Attachment_J-10__Small_Business_Participation_Commitment_Document.pdf

Attachment J-10

Small Business Participation Commitment Document (SBPCD)

1. Prime Contractor Size:

Indicate the applicable size and socioeconomic categories -- all that apply:

{ } Other than Small Business

{ } Small Business

{ } Small Disadvantaged Business (SDB)

{ } Woman-Owned Small Business (WOSB)

{ } Historically Underutilized Business Zone (HUBZone) Small Business

{ } Veteran-Owned Small Business

{ } Service Disabled Veteran Owned Small Business (SDVOSB)

2. Minimum Quantitative Requirement (MQR) -- Participation of Small Businesses*

*Small Business Participation, reporting applies

For every $100,000,000 ordered under CLINs x003 Unclassified Cloud Support Package, small business participation goals throughout the life of the ID/IQ contract are identified below. In execution, the JEDI Cloud

Contracting Officer will determine whether the Contractor has met the small business participation goals identified below based on the actual value of all orders placed annually.

Business Category Dollar Value Percentage

Small Business $ %

Small Disadvantaged Business $ %

Woman-Owned Small Business $ %

HUBZone Small Business $ %

Veteran-Owned Small Business $ %

Service-Disabled Veteran-Owned Small Business $ %

Total Small Business Participation (do not double count concerns that qualify under multiple categories):

3. Small Business Participants *

* Changes must be pre-approved by Contracting Officer per Section H clause in the contract

Company

Name

Business

Category(ies)

(SB, WOSB, SDB,

VOSB, SDVOSB)

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of

Commitment