with the requirements of the clause a FAR 52.219-9, Small Business

Subcontracting Plan (See FAR 19-708[b]).

10. Agree Disagree (Circle One) to cooperate in any studies and surveys as may be required; to submit periodic reports in the Electronic Subcontracting Reporting System (eSRS) so that the Government can determine the extent of compliance by the offeror with the Subcontracting Plan; to submit Individual

Subcontracting Report (ISR) and Summary Contracting Report (SSR) following the instructions at www.esrs.gov and to ensure its subcontractors agree to submit the ISR and SSF.

11. Provide a description of:

a. The types of records that will be maintained concerning procedures adopted to comply with the requirements and goals in this plan, including establishing source lists:

b. The efforts taken to locate small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business and woman-owned small business concerns and award subcontracts to them:

http://www.esrs.gov/

12. Provide your subcontractor information as noted below (if you have more than six subcontractors, please add a continuation page): HubZone and Small Disadvantaged Business are required to be certified through

SBA.

a. _________________________________________

Subcontractor Company Name

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

Business Size/Category

b. _________________________________________

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

c. _________________________________________

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

d. _________________________________________

Subcontractor Company Name

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

e. _________________________________________

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

f. _________________________________________

Subcontractor Address

City State Zip

Point of Contact

Phone Number

E-Mail Address

Subcontractor's Cage Code

I, the undersigned, am the authorized signature authority for my company. I certify that all information contained herein is accurate. I also agree on behalf of my company to adhere to the requirements of

Defense Federal Acquisition Regulation Supplement (DFARS) clause 219.704(4), to notify the

Government in writing of any subcontracting substitutions made to firms that are other than small, small disadvantaged, or women-owned small business firms listed in this subcontracting plan.

(Company Representative’s Printed Name)

(Company Representative’s Signature)

(Date)