DD2579 for AS26AUG199987.pdf
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- HC101320QA253
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| HC101320QA253-0001.pdf | ||
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SMALL BUSINESS COORDINATION RECORD
(See DFARS PGI 253.219-70 for form completion instructions.)
1. CONTROL NO.
(Optional)
6a. CONTRACTING OFFICER NAME (Last, First, Middle Initial)
d. EMAIL ADDRESS e. TELEPHONE NUMBER (Include Area Code)
4a. PIID
c. OFFICE SYMBOLb. DODAAC
5. SUPPLEMENTARY PIID
b. PIID 2 (If applicable)
3. TOTAL ESTIMATED
VALUE (With options)
2. PURCHASE REQUEST/
REQUISITION NO.
7a. ITEM AND/OR SERVICE DESCRIPTION
8. PERIOD OF PERFORMANCE/DELIVERY DATES (Including options)
10. RECOMMENDATION (X all that apply)
11a. MARKET RESEARCH/ACQUISITION PLAN
12. CONSOLIDATED OR BUNDLED (X as applicable)
13. SUBCONTRACTING PLAN REQUIRED (X one)
9. PURPOSE OF COORDINATION (X one)
b. PRODUCT OR SERVICE CODE d. SIZE STANDARDc. NAICS CODE
Initial Coordination Withdrawal Change
100% Partial Competitive
Sole SourceCompetitive Competitive Sole Source
Sole Source%
b. SECTION 8(a) (X one)
c. HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)
d. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) (X one)
e. ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
BUSINESS (EDWOSB) SET-ASIDE
f. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
UNDER WOSB PROGRAM SET-ASIDE
h. OTHER THAN FULL AND OPEN COMPETITION NOT
PREVIOUSLY ADDRESSED
c. SMALL BUSINESS PROGRESS PAYMENTS (X one)
i. FULL AND OPEN COMPETITION (Complete block 13)
HUBZONE PRICE EVALUATION PREFERENCE
(Ref. FAR 19.1307)
j. MULTIPLE AWARD: Contract Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)
Delivery/Task Order
g. OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or
DFARS 226.71)
a. SMALL BUSINESS SET-ASIDE (X one)
b. SYNOPSIS REQUIRED (X one)
a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.)
b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.)
Yes (NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
No (Provide FAR 5.202 exception)
Yes
Yes Yes
Yes No
No No
No
DD FORM 2579, AUG 2015 Adobe Designer 9.0PREVIOUS EDITION IS OBSOLETE.
14. ACQUISITION HISTORY
a. IS THIS A NEW REQUIREMENT? (X one)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)
c. DETAILS OF PREVIOUS AWARD(S) (List details requested in instructions. Attach additional page(s) if necessary.)
Yes (Proceed to Block 15) No (Continue to Blocks a(1) through (10), marking all that apply for the immediately preceding acquisition.)
100% Partial Competitive Sole Source%
(2) SECTION 8(a) (X one)(1) SMALL BUSINESS SET-ASIDE (X one)
Sole SourceCompetitive Competitive Sole Source
(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)
(4) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
(SDVOSB) (X one)
(5) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
BUSINESS (EDWOSB) SET-ASIDE
(6) WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
UNDER WOSB PROGRAM SET-ASIDE
(8) OTHER THAN FULL AND OPEN COMPETITION NOT
PREVIOUSLY ADDRESSED
(9) FULL AND OPEN COMPETITION (Complete block 13)
HUBZONE PRICE EVALUATION PREFERENCE
(Ref. FAR 19.1307)
(10) MULTIPLE AWARD: Contract Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB)
Delivery/Task Order
(7) OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or
DFARS 226.71)
NoYes(2) BUNDLED NoYes(1) CONSOLIDATED
15. CONTRACTING OFFICER
a. NAME (Last, First, Middle Initial)
c. SIGNATURE
f. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REMARKS
b. EMAIL ADDRESS
d. DATE SIGNED (YYYYMMDD)
c. SIGNATURE d. DATE SIGNED (YYYYMMDD)
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
a. NAME (Last, First, Middle Initial)
c. SIGNATURE
b. DATE SIGNED (YYYYMMDD)a. SIGNATURE
b. EMAIL ADDRESS
d. DATE SIGNED (YYYYMMDD) e. DATE ACQUISITION PACKAGE PROVIDED TO SBA (FAR 19.202-1(e)) (YYYYMMDD)
e. SBA PROCUREMENT CENTER REPRESENTATIVE REMARKS
c. CONTRACTING OFFICER REMARKS
Concur
Non-concur
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
18. CONTRACTING OFFICER REVIEW
a. NAME (Last, First, Middle Initial) b. EMAIL ADDRESSConcur
Non-concur
Concur with PCR recommendation
Reject PCR recommendation
DD FORM 2579 (BACK), AUG 2015
SMALL BUSINESS COORDINATION RECORD
(See DFARS PGI 253.219-70 for form completion instructions.)
1. CONTROL NO.
(Optional) 6a. CONTRACTING OFFICER NAME (Last, First, Middle Initial)
d. EMAIL ADDRESS
e. TELEPHONE NUMBER (Include Area Code) 4a. PIID
c. OFFICE SYMBOL
b. DODAAC
5. SUPPLEMENTARY PIID
b. PIID 2 (If applicable)
3. TOTAL ESTIMATED
VALUE (With options)
2. PURCHASE REQUEST/ REQUISITION NO.
7a. ITEM AND/OR SERVICE DESCRIPTION
8. PERIOD OF PERFORMANCE/DELIVERY DATES (Including options)
10. RECOMMENDATION (X all that apply) 11a. MARKET RESEARCH/ACQUISITION PLAN
12. CONSOLIDATED OR BUNDLED (X as applicable)
13. SUBCONTRACTING PLAN REQUIRED (X one)
9. PURPOSE OF COORDINATION (X one)
b. PRODUCT OR SERVICE CODE
d. SIZE STANDARD
c. NAICS CODE Initial Coordination Withdrawal Change 100% Partial Competitive Sole Source Competitive Competitive Sole Source Sole Source
b. SECTION 8(a) (X one)
c. HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)
d. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) (X one)
e. ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS (EDWOSB) SET-ASIDE
f. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER WOSB PROGRAM SET-ASIDE
h. OTHER THAN FULL AND OPEN COMPETITION NOT PREVIOUSLY ADDRESSED
c. SMALL BUSINESS PROGRESS PAYMENTS (X one)
i. FULL AND OPEN COMPETITION (Complete block 13)
HUBZONE PRICE EVALUATION PREFERENCE
(Ref. FAR 19.1307)
j. MULTIPLE AWARD:
Contract Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB) Delivery/Task Order
g. OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or
DFARS 226.71)
a. SMALL BUSINESS SET-ASIDE (X one)
b. SYNOPSIS REQUIRED (X one)
a. CONSOLIDATED REQUIREMENT (Attach required documentation per DFARS 207.170.)
b. BUNDLED REQUIREMENT (Attach required documentation per FAR 7.107 including benefit analysis.)
Yes (NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
No (Provide FAR 5.202 exception) Yes Yes Yes Yes No No No No
DD FORM 2579, AUG 2015
Adobe Designer 9.0
PREVIOUS EDITION IS OBSOLETE.
14. ACQUISITION HISTORY
a. IS THIS A NEW REQUIREMENT? (X one)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED? (X one)
c. DETAILS OF PREVIOUS AWARD(S) (List details requested in instructions. Attach additional page(s) if necessary.)
Yes (Proceed to Block 15) No (Continue to Blocks a(1) through (10), marking all that apply for the immediately preceding acquisition.)
100% Partial Competitive Sole Source
(2) SECTION 8(a) (X one)
(1) SMALL BUSINESS SET-ASIDE (X one) Sole Source Competitive Competitive Sole Source
(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) SMALL BUSINESS (X one)
(4) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
(SDVOSB) (X one)
(5) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS (EDWOSB) SET-ASIDE
(6) WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER WOSB PROGRAM SET-ASIDE
(8) OTHER THAN FULL AND OPEN COMPETITION NOT PREVIOUSLY ADDRESSED
(9) FULL AND OPEN COMPETITION (Complete block 13)
HUBZONE PRICE EVALUATION PREFERENCE
(Ref. FAR 19.1307)
(10) MULTIPLE AWARD:
Contract Reserves (FAR 19.5) (List type(s) of small business, e.g., WOSB, SDVOSB) Delivery/Task Order
(7) OTHER SET-ASIDE (Cite authority, e.g., FAR 26.202-1 or 6.208; or
DFARS 226.71)
No Yes
(2) BUNDLED
No Yes
(1) CONSOLIDATED
15. CONTRACTING OFFICER
a. NAME (Last, First, Middle Initial)
c. SIGNATURE
f. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REMARKS
b. EMAIL ADDRESS
d. DATE SIGNED (YYYYMMDD)
c. SIGNATURE
d. DATE SIGNED (YYYYMMDD)
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
a. NAME (Last, First, Middle Initial)
c. SIGNATURE
b. DATE SIGNED (YYYYMMDD)
a. SIGNATURE
b. EMAIL ADDRESS
d. DATE SIGNED (YYYYMMDD)
e. DATE ACQUISITION PACKAGE PROVIDED TO SBA (FAR 19.202-1(e)) (YYYYMMDD)
e. SBA PROCUREMENT CENTER REPRESENTATIVE REMARKS
c. CONTRACTING OFFICER REMARKS Concur Non-concur
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
18. CONTRACTING OFFICER REVIEW
a. NAME (Last, First, Middle Initial)
b. EMAIL ADDRESS Concur Non-concur Concur with PCR recommendation Reject PCR recommendation
DD FORM 2579 (BACK), AUG 2015
9.0.0.2.20120627.2.874785
WHS/ESD/DD
DD Form 2579, Small Business Coordination Record, August 2015 init Yes No No No No Yes
| d. Email address.: Andrew.r.fernandez.civ@mail.mil |
| e. Telephone number (include area code).: 618-418-6194 |
| 4.a. PIID.: |
| c. Office symbol.: PL8211 |
| b. DoDAAC.: HC1013 |
| 5. Supplementary PIID.: |
| b. PIID 2 (if applicable): |
| 3. Total estimated value (with options).: $184,000.00 |
| 2. Purchase request/requisition number.: AS26AUG199987 |
| 1. Control number (optional).: |
| 6.a. Contracting officer name (last, first, middle initial).: Fernandez, Andrew R. |
| 7.a. Item/service description.: |
PURPOSE: PROVIDE, INSTALL AND MAINTAIN A 1 GB ETHERNET CIRCUIT BETWEEN (BLDG) 514; (RM) 1; (FL) 1; 101 MARAN ST, BANGOR, ME 04401 AND (BLDG) P1; (RM) 5; (FL) 1; 50 WESTERN AVE, SOUTH PORTLAND, ME 04106.
SERVICE LIFE: 60 MONTHS
| b. Product or service code.: D304 |
| d. Size standard.: 1,500 EMP |
| c. NAICS code.: 517311 |
| 8. Period of performance/delivery dates (including options).: 29 May 20 - 28 May 25 |
| X if reject PCR recommendation.: |
| a. X if small business set-aside.: Off |
| b. X if Section 8(a).: Off |
| c. X if historically underutilized business zone (HUBZone) small business.: Off |
| d. X if service-disabled veteran-owned small business.: Off |
| e. X if economically disadvantaged women-owned small business (EDWOSB) set-aside.: Off |
| f. X if women-owned small business (WOSB) eligible under WOSB program set-aside.: Off |
| h. X if other than full and open competition not previously addressed.: Off |
| i. X if full and open competition.: Yes |
| j. X if multiple award.: Off |
| X if contract.: Off |
| X if reserves.: Off |
| X if delivery order/task order.: Off |
| X if HUBZone price evaluation preference.: Yes |
| g. X if other set-aside.: Off |
| If partial, enter percentage.: |
| If other set-aside, cite authority.: |
| If reserves, list type(s) of small business.: |
| 11a. Market research/acquisition plan.: |
In accordance with the Strategic MRR, there is not a reasonable expectation of receiving two (2) or more quotes from small business entities.
A combined synopsis/inquiry will be posted on FedBizOpps for full and open competition in accordance with the Inquiry/Quote/Order process.
A firm-fixed price contract or a fixed price with economic price adjustment (tariff regulated) contract shall be used.
IQO orders will be competed in accordance with the Strategic Market Research Report and do not require a signed DD Form 2579 by the Office of Small Business Programs due to the volume and repetitive nature of these requirements.
| Provide FAR 5.202 exception.: |
| Explain.: Market research indicated there are no subcontracting possibilities. |
| (1) X if small business set-aside.: Off |
| (2) X if Section 8(a).: Off |
| If partial, enter percentage.: |
| (3) X if historically underutilized business zone (HUBZone) small business.: Off |
| (4) X if service-disabled veteran-owned small business.: Off |
| (5) X if economically disadvantaged women-owned small business (EDWOSB) set-aside.: Off |
| (6) X if women-owned small business (WOSB) eligible under WOSB program set-aside.: Off |
| (8) X if other than full and open competition not previously addressed.: Off |
| (9) X if full and open competition.: Off |
| (10) X if multiple award.: Off |
| X if contract.: Off |
| X if reserves.: Off |
| X if delivery order/task order.: Off |
| X if HUBZone price evaluation preference.: Off |
| (7) X if other set-aside.: Off |
| If other set-aside, cite authority.: |
| If reserves, list type(s) of small business.: |
| c. List details of previous award(s).: |
| 15.a. Contracting officer name (last, first, middle initial).: Rupright, Dale, L. |
| b. Email address.: Dale.l.rupright.civ@mail.mil |
| c. Signature.: |
| d. Date signed (4 digit year, 2 digit month, 2 digit day).: 20200124 |
| d. Date signed (4 digit year, 2 digit month, 2 digit day).: |
| b. Date signed (4 digit year, 2 digit month, 2 digit day).: |
| a. Name (last, first, middle initial).: |
| b. Email address.: |
| e. Date acquisition package provided to SBA (4 digit year, 2 digit month, 2 digit day).: |
| d. Date signed (4 digit year, 2 digit month, 2 digit day).: |
| f. Remarks.: |
| c. Remarks.: |
| e. Remarks.: |
| a. Name (last, first, middle initial).: |
| b. Email address.: |
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