ATTACHMENT_4--DHS_Subcontracting_Plan_Review_Checklist_DHS_Form_700-23_HSFE70-16-R-0005.pdf

DHS Form 700-23 (10/14) Page 1 of 3

Attachment 4 -- HSFE70-16-R-0005

DEPARTMENT OF HOMELAND SECURITY

DHS SUBCONTRACTING PLAN

REVIEW CHECKLIST

All items on this checklist should be completed with information from the proposed prime contract and the subcontracting plan. If the plan is missing any item listed in Section II, "Required Elements of the Subcontracting Plan", it is incomplete and shall not be accepted by the Contracting Officer. After the completed plan is reviewed by the component Small Business Specialist (SBS), it shall be submitted to the SBA Procurement Center Representative (PCR) for review. An acceptable plan must be approved by the Contracting Officer (CO) prior to contract award.

Contractor/Address:

Contract Number: Contract Value: Base Options

Expiration Date: Base Options

Product or Service:

I. TYPE OF SUBCONTRACTING PLAN (check one)

Individual Contract Plan Master Plan with Individual Goals Commercial Products Plan

II. REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN YES NO

A. PLAN ADMINISTRATOR

1. Administrator's Name Telephone #

2. Description of his/her duties relating to the administration of this subcontracting plan.

B. EFFORTS TO ENSURE EQUITABLE OPPORTUNITY

Description of efforts to assure that small businesses have an equitable opportunity to compete for subcontracts.

C. CLAUSE INCLUSION AND FLOW DOWN

1. FAR 52.219-8 will be included in all subcontracts which offer further subcontracting opportunities.

2. Subcontractors, except small businesses, who receive subcontracts over the applicable threshold ($650,000 or $1,500,000 for construction) will adopt a similar subcontracting plan.

D. REPORTING AND COOPERATION

1. Agreement to submit reports into eSRS (ISR & SSR); and

2. Agreement to cooperate in studies, surveys, etc. conducted by the ACO, PCO, SBA and others.

DHS Form 700-23 (10/14) Page 2 of 3

E. RECORD KEEPING YES NO

1. Description of records maintained to show compliance with plan requirements and procedures.

2. Source lists and vendor data on SB, SDB, WOB, HUBZone, VOSB & SDVOSB concerns.

3. Lists of organizations contacted for sources.

4. For each contract, bidder's lists on subcontract solicitations over $150,000 (explain absence of SB, SDB, WOB, HUBZone, VOSB, or SDVOSB concerns) and reasons if responding SB concerns failed to receive award.

5. Efforts made to develop SB, SDB, WOB, HUBZone, VOSB & SDVOSB sources.

6. Description of buyer training and monitoring.

7. For other than Commercial Plans, on each subcontract, name, address, size and business type of awardee.

F. DESCRIPTION OF GOOD FAITH EFFORTS TO ACHIEVE THE PLAN

G. GOALS (Note: % are calculated against the total subcontracting dollars in item #1)

1. Total Subcontracting

Base Period 1st Option 2nd Option 3rd Option 4th Option

2. Small Business Subcontracting (subset of item 1)

Base Period 1st Option 2nd Option 3rd Option 4th Option

3. Small Disadvantaged Business Subcontracting (subset of item 2)

Base Period 1st Option 2nd Option 3rd Option 4th Option

4. Women-Owned Small Business Subcontracting (subset of item 2)

Base Period 1st Option 2nd Option 3rd Option 4th Option

5. HUBZone Small Business Subcontracting (subset of item 2)

Base Period 1st Option 2nd Option 3rd Option 4th Option

6. Veteran-Owned Small Business Subcontracting (subset of item 2)

Base Period 1st Option 2nd Option 3rd Option 4th Option

7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2)

Base Period 1st Option 2nd Option 3rd Option 4th Option

DHS Form 700-23 (10/14) Page 3 of 3

H. DESCRIPTIONS AND EXPLANATIONS

8. Description of subcontracted items and services:

YES NO

9. Description of method of developing goals.

10. Are overhead and other indirect costs included in the plan goals?

11. If yes, description of method allocating these costs to the plan.

12. Description of method of identifying sources to solicit.

13. Timely payments to subcontractors.

III. PLAN EVALUATION

A. Sources checked to determine contractor compliance with previous subcontracting plans and verify reasonableness of proposed goals:

1. SBA Regional Procurement Assistance staff

2. Defense Contract Management Command (DCMC) Small Business Specialist:

Rating:

3. Other Agency Contracting Officers: No Yes, Name:

YES NO N/A

B. Copy of approval letter for Commercial Products Plan.

C. Copy of letter approving administrative elements of Master Plan.

D. Master Plan includes separate goals.

E. Plan demonstrates the Contractor's good faith efforts to use small business concerns as subcontractors to the maximum extent practicable.

IV. SIGNATURES/REVIEW

Name/Small Business Specialist Date

Name/SBA/PCR Date

ACCEPT/APPROVAL

Name/Contracting Officer Date