DHS_Form_700-23.pdf
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- LOGHOUSE Federal contract opportunity
- Solicitation number
- HSFE80-17-R-0005
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Section J - Attachment 59 - DHS Form 700-23
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II. REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN
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.
DHS Form 700-23 (6/17)
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
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 ($700,000 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) in accordance with FAR 19.704 (10)(iii)-(vii) Subcontracting Plan Requirements; and
2. Agreement to cooperate in studies, surveys, etc. conducted by the ACO, PCO, SBA and others.
E. RECORD KEEPING
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.
DHS Form 700-23 (6/17)
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.
1. Assurances that the offeror will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that the offeror used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal.
2. Assurances that the contractor will provide the contracting officer with a written explanation if the contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work. This written explanation will be submitted to the contracting officer within 30 days of contract completion;
3. Assurances that the offeror will pay its small business subcontractors on time and in accordance with the terms and conditions of the subcontract, and notify the contracting officer if the offeror pays a reduced or an untimely payment to a small business subcontractor.
1. Total Subcontracting Base Period 1st Option 2nd Option 3rd Option 4th Option
Base Period
Base Period
Base Period
4th Option3rd Option2nd Option1st OptionBase Period
1st Option 2nd Option 3rd Option 4th Option
4th Option3rd Option2nd Option1st OptionBase Period
1st Option 2nd Option 3rd Option 4th Option
4th Option3rd Option2nd Option1st OptionBase Period
1st Option 2nd Option 3rd Option 4th Option
2. Small Business Subcontracting (subset of item 1)
3. Small Disadvantaged Business Subcontracting (subset of item 2)
4. Women-Owned Small Business Subcontracting (subset of item 2)
5. HUBZone Small Business Subcontracting (subset of item 2)
6. Veteran-Owned Small Business Subcontracting (subset of item 2)
7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2)
NOYES
F. DESCRIPTION OF GOOD FAITH EFFORTS TO ACHIEVE THE PLAN
G. GOALS (Note: % are calculated against the total subcontracting dollars in item #1)
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.
8. Description of subcontracted items and services:
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.
A. Sources checked to determine contractor compliance with previous subcontracting plans and verify reasonableness of proposed goals.
B. Obtain information available from the cognizant contract administration office:
No Yes, Name:
C. Evaluate the offeror's past performance in awarding subcontracts for the same or similar products or services to small business concerns.
IV. SIGNATURES/REVIEW
Name/Small Business Specialist Date
DateName/SBA/PCR
ACCEPT/APPROVAL
Name/Contracting Officer Date
Page 3 of 3DHS Form 700-23 (6/17)
NOYES
H. DESCRIPTIONS AND EXPLANATIONS
III. PLAN EVALUATION
D. Evaluate the offeror's overall past performance and consider the performance of other contractors on similar efforts.
E. Other Agency Contracting Officers: No Yes, Name:
II. REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN
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.
DHS Form 700-23 (6/17) 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
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 ($700,000 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) in accordance with FAR 19.704 (10)(iii)-(vii) Subcontracting Plan Requirements; and
2. Agreement to cooperate in studies, surveys, etc. conducted by the ACO, PCO, SBA and others.
E. RECORD KEEPING
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.
DHS Form 700-23 (6/17)
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.
1. Assurances that the offeror will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that the offeror used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal.
2. Assurances that the contractor will provide the contracting officer with a written explanation if the contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work. This written explanation will be submitted to the contracting officer within 30 days of contract completion;
3. Assurances that the offeror will pay its small business subcontractors on time and in accordance with the terms and conditions of the subcontract, and notify the contracting officer if the offeror pays a reduced or an untimely payment to a small business subcontractor.
1. Total Subcontracting Base Period 1st Option 2nd Option 3rd Option 4th Option Base Period Base Period Base Period 4th Option 3rd Option 2nd Option 1st Option Base Period 1st Option 2nd Option 3rd Option 4th Option 4th Option 3rd Option 2nd Option 1st Option Base Period 1st Option 2nd Option 3rd Option 4th Option 4th Option 3rd Option 2nd Option 1st Option Base Period 1st Option 2nd Option 3rd Option 4th Option
2. Small Business Subcontracting (subset of item 1)
3. Small Disadvantaged Business Subcontracting (subset of item 2)
4. Women-Owned Small Business Subcontracting (subset of item 2)
5. HUBZone Small Business Subcontracting (subset of item 2)
6. Veteran-Owned Small Business Subcontracting (subset of item 2)
7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2)
NO
YES
F. DESCRIPTION OF GOOD FAITH EFFORTS TO ACHIEVE THE PLAN
G. GOALS (Note: % are calculated against the total subcontracting dollars in item #1)
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.
8. Description of subcontracted items and services:
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.
A. Sources checked to determine contractor compliance with previous subcontracting plans and verify reasonableness of proposed goals.
B. Obtain information available from the cognizant contract administration office:
No Yes, Name:
C. Evaluate the offeror's past performance in awarding subcontracts for the same or similar products or services to small business concerns.
IV. SIGNATURES/REVIEW
Name/Small Business Specialist Date Date Name/SBA/PCR
ACCEPT/APPROVAL
Name/Contracting Officer Date DHS Form 700-23 (6/17)
NO
YES
H. DESCRIPTIONS AND EXPLANATIONS
III. PLAN EVALUATION
D. Evaluate the offeror's overall past performance and consider the performance of other contractors on similar efforts.
E. Other Agency Contracting Officers:
No Yes, Name:
U.S. Department of Homeland Security, Acquisition Policy and Legislation DHS Subcontracting Plan Review Checklist DHS Form 700-23
| Contractor/Address.: |
| Contract Number.: |
| Contract Value: Base.: |
| Options.: |
| Expiration Date. Enter 2-digit month, 2-digit day and 4-digit year.: |
| Base Options.: |
| Product or Service.: |
| 1. TYPE OF SUBCONTRACTING PLAN (check one). Individual Contract Plan.: 0 |
| 1. TYPE OF SUBCONTRACTING PLAN (check one). Master Plan with Individual Goals.: 0 |
| 1. TYPE OF SUBCONTRACTING PLAN (check one). Commercial Products Plan.: 0 |
| 2. REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN. A. PLAN ADMINISTRATOR. 1. Administrator's Name.: |
| A. 1. Administrator's Telephone Number.: |
| A. 1. Plan Administrator. Yes.: 0 |
| A. 1. No.: 0 |
| A. 2. No.: 0 |
| A. 2. Description of his/her duties relating to the administration of this subcontracting plan. Yes.: 0 |
| B. No.: 0 |
| B. Description of efforts to assure that small businesses have an equitable opportunity to compete for subcontracts. Yes.: 0 |
| C. 1. No.: 0 |
| C. 1. FAR 52.219-8 will be included in all subcontracts which offer further subcontracting opportunities. Yes.: 0 |
| C. 2. No.: 0 |
| C. 2. Subcontractors, except small businesses, who receive subcontracts over the applicable threshold ($700,000 or $1,500,000 for construction) will adopt a similar subcontracting plan. Yes.: 0 |
| D. 1. No.: 0 |
| D. 1. Agreement to submit reports into e S R S (I S R and S S R) in accordance with FAR 19.704 (10)(3)-(7) Subcontracting Plan Requirements. Yes.: 0 |
| D. 2. No.: 0 |
| D. 2. Agreement to cooperate in studies, surveys, etc. conducted by the A. C O, P C O, S B A. and others. Yes.: 0 |
| E. 1. No.: 0 |
| E. 1. Description of records maintained to show compliance with plan requirements and procedures. Yes.: 0 |
| E. 2. Source lists and vendor data on S B, S D B, W O B, HUB Zone, V O S B and S D V O S B concerns. Yes.: 0 |
| E. 2. No.: 0 |
| E. 3. No.: 0 |
| E. 3. Lists of organizations contacted for sources. Yes.: 0 |
| Fourth Option Percent.: |
| Fourth Option Percent.: |
| Fourth Option Percent.: |
| Fourth Option Percent.: |
| Fourth Option Percent.: |
| Fourth Option Percent.: |
| G. 3. Small Disadvantaged Business Subcontracting (subset of item 2). Fourth Option.: |
| G. 4. Women-Owned Small Business Subcontracting (subset of item 2). Third Option.: |
| G. 4. Women-Owned Small Business Subcontracting (subset of item 2). Fourth Option.: |
| E. 4. For each contract, bidder's lists on subcontract solicitations over $150,000 (explain absence of S B, S D B, W O B, HUB Zone, V O S B, or S D V O S B concerns) and reasons if responding S B concerns failed to receive award. Yes.: 0 |
| E. 4. No.: 0 |
| E. 5. Efforts made to develop S B, S D B, W O B, HUB Zone, V O S B and S D V O S B sources. Yes.: 0 |
| E. 5. No.: 0 |
| E. 6. Description of buyer training and monitoring. Yes.: 0 |
| E. 6. No.: 0 |
| E. 7. For other than Commercial Plans, on each subcontract, name, address, size and business type of awardee. Yes.: 0 |
| E. 7. No.: 0 |
| G. 1. Total Subcontracting. Base Period.: |
| G. 1. Total Subcontracting. First Option.: |
| G. 1. Total Subcontracting. Second Option.: |
| G. 1. Total Subcontracting. Third Option.: |
| G. 1. Total Subcontracting. Fourth Option.: |
| G. 2. Small Business Subcontracting (subset of item 1). Base Period.: |
| G. 3. Small Disadvantaged Business Subcontracting (subset of item 2). Base Period.: |
| G. 4. Women-Owned Small Business Subcontracting (subset of item 2). Base Period.: |
| G. 5. HUBZone Small Business Subcontracting (subset of item 2). Base Period.: |
| G. 6. Veteran-Owned Small Business Subcontracting (subset of item 2). Base Period.: |
| G. 7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2). Base Period.: |
| G. 2. Small Business Subcontracting (subset of item 1). First Option.: |
| G. 3. Small Disadvantaged Business Subcontracting (subset of item 2). First Option.: |
| G. 4. Women-Owned Small Business Subcontracting (subset of item 2). First Option.: |
| G. 5. HUBZone Small Business Subcontracting (subset of item 2). First Option.: |
| G. 6. Veteran-Owned Small Business Subcontracting (subset of item 2). First Option.: |
| G. 7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2). First Option.: |
| G. 2. Small Business Subcontracting (subset of item 1). Second Option.: |
| G. 3. Small Disadvantaged Business Subcontracting (subset of item 2). Second Option.: |
| G. 4. Women-Owned Small Business Subcontracting (subset of item 2). Second Option.: |
| G. 5. HUBZone Small Business Subcontracting (subset of item 2). Second Option.: |
| G. 6. Veteran-Owned Small Business Subcontracting (subset of item 2). Second Option.: |
| G. 7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2). Second Option.: |
| G. 2. Small Business Subcontracting (subset of item 1). Third Option.: |
| G. 3. Small Disadvantaged Business Subcontracting (subset of item 2). Third Option.: |
| G. 5. HUBZone Small Business Subcontracting (subset of item 2). Third Option.: |
| G. 6. Veteran-Owned Small Business Subcontracting (subset of item 2). Third Option.: |
| G. 7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2). Third Option.: |
| G. 2. Small Business Subcontracting (subset of item 1). Fourth Option.: |
| G. 5. HUBZone Small Business Subcontracting (subset of item 2). Fourth Option.: |
| G. 6. Veteran-Owned Small Business Subcontracting (subset of item 2). Fourth Option.: |
| G. 7. Service Disabled Veteran-Owned Small Business Subcontracting (subset of item 2). Fourth Option.: |
| Base Period Percent.: |
| Base Period Percent.: |
| Base Period Percent.: |
| Base Period Percent.: |
| Base Period Percent.: |
| Base Period Percent.: |
| First Option Percent.: |
| First Option Percent.: |
| First Option Percent.: |
| First Option Percent.: |
| First Option Percent.: |
| First Option Percent.: |
| Second Option Percent.: |
| Second Option Percent.: |
| Second Option Percent.: |
| Second Option Percent.: |
| Second Option Percent.: |
| Second Option Percent.: |
| Third Option Percent.: |
| Third Option Percent.: |
| Third Option Percent.: |
| Third Option Percent.: |
| Third Option Percent.: |
| Third Option Percent.: |
| F. 1. No.: 0 |
| F. 2. Assurances that the contractor will provide the contracting officer with a written explanation if the contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work. This written explanation will be submitted to the contracting officer within 30 days of contract completion. Yes.: 0 |
| F. 3. No.: 0 |
| F. 3. Assurances that the offeror will pay its small business subcontractors on time and in accordance with the terms and conditions of the subcontract, and notify the contracting officer if the offeror pays a reduced or an untimely payment to a small business subcontractor. Yes.: 0 |
| F. 2. No.: 0 |
| F. 1. Assurances that the offeror will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that the offeror used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal. Yes.: 0 |
| H. 8. Description of subcontracted items and services. Line 1 of 2.: |
| H. 8. Description of subcontracted items and services. Line 2 of 2.: |
| H. 9. Description of method of developing goals. Yes.: 0 |
| H. 9. No.: 0 |
| H. 10. No.: 0 |
| H. 10. Are overhead and other indirect costs included in the plan goals? Yes.: 0 |
| H. 11. No.: 0 |
| H. 11. If yes, description of method allocating these costs to the plan. Yes.: 0 |
| H. 12. No.: 0 |
| H. 12. Description of method of identifying sources to solicit. Yes.: 0 |
| H. 13. No.: 0 |
| H. 13. Timely payments to subcontractors. Yes.: 0 |
| D. Evaluate the offeror's overall past performance and consider the performance of other contractors on similar efforts.: |
| E. Other Agency Contracting Officers. No.: 0 |
| E. Other Agency Contracting Officers. No.: 0 |
| E. Yes, Name.: |
| Signature Date. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Signature Date. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Signature Date. Enter 2 digit month, 2 digit day and 4 digit year.: |
| ACCEPT/APPROVAL. Signature of Name / Contracting Officer. This is a Digital Signature field.: |
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