HC1047-17-R-0001_-_Attachment_8_-_Small_Business_Participation_and_Committment_Proposal_Format.docx

Small Business Participation and Commitment Proposal Format

(a) Check the applicable size and categories for the PRIME offeror only -- Check all applicable boxes:

{ } Large Prime { } Historically Black Colleges or Universities and Minority Institutions (HBCU) or { } Small Business Prime; also categorized as a { } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUB Zone) Small Business { } Veteran Owned Small Business (VOSB) { } Service Disabled Veteran Owned Small Business (SDVOSB)

(b) Submit the total combined percentage of work to be performed by both large and small businesses (include the percentage of work to be performed both by Prime and Subcontractors):

Example: If Prime proposes a price of $1,000,000 (including all options), and small business(es) will provide $250,000 in services/supplies as a prime or subcontractor, the % planned for small businesses is 25%; and 75% for large business equaling 100%.

Total Percentage planned for Large Business(es) _______% = $ _______

Total Percentage planned for Small Business(es) _______% = $ _______

100% = $ _______

(c) Please indicate the total percentage of participation to be performed by each type of subcategory small business. The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:

Example: Victory Prop Mgt (WOSB and SDVOSB) performing 2%; and Williams Group (SDB, HUBZone and WOSB) performing 3%. Results equate to: SDB 3%; HUBZone 3%; WOSB 5%; SDVOSB 2%; VOSB 2%;). SDVOSBs are also VOSBs automatically; however VOSBs are not automatically SDVOSBs.

Detailed explanations must be provided when the percentages fall short of the participation goal listed within the RFP. The Government does not recognize zero percent as a goal. However, if zero percent goals are submitted they must be supported with a detailed explanation and/or a mitigation plan to address how the Offeror will achieve participation where zero goals are cited. If the Offeror does not submit a detailed rationale/explanation, the zero percentage will be evaluated as a weakness. All percentages should use the value of the total acquisition as a baseline. The SBEB must be able to verify that each percentage is based on the value of the total acquisition.

The Government must be able to verify that each percentage is based on the value of the total acquisition.

(d) List principal supplies/services to be performed by Small Businesses:

Example: If a Small Business qualifies also as a WOSB and a SDVOSB, you can add them to each category below in which they qualify.

Name of Company Identify Type of Service/Supply

Small Business (SB):

Small Disadvantaged Business (SDB):

Women-Owned Small Business (WOSB):

Historically Underutilized Business Zone (HUB Zone):

Veteran Owned Small Business (VOSB):

Service Disabled Veteran Owned Small Business (SDVOSB):

Historically Black Colleges and Universities and Minority Institutions (HBCU/MI):

(e) Describe the extent of commitment to use small businesses (for example, what types of commitments if any are in place for this specific acquisition either – small business prime, written contract, verbal, enforceable, non-enforceable, joint venturing, mentor-protégé, etc.). Provide documentation regarding enforceable commitments to utilize any Small Business category, as defined in FAR Part 19, as subcontractors. Documentation validating business relationships described must be submitted. Demonstrating proof of enforceable commitments is to be weighted more heavily than non-enforceable ones. Each enforceable commitment must be specific to the subject requirement and include acknowledgement via signatures by both parties. Duly authorized and fully executed documentation validating the subject business relationships must be submitted.