HH MACC_Exhibit D_Past Performance_Small Business Participation.docx
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- Solicitation number
- N62473-21-R-1402
About this file
This document outlines requirements for an indefinite delivery indefinite quantity multiple award construction contract to provide heavy horizontal and civil engineering construction services at various government installations in six Western states. Up to three contracts will be awarded, with two reserved for highly qualified small businesses. Services include new construction, renovation, and repair projects such as ranges, drainage, earthwork, and utilities. The estimated maximum value is $1 billion over eight years. Phase one proposals are due in June 2021 and will be evaluated for technical approach, experience, and past performance without discussions. Phase two will evaluate safety, a sample task order technical solution, small business participation, and price. Awards will be made to offerors providing the best value. The Navy Facilities Engineering Command and Small Business Administration concur with the unrestricted solicitation and small business set-asides.
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Text version
EXHIBIT “D”
PAST PERFORMANCE – SMALL BUSINESS PARTICIPATION
N62473-21-R-1402
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for evaluation of Factor 2, Past Performance. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).
Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. If goals were not established for a project, mark N/A.
Items (a) – (h) are for SUBCONTRACTED values only. Small Business Offerors shall not include self-performed work under these items.
| Business Size: |
| |_| Large |
| |_| Small |
| |_| Small Disadvantaged |
| |_| Women-Owned Small Business |
| |_| HUBZone Small Business |
| |_| Veteran-Owned Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Other: |
Project #1: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #2: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
(h) Service-Disabled Veteran-Owned Small Business Concerns
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #3: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #4: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #5: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Note: Form may be expanded.
Exhibit “D” - Past Performance – Small Business Utilization, Page 3 of 3
(Rev 6/2019)
File details come from the government source that posted it. Updated .