Forms Required for Submission_08102023.pdf

REQUEST FOR PROPOSAL

Request for Proposal (RFP)

U.S. GENERAL SERVICES

ADMINISTRATION

GREAT LAKES REGION

PUBLIC BUILDINGS SERVICE

Acquisition Management Division 230 S. Dearborn Street, Suite 3500

Chicago, IL 60604

PROJECT:

Capital Security Program Theodore Levin U.S. Courthouse 231 W. Lafayette Boulevard Detroit, MI

SOLICITATION NO: 47PF0023R0065

ISSUE DATE: August 10, 2023

CLOSING DATE & TIME:

September 14, 2023

3:00 PM CDT

ISSUED BY:

U.S. General Services Administration Great Lakes Region Public Buildings Service Acquisition Management Division Capital Construction Contracting Team

SUBMIT PROPOSAL:

via email to lisa.gonzalez@gsa.gov and ulyana.ivankiv@gsa.gov

Pre-Proposal Conference Registration Form

Pre-Proposal Conference Registration Form GSA Solicitation No. RFP 47PF0023R0065

Capital Security Program Project

A pre-proposal conference is scheduled at the time set forth below and will be held in person. All prospective offerors are encouraged to attend. Please complete and return this form to Ulyana Ivankiv via email at ulyana.ivankiv@gsa.gov, no later than 11:00 AM Central/ 12:00 PM Eastern on Tuesday, August 22, 2023. The specific room location will be provided upon receipt of this preproposal conference form.

PRE-PROPOSAL CONFERENCE INFORMATION:

TIME/DATE: 8:00 AM Central/ 9:00 AM Eastern, Wednesday, August 23, 2023.

LOCATION: Theodore Levin U.S. Courthouse, 231 W. Lafayette Blvd, Detroit, MI 48226

Company Name: ________________________________________________________

Company Address: ______________________________________________________

Company POC Phone/Email Address________________________________________

Number of attendees: _____________ (Maximum of Four)

Attendee #1: ___________________________________________________________

Attendee #2: ___________________________________________________________

Attendee #3: ___________________________________________________________

Attendee #4: ___________________________________________________________

Are any Attendees from a different company than the one listed above?

Yes or No

If yes, please provide the company name and address.

Company Name: _________________________________________________

Company Address: _______________________________________________

Company Name: _________________________________________________

Company Address: _______________________________________________

SF1442 and Pricing Forms

(See ).

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

9. FOR

INFORMATION CALL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid and "bidder".

SOLICITATION

1. SOLICITATION NUMBER

5. REQUISITION/PURCHASE REQUEST NUMBER

CODE

6. PROJECT NUMBER

8. ADDRESS OFFER TO

4. CONTRACT NUMBER

7. ISSUED BY

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date)

11. The contractor shall begin performance within

12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES", indicate within how many calendar days after award in Item 12b.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and

b. An offer guarantee

c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

d. Offers providing less than

STANDARD FORM 1442 (REV. 12/2022)

Prescribed by GSA - FAR (48 CFR) 53.236-1(d) calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

is, is not required.

containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes copies to perform the work required are due at the place specified in Item 8 by (hour) award, YES NO notice to proceed. This performance period is mandatory negotiable.

calendar days and complete it within calendar days after receiving

a. NAME b. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

12b. CALENDAR DAYS

2. TYPE OF SOLICITATION

SEALED BID (IFB)

INVITATION FOR BID

NEGOTIATED (RFP)

REQUEST FOR PROPOSAL

3. DATE ISSUED PAGE OF PAGES

47PF0023R0065

R5 AMD Capital & Customer Projects Contracting Branch

Capital Construction Team

230 S Dearborn St

Chicago, IL 60604 USA

Capital Security Program project at the Theodore Levin U.S. Courthouse, 231 W. Lafayette Blvd, Detroit, MI 48226

R5 AMD Capital & Customer Projects Contracting Branch

Capital Construction Team

230 S Dearborn St

Chicago, IL 60604 USA

5P2QEB

Lisa Gonzalez (312) 882-9511

1 208/10/2023 local time 9/14/2023

3:00 PM CDT

C101, The Agreement

AWARD (To be completed by Government)

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement by the Government in writing within stated in Item 13d. Failure to insert any number means the offeror accepts the minimum in Item 13d.)

OFFER (Must be fully completed by offeror)

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)

AMENDMENT

NUMBER

DATE

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code)

CODE FACILITY CODE

15. TELEPHONE NUMBER (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14.)

20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print)

21. ITEMS ACCEPTED:

22. AMOUNT

26. ADMINISTERED BY

30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN

(Type or print)

31c. DATE

STANDARD FORM 1442 (REV. 12/2022) BACK

31b. UNITED STATES OF AMERICA

BY

31a. NAME OF CONTRACTING OFFICER (Type or print)

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30b. SIGNATURE 30c. DATE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

copies to issuing office.) Contractor agrees to furnish

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

23. ACCOUNTING AND APPROPRIATION DATA

ITEM

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO THE UNITED STATES

CODE AT

27. PAYMENT WILL BE MADE BY

10 U.S.C. 3204(a) ( ) 41 U.S.C. 3304(a) ( )

20b. SIGNATURE 20c. OFFER DATE

Supplement Pricing Form

Solicitation 47PF0023R0065 Capital Security Program, Theodore Levin U.S. Courthouse, Detroit, MI

CLIN ITEM PRICE

001 Base Contract $

002 Lump Sum Allowance $

003 Option 1, to be exercised no later than 90 days from award $

004 Option 2, to be exercised no later than 90 days from award $

005 Total Contract Price (001+002+003+004) $

Divisional Price Breakdown Summary

Solicitation 47PF0023R0065 Capital Security Program, Theodore Levin U.S. Courthouse, Detroit, MI

Contract Line-Item Number (CLIN 001): Base Contract

ITEM MATERIALS LABOR SUB-TOTAL

Division 1 - General Requirements

Division 2 - Existing Conditions

Division 3 - Concrete

Division 4 - Masonry

Division 5 - Metals

Division 6 - Woods, Plastics, and Composites

Division 7 - Thermal and Moisture Protection

Division 8 - Openings

Division 9 - Finishes

Division 10 - Specialties

Division 11 - Equipment

Division 12 - Furnishings

Division 13 - Special Construction

Division 14 - Elevators and Lifts

Division 20 - Mechanical

Division 21 - Fire Suppression

Division 22 - Plumbing

Division 23 - Heating, Ventilation and Air Conditioning

Division 26 - Electrical

Division 28 - Electronic Safety and Security

Division 31 - Earthwork

Division 32 - Exterior Improvements

SUBTOTAL ALL DIVISIONS

OVERHEAD

PROFIT

SUBTOTAL

INSURANCES

PAYMENT AND PERFORMANCE BOND

BASE BID TOTAL

Past Performance Questionnaire

Instructions for Questionnaire

Dear Respondent, The United States General Services Administration would like to thank you for taking the time to assist us in the selection of a General Construction Contractor for our Project. Please complete the questionnaire to the best of your ability. We ask that you keep your responses to this questionnaire confidential. The information you provide on this questionnaire will not be shared with the Offeror.

When completed, please send a scanned or electronic copy of the questionnaire to the following e-mail address: lisa.gonzalez@gsa.gov. We ask you to include the following information in the subject line of the e-mail: Solicitation No. 47PF0023R0065.

We ask the questionnaire be returned ON or BEFORE September 14, 2023.

We appreciate your time and efforts in assisting us in serving the American public.

mailto:lisa.gonzalez@gsa.gov

PBS Past Performance Questionnaire July 2014

PBS PAST PERFORMANCE QUESTIONNAIRE

CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name:

Address:

Phone Number: DUNs Number:

Contact Name Email Address: : Contact Phone Number:

2. GENERAL WORK INFORMATION

Work performed as: Prime Contractor Sub Contractor Joint Venture Other (Please explain):

Percent (%) of project work performed:

If a subcontractor, who was the prime (Name/Phone #):

3. CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please explain) Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. PROJECT DESCRIPTION

Complexity of Work: High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requests that the client completes this questionnaire and submits it directly back to the offeror. The offeror will submit the completed questionnaire to PBS with their proposal, and may duplicate this questionnaire for future submission on PBS solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to PBS. Please contact the offeror for PBS POC information. The government reserves the right to verify any and all information on this form.

Use the following adjective ratings and definitions in your evaluation of the Contractor’s performance.

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable

No information or did not apply to your contract

Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

CLIENT INFORMATION

Client Point of Contact Information Name:

Title:

Phone Number:

Email Address:

Project Information Contract Type:

Contract Title:

Contract Location:

Describe your role in the project:

Date Questionnaire was completed (mm/dd/yy):

Client’s Signature:

Instructions: Please select the adjective rating that best reflects your evaluation of the contractor’s performance.

1. QUALITY: E VG S M U N

(a) Quality of technical data/report preparation efforts.

(b) Ability to meet quality standards specified for technical performance.

(c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

(d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).

2. SCHEDULE/TIMELINESS OF PERFORMANCE: E VG S M U N

(a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below.)

(b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract.

3. CUSTOMER SATISFACTION: E VG S M U N

(a) To what extent were the end users satisfied with the project?

(b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication).

(c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

(d) Overall customer satisfaction.

4. MANAGEMENT/ PERSONNEL/LABOR E VG S M U N

(a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

(b) Ability to hire, apply, and retain a qualified workforce to this effort.

4. MANAGEMENT/ PERSONNEL/LABOR - Continued E VG S M U N

(c) Government Property Control.

(d) Knowledge/expertise demonstrated by contractor personnel.

(e) Utilization of Small Business concerns.

(f) Ability to simultaneously manage multiple projects with multiple disciplines.

(g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes.

(h) Effectiveness of overall management (including ability to effectively lead, manage and control the program).

5. COST/FINANCIAL MANAGEMENT E VG S M U N

(a) Ability to meet the terms and conditions within the contractually agreed price(s)?

(b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

(c) If this is/was a Government cost type contract, or a CMc/CMc at Risk Contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

(d) Is the Contractor’s accounting system adequate for management and tracking of costs? (If no, please explain in comment section below.) Yes No

(e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? (Indicate if show cause or cure notices were issued, or any default action in comment section below.)

Yes No

(f) Have there been any indications that the contractor has had any financial problems? (If yes, please explain in the comment section below.)

Yes No

6. SAFETY/SECURITY E VG S M U N

(a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.).

(b) Contractor complied with all security requirements for the project and personnel security requirements.

7. GENERAL E VG S M U N

(a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

(b) Compliance with contractual terms/provisions (If there were specific issues, please explain in the comments sections below

(c) In summary, provide an overall rating for the work performed by this contractor.

8. SUSTAINABILITY

Did this project include sustainable methods, materials, processes or certifications? (See Whole Building Design Guide for acceptable requirements. Link to guide WBDG Green Building Standards and Certification Systems.) (If yes, please explain in the comments section below.)

Yes No

9. SUMMARY

Would you hire or work with this firm again? (If no, please explain in the comments section below.) Yes No

COMMENTS SECTION

Please provide additional information below, and attach additional pages if necessary.

Please provide responses to the above questions (if applicable) and/or additional remarks. Also please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

http://www.wbdg.org/resources/gbs.php#rcas http://www.wbdg.org/resources/gbs.php#rcas

SF24 – Bid Bond

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045

Expiration Date: 8/31/2025

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal) (Seal)

CORPORATE SURETY(IES)

S U

R E

T Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or

Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

JOINT VENTURE

OTHER (Specify)

PARTNERSHIPINDIVIDUAL

CORPORATION

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond.

The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

S U

R E

T Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2. Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)STATE OF INCORPORATION

2.

2.

1.

1.NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

C

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

D

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

E

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

F

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME &

ADDRESS

S U

R E

T Y

G

STANDARD FORM 24 (REV. 8/2016) BACK

GSA Form 527

CONTRACTOR'S QUALIFICATIONS AND FINANCIAL INFORMATION

OMB Control Number: 3090-0007

Expiration Date: 10/31/2024

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 3090-0007. We estimate that it will take 1.5 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

SECTION I - GENERAL INFORMATION

1A. NAME

1B. STREET ADDRESS

1C. CITY 1D. STATE 1E. ZIP CODE

2. TYPE OF ORGANIZATION (Check one)

A. SOLE PROPRIETORSHIP

B. GENERAL PARTNERSHIP

C. LIMITED PARTNERSHIP

D. CORPORATION

E. SUBCHAPTER S CORPORATION

I. OTHER (Specify below)

3. TAXPAYER ID NUMBER 4. DATE ORGANIZATION ESTABLISHED 5. STATE OF INCORPORATION

6. TRADE STYLE NAME (Provide a copy of filing) 7. KIND OF PRODUCT OR SERVICE PROVIDED

8. FORMER BUSINESS NAME

D. RETAILER

E. OTHER (Specify) B. FIFO

A. LIFO C. AVERAGE COST

D. OTHER (Specify)

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS

NAME

10. INVENTORY VALUATION METHOD

9. KIND OF BUSINESS

A. MANUFACTURER

B. CONTRACTOR

C. WHOLESALER

TITLE

(If partner, state G(General) or L(Limited) in column)

ACTUAL TITLE G OR L

PERCENT

BUSINESS OWNED

12. PARENT COMPANY (If applicable)

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED

INFORMATION IN SECTION VIII, REMARKS

YES NO

A. NAME

B. CITY C. STATE

A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY?

B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS?

C. DO YOU HAVE ANY CONTINGENT LIABILITIES?

D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS

OPERATIONS WITH OUTSTANDING DEBTS?

SECTION II - GOVERNMENT FINANCIAL AID AND INDEBTEDNESS

14A. ARE YOU DELINQUENT ON ANY FEDERAL DEBT (OMB CIRCULAR A-129)

(If "Yes", provide detailed information, Section VIII, Remarks)

14B. DO YOU OWE THE

GOVERNMENT

FOR ANY

CONTRACT OR

OTHER CLAIMS?

YES NO

IF "YES", COMPLETE THE ITEMS BELOW

AGENCY CLAIM AMOUNT PAYMENT MATURITY BALANCE

15A. AGENCY INVOLVED WITH DELINQUENCY 15B. AMOUNT OF DELINQUENCY ($)

16. ARE YOU

CURRENTLY

RECEIVING

GOVERNMENT

FINANCING?

YES NO

YES

NO (Go to Section III )

17. COMPLETE ITEMS BELOW IF APPLICABLE

A. INDUSTRIAL REVENUE BONDS

B. GUARANTEED LOANS

C. ADVANCED PAYMENTS

D. PROGRESS PAYMENTS

AUTHORIZED ($) IN USE ($) GOVERNMENT AGENCY INVOLVED

E. OTHER (Specify)

GENERAL SERVICES ADMINISTRATION GSA 527 (REV. 10/2021)

F. LIMITED LIABILITY COMPANY

G. JOINT VENTURE

H. TRUST

TYPE OF FINANCING

GSA 527 (REV. 10/2021) PAGE 2

SECTION III - FINANCIAL STATEMENTS

Prepared Financial Statements with notes may be provided in lieu of completing Section III

When financial statements are prepared or certified by independent accountants and transcribed to this form, please furnish the name and address of accountant of accounting firm.

18. ARE YOU THE INCUMBENT CONTRACTOR FOR THIS SOLICITATION?

NO

19A. NAME

19B. STREET ADDRESS

19C. CITY 19D. STATE 19E. ZIP CODE

20. IF TRANSCRIBED STATEMENTS DIFFER FROM INDEPENDENT ACCOUNTANT'S,

PLEASE DESCRIBE ADJUSTMENT IN SECTION VII, REMARKS. ALL OF THE

LISTED FIGURES ARE:

ACTUAL

IN THOUSANDS

IN MILLIONS

U.S. DOLLARS

FOREIGN CURRENCY (Specify)

21. BALANCE SHEET AS OF (Month, Day, Year) 22. FISCAL YEAR ENDS (Month, Day, Year) 23. PREPARED STATEMENTS

YES

ARE ATTACHED

24. ASSETS 25. LIABILITIES AND NET WORTH

A. Current Assets A. Current Liabilities

Cash

Short Term cash investments

Accounts receivable, less allowance for doubtful accounts of $

Inventories

Other current assets (Itemize below)

Total Current Assets

B. Property, Plant and Equipment

Accounts payable

Notes payable (current)

Current portion of long term debt

Accrued expenses

Accrued taxes on income/excess profits

Other current liabilities (Itemize below)

Total Current Liabilities

B. Other Liabilities

Land

Buildings and equipment

Leasehold improvements

Less accumulated depreciation and amortization

Total Property, Plant and Equipment

C. Other Assets

Investments in and advance to affiliated company

Goodwill, less amortization

Due from officer, employee

Other (Itemize below)

Total Other Assets

D. TOTAL ASSETS

Mortgages

Bonds

Deferred income taxes

Other long term debt

Total Other Liabilities

Total Liabilities

C. Minority Interest in Subsidiary

D. Net Worth

Preferred stock

Common stock

Additional paid-in capital

Retained earnings/owner's equity

Less, Treasury stock

Total Net Worth

E. TOTAL LIABILITIES AND NET WORTH

SECTION IV - INCOME STATEMENT

26. FROM (Month, Day, Year) 27. TO (Month, Day, Year)

A. Net Sales

28. INCOME

Cost and Expenses

Cost of Goods Sold

Depreciation and Amortization

Selling, General, and Admin. Expenses

Interest Expense

Other Expenses (Itemize below)

Minority Interest in Earnings of Subsidiaries

Total Costs and Expenses

Earnings Before Taxes

Taxes on Income

Income Before Extraordinary Items

Extraordinary Gains (Losses) Net of Taxes

NET INCOME (LOSS)

ZIP CODE

Yes No

Yes No

A.

B.

C.

CITY STATE ZIP CODE

Yes No

Yes No

AREA CODE NUMBER

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

STREET ADDRESS

37. Maximum Amount Authorized ($)

38. Amount Outstanding ($)

39. Loans Secured by Company's Assets - Real and Personal Property

BANK 1 BANK 2

SECTION V - BANKING AND FINANCE COMPANY INFORMATION

(Please attach a separate sheet using this format for any additional banks.)

ITEM

29. Name of Bank

30. Contact Person

31. Phone Number

32. Fax Number

33. Address

34. Amount Owing ($)

35. Term Loans

36. Line of Credit

D.

SECURED PARTY NAME CONTACT NAME

STREET ADDRESS CITY STATE ZIP CODE

SECURING ASSETS MATURITY DATE MONTHLY PAYMENT ($)

SECURED PARTY NAME CONTACT NAME

STREET ADDRESS CITY STATE ZIP CODE

SECURING ASSETS MATURITY DATE MONTHLY PAYMENT ($)

SECURED PARTY NAME CONTACT NAME

STREET ADDRESS CITY STATE ZIP CODE

SECURING ASSETS MATURITY DATE MONTHLY PAYMENT ($)

SECURED PARTY NAME CONTACT NAME

STREET ADDRESS CITY STATE ZIP CODE

SECURING ASSETS MATURITY DATE MONTHLY PAYMENT ($)

40. ARE ANY OF THE ASSETS SHOWN ON THE BALANCE SHEET

PLEDGED OR MORTGAGED, EXCEPT AS STATED ABOVE?

41B. TOTAL

LIABILITY ($)

41A. IF CONTRACTOR IS A PARTNERSHIP OR SOLE PROPIERTORSHIP,

ARE THE INDIVIDUAL LIABILITIES OF THE PROPIETOR(S) FOR

FEDERAL AND STATE INCOME AND/OR EXCESS PROFIT TAXES

INCLUDED ON THE BALANCE SHEET?

YES NO

42. ARE YOU NOW IN OR PENDING DEFAULT ON ANY OBLIGATIONS, I.E., BANKS, FINANCIAL INSTITUTIONS, SUPPLIERS, OTHER?

NO YES (Explain in Section VII, Remarks)

NO YES (Provide detailed information in Section VII, Remarks)

GSA 527 (REV. 10/2021) PAGE 3

AREA CODE NUMBER EXTENSION

STREET ADDRESS

CITY STATE

SECTION VI - PRINCIPAL MERCHANDISE OR RAW MATERIAL SUPPLIER INFORMATION

(Please attach separate sheet(s) using this format for additional suppliers.)

43. PAST DUE ACCOUNTS PAYABLE ($)

ITEM 44. SUPPLIER 1 45. SUPPLIER 2

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

STREET ADDRESS

STATECITY ZIP CODE

ITEM 46. SUPPLIER 3 47. SUPPLIER 4

A. Name of Supplier

B. Contact Person

C. Telephone

D. Fax

E. Address

F. Amount Now Owing ($)

G. High Credit ($)

A. Name of Supplier

B. Contact Person

C. Telephone

D. Fax

E. Address

F. Amount Now Owing ($)

G. High Credit ($)

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

STREET ADDRESS

CITY STATE ZIP CODE

SECTION VII - CONSTRUCTION/SERVICE CONTRACTS INFORMATION (Public Buildings Service Contracts Only)

CONTRACTS IN FORCE

STREET ADDRESS

CITY STATE ZIP CODE

GSA 527 (REV. 10/2021) PAGE 4

ITEM 48. CONTRACT 1 49. CONTRACT 2

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

STREET ADDRESS

CITY STATE ZIP CODE

STREET ADDRESS

CITY STATE ZIP CODE

ITEM

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

50. CONTRACT 3 51. CONTRACT 4

STREET ADDRESS

CITY STATE ZIP CODECITY STATE ZIP CODE

STREET ADDRESS

GSA 527 (REV. 10/2021) PAGE 5

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

ITEM 58. JOB 3 59. JOB 4

A. Location

B. Contact's Name

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

ITEM 60. JOB 5 61. JOB 6

A. Location

B. Contact's Name

C. Address

D. Telephone

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

ITEM 52. CONTRACT 5 53. CONTRACT 6

A. Location

B. Owner's Name

C. Address

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

STREET ADDRESS

CITY STATE ZIP CODE

STREET ADDRESS

CITY STATE ZIP CODE

ITEM

A. Location

B. Owner's Name

C. Address

D. Type of Work E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

54. CONTRACT 7 55. CONTRACT 8

STREET ADDRESS

CITY STATE ZIP CODE

STREET ADDRESS

CITY STATE ZIP CODE

LARGEST JOBS YOU HAVE COMPLETED IN THE LAST FIVE YEARS

ITEM 56. JOB 1 57. JOB 2

A. Location

B. Contact's Name

CERTIFICATION

For the purpose of establishing financial responsibility with, or procuring credit from the U.S. General Services Administration, we furnish the above as a true and correct statement of our financial condition and further certify that all other statements are true and correct. There has been no material change in the applicant's financial condition since the date of the above statement. We agree to notify you immediately in writing of any materially unfavorable change in our financial condition. In the absence of such notice or of a new and full financial statement, this is to be considered as a continuing statement.

NAME OF BUSINESS BY (Signature of Authorized Official)

NAME OF AUTHORIZED OFFICIAL (Type or print)

TITLE OF AUTHORIZED OFFICIAL (Type or print)

DATE

GSA 527 (REV. 10/2021) PAGE 6

NUMBER

STREET ADDRESS

CITY STATE ZIP CODE

AREA CODE NUMBER EXTENSION

AREA CODE NUMBER

STREET ADDRESS

CITY STATE ZIP CODE

64. PRESENT AMOUNT OF BONDING

COVERAGE ($)

65. HAS YOUR APPLICATION FOR SURETY

BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in

Remarks)

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A

FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR

SUPPLIERS? (If Yes, please provide detailed information in Remarks)

YES NO YES NO

SECTION VIII - REMARKS

REMARKS (Cite those sections of the form relating to your remarks. If additional space is required, attach additional sheet(s).)

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS

ITEM 62. SURETY COMPANY 1 63. SURETY COMPANY 2

A. Company Name

B. Contact's Name

C. Telephone

D. Fax

E. Address

AREA CODE NUMBER EXTENSION

AREA CODE

Subcontracting Plan

Tips on Preparing a Subcontracting Plan

Subcontracting plans are required from “other than small businesses” for acquisitions that meet the threshold established in paragraph (a)(1)(i) of FAR 19.702, Statutory requirements.1

Step 1. Read the key Federal Acquisition Regulation (FAR) clauses for subcontracting to know what is required and the consequences:

a. 52.219-8 Utilization of Small Business Concerns. Note in the clause that accepting the contract means you will implement the U.S. policy to maximize opportunities for SBs, SDBs, WOSBs, VOSBs, SDVOSBs and HUBZone SBs2 to the “fullest extent.”

b. FAR 52.219-9, Small Business Subcontracting Plan. Identifies the required elements for a small business subcontracting plan submitted before award and addresses mandatory requirements contractors must follow after award, such as “reports.”

i. Subcontracting plans are more than just goals and dollars. It tells the story on how you will ensure SBs, SDBs, WOSBs, VOSBs, SDVOSBs and HUBZone SBs will participate.

ii. Understand what is a “good faith effort.” “Good faith effort” is defined in paragraph (d)(3) of the Small Business Regulations 13 CFR 125.3. See the Attachment below for the “good faith effort” list.

c. 52.219-16 Liquidated Damages-Subcontracting Plan. Consequences of failing to make a “good faith effort” as required by statute. See the Attachment for the definition of “good faith effort” and “failure to make a good faith effort” as defined in the Small Business Administration regulations.

Step 2. Determine what goods and services will be provided in-house and what will be purchased (subcontracted) from other sources.

Step 3. Seek socio-economic small businesses first (i.e., SDBs, WOSBs, VOSBs, SDVOSBs and HUBZone SBs) before small businesses in order to maximize small business subcontracting credit.

a. Look for subcontractors that can meet more than one small business definition. Ensure those dollars are credited against all applicable

1 The only entities not required to submit subcontracting plans are listed in the Federal Acquisition Regulation section 19.702(b).

https://www.acquisition.gov/content/19702-statutory-requirements https://www.acquisition.gov/content/19702-statutory-requirements https://www.acquisition.gov/content/52219-8-utilization-small-business-concerns https://www.acquisition.gov/content/52219-9alternate-iii https://www.ecfr.gov/cgi-bin/text-idx?SID=50ff66d5d1cc9357d5f4ce114fcc5c79&mc=true&node=pt13.1.125&rgn=div5#se13.1.125_13 https://www.ecfr.gov/cgi-bin/text-idx?SID=50ff66d5d1cc9357d5f4ce114fcc5c79&mc=true&node=pt13.1.125&rgn=div5#se13.1.125_13 https://www.acquisition.gov/content/52219-16-liquidated-damages-subcontracting-plan categories. For example, a $10,000 subcontract to a WOSB who is also SDVOSB is counted for in this way:

$10,000 for WOSB $10,000 for SDVOSB $10,000 for VOSB, since by definition a SDVOSB is also a VOSB $10,000 to SB since by definition this company is a SB, too!

b. Find potential small businesses:

i. GSAM 519.705-4(g) https://www.acquisition.gov/content/part-519-small-business-programs#TWPEPRYV

ii. Small Business Administration Commercial Marketing

Representative

iii. List of small businesses from GSA eLibrary website. Search by category. Check out other GSA contracts linked at this site to find small businesses providing services under other GSA contracts such as Alliant2, VETS2, STARS for small business sources

iv. Check current providers to see if they meet any of the requirements to qualify as a SB, SDB, WOSB, VOSB, SDVOSB. Contractors can rely on the written self-certifications by these types of small businesses.3 Ask!! Note: HUBZones must be certified as such by the SBA

Step 4. Begin to craft the subcontracting plan. Remember: Goals + the Narrative = Subcontracting Plan.

a. Estimate the annual costs for all subcontracted purchases for the base and option period of the contract, from both large and small businesses

b. Set goals for each small business category. Goals should be realistic yet provide a “stretch.”

c. Check the math!! Make sure the percentages for SDB, WOSB, VOSB, SDVOSB and HUBZone are calculated using the “Total Subcontracted Dollars” as the denominator.

d. Use GSA’s Model Subcontracting Plan - This will ensure you meet all of the required elements in the Plan. The Plan includes best practices, too!

Use the ones that you do or plan to do.

Step 5. Draft the narrative of the plan, making sure you meet all of the requirements for the plan outlined in FAR 52.219-9. Ensure the narrative in the Plan supports the goals.

3 FAR 52.219-9(c)(2)(ii) https://www.acquisition.gov/content/part-519-small-business-programs#TWPEPRYV https://www.acquisition.gov/content/part-519-small-business-programs#TWPEPRYV

d. Ensure there are no disconnects between the goals and the narrative supporting the goals. For example, do the goals proposed match the description of what supplies and services will be subcontracted?

e. If there are any percentages proposed that are less than the statutory requirements outlined in the Small Business Act (i.e., 23% SB, 5% SDB, 5% WOSB, 3% SDVOSB and 3% HUBZone), explain why in the narrative of the plan. Be sure to explain how you will continue to make a good faith effort throughout the life of the contract to find those businesses where the percentages are less than statutory.

f. It is important to identify who is responsible for administering the subcontracting plan. Note: This is a required element for a subcontracting plan and failing to appoint a company official may indicate a failure to make a good faith effort (see the SBA regulations in the Attachment).

g. Understand the reporting, recordkeeping requirements and the assurances required in the subcontracting plan.

h. Understand the required actions listed in FAR 52.219-9(e). Including these in the subcontracting plan demonstrates the commitment to perform these actions.

USING GSA’S MODEL SUBCONTRACTING PLAN AS A TOOL WILL

ENSURE THE SUBCONTRACTING PLAN MEETS ALL OF THE FAR

REQUIREMENTS. THE MODEL PLAN INCLUDES BEST PRACTICES

THAT MAY ENHANCE DEMONSTRATION OF THE “GOOD FAITH

EFFORT” THE COMPANY WILL TAKE TO MAXIMIZE

OPPORTUNITIES FOR SBS, SDBS, WOSBS, VOSBS, SDVOSBS AND

HUBZONE SBS TO PARTICIPATE AS SUBCONTRACTORS.

Finally, REMEMBER two key requirements when preparing a subcontracting plan:

1. Agreement by the contractor to implement the statutory requirement to “maximize practicable opportunities for SBs, SDBs, WOSBs, VOSBs, SDVOSBs and HUBZone SBs” to participate as subcontractors to the “fullest extent” (FAR 52.219-8). Subcontracting plans must reflect maximum and not minimum goals.

2. The plan will be reviewed by the CO, the GSA Small Business Technical Advisor and the SBA Procurement Center Representative. Make sure your plan tells a good small business story!

3. Contracting Officers are required to incorporate the negotiated plan as a material part of the contract upon award. This means failing to make a “good faith effort” will be treated the same way as failing to meet other requirements in the https://interact.gsa.gov/sites/default/files/Updated_Model_Plan_Subk_Plan_0.docx contract to perform and may put the company at risk for the assessment of liquidated damages (FAR 52.219-16).

ATTACHMENT - “GOOD FAITH EFFORT”

Defined in SBA Regulations 13 CFR 125.3(d)(3) (Includes Failure to Make a Good Faith Effort)

(i) Evidence that a large business prime contractor has made a good faith effort to comply with its subcontracting plan or other subcontracting responsibilities includes supporting documentation that:

(A) The contractor performed one or more of the actions described in paragraph (b) of this section, as appropriate for the procurement;

(B) Although the contractor may have failed to achieve its goal in one socioeconomic category, it over-achieved its goal by an equal or greater amount in one or more of the other categories; or

(C) The contractor fulfilled all of the requirements of its subcontracting plan.

(ii) Examples of activities reflective of a failure to make a good faith effort to comply with a subcontracting plan include, but are not limited, to:

(A) Failure to submit the acceptable individual or summary subcontracting reports in eSRS by the report due dates or as provided by other agency regulations within prescribed time frames;

(B) Failure to pay small business concern subcontractors in accordance with the terms of the contract with the prime;

(C) Failure to designate and maintain a company official to administer the subcontracting program and monitor and enforce compliance with the plan;

(D) Failure to maintain records or otherwise demonstrate procedures adopted to comply with the plan including subcontracting flow-down requirements;

(E) Adoption of company policies or documented procedures that have as their objectives the frustration of the objectives of the plan;

(F) Failure to correct substantiated findings from federal subcontracting compliance reviews or participate in subcontracting plan management training offered by the government;

(G) Failure to conduct market research identifying potential small business concern subcontractors through all reasonable means including outreach, industry days, or the use of federal database marketing systems such as SBA's Dynamic Small Business Search (DSBS) or SUBNet Systems or any successor federal systems;

https://www.ecfr.gov/cgi-bin/text-idx?SID=50ff66d5d1cc9357d5f4ce114fcc5c79&mc=true&node=pt13.1.125&rgn=div5#se13.1.125_13

(H) Failure to comply with regulations requiring submission of a written explanation to the contracting officer to change small business concern subcontractors that were used in preparing offers; or

(I) Falsifying records of subcontracting awards to SBCs.

Updated January 2023

MODEL INDIVIDUAL SUBCONTRACTING PLAN

INSTRUCTIONAL REMINDERS

Remove these instructional pages before submitting your completed subcontracting plan to the Contracting Officer

An individual subcontracting plan:

● Applies to a specific federal agency (GSA) single contract

● Covers the entire contract period, including all options whether exercised or not

● Contains goals that are based on the offeror’s planned subcontracting (and purchasing) in support of the specific contract

● Indirect costs incurred for common or joint purposes may be included in the plan, allocated on a prorated basis to the contract. If included in the plan, indirect costs must be included in the reports after award.

● For contracts with option periods, the individual plan will include:

● separate goals for the base period

● separate goals for each option period

● a sum total of all periods for the entire contract term

NOTE: The Model Individual Subcontracting Plan template is a tool contractors may choose to use when preparing their Individual subcontracting plans. The Model Individual Subcontracting plan:

● Is NOT a fill-in-the-blank form

● Does not replace the FAR requirements listed in clause 52.219-9

● Reflects objectives GSA encourages contractors to adopt

REMINDER: WHEN SELECTING INDIVIDUAL SUBCONTRACTING

PLAN TYPE, UNDER A MULTIPLE AWARD ID/IQ CONTRACT USED BY

MORE THAN ONE AGENCY, CONTRACTORS ARE REQUIRED TO

REPORT SMALL BUSINESS SUBCONTRACTING FOR EACH

FUNDING- AGENCY- ISSUED ORDER IN THE GOVERNMENT-WIDE

ELECTRONIC SUBCONTRACTING REPORTING SYSTEM (ESRS)

AFTER AWARD1.

Use the Individual Subcontracting Plan Template:

● For a new contract award whose total value, including options, exceeds the subcontracting plan threshold listed in FAR 19.702

● For existing contracts when either a contract modification causes the value of the contract to exceed the threshold required for a subcontracting plan, or as a

1 FAR 52.219-9 (d)(10)(iii) result of size changes due to re-representation (FAR 52.219-28). When a subcontracting plan is required, the plan shall cover the remaining periods of the contract.2

Before preparing the subcontracting plan:

● Review the FAR requirements set forth in the FAR subpart 19.73, The Small

Business Subcontracting Program, particularly:

● FAR 19.704, Subcontracting Plan Requirements

● FAR clause 52.219-8, Utilization of Small Business Concerns4

● FAR clause 52.219-9, Small Business Subcontracting Plan

● FAR clause 52.219-16, Liquidated damages

● Understand the statutory requirements in FAR 19.702:

● Any contractor receiving a contract for more than the simplified acquisition threshold must agree in the contract that SB (including ANCs and Indian tribes), VOSB, SDVOSB, HUBZone, SDB (including ANCs and Indian tribes), and WOSB concerns will have the maximum practicable opportunity to participate in contract performance consistent with its efficient performance.

● Timely pay amounts due pursuant to the terms of their subcontracts with SBs, VOSBs, SDVOSBs, HUBZone, SDBs (including ANCs and…