draft_2a.C-LGIP_Project_Submissions.pdf

DRAFT

1. Name:

2. PoC Name: 3. CAGE:

4. PoC Phone: 5. DUNS:

6. PoC Email:

1. Category:

2. Project Title:

2. Gov. Contract #: 3. Type:

8. Briefly explain "Other" for 3, "No" for 5 and/or changes between 6 and 7:

a. Phone #: b. Email:

a. Phone #: b. Email:

a. Phone #: b. Email:

2. Project Scope:

(PWS 3.0, 14.2)

Actual:

Actual:

4. Total $ to go to small businesses - Goal: Actual:

5. % of total $ to small businesses - Goal: Actual:

Provide the information requested in this form IAW the instructions in Section 5 of the C-LGIP Section L. Provide frank, concise comments regarding the projects you identify. Limit responses to the space provided. Use a new copy of this form for each project you are submitting.

A. Offeror Information

B. Project Category

5. Done on time:

9. Agency/Customer Program Manager:

4. Period of Performance:

C. Contract Specifics

10. Agency/Customer Contracting Officer:

E. Subcontracting Plan

Project Submissions

3. Project Narrative (objectives, problems encountered/corrective actions):

1. Was a Subcontracting Plan required (FAR 52.219-9)?

11. Agency/Customer Alternate Contact:

D. Project Description* 1. Was the Offeror the Prime or a Sub?

*Demonstrate the relevance of your project to C-LGIP objectives and scope.

7. Final Price:6. Initial Contract Price:

1. Agency or Customer:

6. If subcontracting goals were not met, briefly explain why and provide details of how you have made improvements to your small business subcontracting process:

2. Dollars to be subcontracted - Goal:

3. % of total $ to be subcontracted - Goal: