Attachment_05_-_Small_Business__Subcontracting_Commitment_Document.pdf

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT

1. All Offerors, both small and large businesses, are required to submit Small Business Participating Plan 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

Attachment 5 - 28 February 2018

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 Type of Company Service/Supply

Large

Total Small

Small Non-Disadvantaged

Small Disadvantaged

Small Woman Owned

Small HUBZone

Small Veteran Owned

Small Service Disable Veteran Owned