Attachment 4 SB Participation Commitment Document Amendment 0001.pdf
PDF 91 KB Posted
- Solicitation number
- HT0014-25-R-0008
- Issued by
-
Defense Health Agency
About this file
This is a Small Business Participation Commitment Document (SBPCD) template that contractors must complete to document their small business participation plans for the Defense Health Agency's Financial Improvement & Audit Remediation (FIAR) services solicitation (HT0014-25-R-0008). The form requires contractors to indicate their business size and socioeconomic categories (Other than Small Business or Small Business with subcategories including SDB, WOSB, HUBZone, and SDVOSB).
The document contains three main sections: 1) Prime Contractor Size certification, 2) Minimum Quantitative Requirement (MQR) table to record dollar values and percentages of total contract value allocated across various small business categories, and 3) Small Business Participants table where contractors must list details about their small business partners including company names, CAGE/DUNS numbers, business categories, products/services to be provided, NAICS codes, and nature of commitment. Any changes to small business participants must be pre-approved by the Contracting Officer.
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Text version
Small Business Participation Commitment Document (SBPCD)
1. Prime Contractor Size:
Indicate the applicable size and socioeconomic categories -- all that apply:
{ } Other than Small Business or { } Small Business also categorized as a
{ } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)
2. Minimum Quantitative Requirement (MQR) -- Participation of Small Businesses* *Small Business Participation, reporting applies
Total Contract Value (Awarded) $
Minimum Quantitative Requirement (MQR)
Business Category Dollar Value % of Total Contract Value
Total Contract Value – Prime Contractor $ % Total Small Business $ %
Small Disadvantaged Business $ % Woman-Owned Small Business $ % HUBZone Small Business $ % Veteran-Owned Small Business $ % Service-Disabled Veteran-Owned Small Business $ %
Total: $ %
Other than Small Business $ %
3. Small Business Participants *
* Changes must be pre-approved by Contracting Officer
Company Name
Cage Code/DUNS #
Business Category(ies)
(SB, WOSB,
SDB, VOSB,
SDVOSB,
HUBZone)
Product(s)/Service(s) to be Provided
NAICS
Code
Nature of Commitment
| 1. Prime Contractor Size: |
| { } Other than Small Business or |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Total Contract Value Awarded: |
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File details come from the government source that posted it. Updated .