Amendment 5 - Attachment 11 - Annual Small Business Subcontracting Compliance Report.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Post Award Information for D2T1 Awardees
Solicitation number
HSCG23-10-R-TABS00
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Amendment 5 - Attachment 11 - Annual Small Business Subcontracting Compliance Report

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Sheet1 TABSS Solicitation

AMENDMENT 5, ATTACHMENT 11

Annual Small Business Subcontracting Compliance Report

REPORTING PERIOD [MM/DD/YY] TO [MM/DD/YY]

[CONTRACTOR NAME]

TABSS IDIQ CONTRACT NUMBER: [ENTER]

[DOMAIN, SET-ASIDE TRACK]

REPORT DATE: [DD/MM/YY]

ABCDEFG
Task Order NumberTotal Task Order Amount (including modifications)Cumulative $ Value of Work CompletedSubcontractor NameSubcontractor's Socio-Economic Status under NAICS Code 541611Cumulative % of Task Order Work Performed by SubcontractorCumulative $ Value of Task Order Work Subcontracted

(=C*F)

EXAMPLE 1

(one subcontractor)

TO-12345$750,000.00$750,000.00Subcontractor A8(a)15.00%$112,500.00ERROR:#REF!DHS HQCommercial
EXAMPLE 2

(multiple subcontractors)

TO-67890$1,000,000.00$500,000.00Subcontractor AWOSB15.00%$75,000.00ERROR:#REF!FEMAGSA
Subcontractor BSDB7.00%$35,000.00ERROR:#REF!FLETC
Subcontractor CLarge3.00%$15,000.00ERROR:#REF!ICE
ERROR:#REF!TSA
ERROR:#REF!USCG
ERROR:#REF!USCIS
ERROR:#REF!USSS
ERROR:#REF!
ERROR:#REF!
ERROR:#REF!
TOTALS:1,750,000.001,250,000.00$237,500.00ERROR:#REF!
GUIDANCE:
1.) Use additional rows as necessary.
2.) 'Cumulative' means from date of contract award through the end of the reporting period
3.) Submission of this report to the USCG TABSS mailbox (TABSS@uscg.mil) constitutes certification that the report is accurate and complete.

Sheet2

Sheet3

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