Attach_10_SB_Participation_Commitment_Template.docx
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- Attached to
- Analysis of Mobility Platform (AMP) Federal contract opportunity
- Solicitation number
- HTC71117RD001
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Attachment 10 - Small Business Participation Commitment Template
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HTC71117RD001
Attachment 10
SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT TEMPLATE
All offerors (both large and small businesses) are required to complete a Small Business Participation Plan.
I. IDENTIFICATION DATA:
Company Name:________________________________________________________________
Address: ______________________________________________________________________
Description of Supplies/Services: _______________________________________________________ Solicitation Number: ____________________________________________________________
| Period of Performance |
| Total Contract Value |
Base Period
Total Price
SMALL BUSINESS PARTICIPATION REQUIREMENTS
Offerors shall propose the level of participation of small businesses (as primes and subcontractors) in the performance of this acquisition per stated RFP requirements.
(a) Check the applicable size and categories for the PRIME offeror only:
{ } Large Business or
| { } Small Business Prime; please indicate applicable socio-economic category (ies): |
| { } Small Disadvantaged Business (SDB) |
| { } Woman-Owned Small Business (WOSB) |
| { } Historically Underutilized Business Zone (HUB Zone) Small Business |
| { } Veteran Owned Small Business (VOSB) |
| { } Service Disabled Veteran Owned Small Business (SDVOSB) |
(b) Dollar value and percent of small business participation:
· Total Proposed Price (Contract Value): $__________________
· Total Proposed Subcontracting Value: $__________________
· Dollar value of small business participation (for contract and all options): $________________
· Percent of small business participation as a percent of total (proposed) contract value: _____%
(c) In accordance with (IAW) PGI 215.304 (c)(i)(A) identify specific small businesses, business size category, the types of products/services, and the type of commitment (small business prime, written contract, verbal, joint venture, mentor-protégé agreement, etc.) Offerors shall provide documentation that substantiates the commitment of the teaming partners / subcontractors listed. All letters of commitment, joint venture agreements, teaming agreements are excluded from the page count.
| NAME |
| BUSINESS SIZE TYPE |
| PRODUCT/SERVICE (Ref. PWS Paragraph) |
| COMPLEXITY OF WORK |
| TYPE OF COMMITMENT |
| ESTIMATED AMOUNT |
EXAMPLE
Rock, Inc.
| SB/HUBZone/SDB |
| 1.3.1.7 Task 1 Subtask 7: Subject Matter Expertise (SME) |
| Difficult, mediocre or not complicated type task |
| Enforceable Letter of Commitment or No letter of commitment at this time or verbal commitment |
| $###,###.## |
(d) IAW Defense Federal Regulation 215.304(c)(i)(C), the offeror (large business concerns) shall include in their subcontracting plan the names of small business concerns identified in the participation commitment plan with enforceable letters of commitment.
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