Subcontract_Plan_Review_Form.pdf

Attachment B-Small Business Subcontracting Plan

U.S. Department of Education

SUBCONTRACTING PLAN REVIEW FORM

Requisition No: Multiple Awards? Yes: No: (If yes, attach a copy of each subcontracting plan)

PROJECT INFORMATION

Solicitation/Contract No.: MOD No. (If applicable):

Title of Acquisition:

Contractor’s Name:

Period of Performance: (mm/dd/yy-mm/dd/yy) Total Contract Amount (including options): $

Base Period (if there are options): $ Optional Task Period 1: $

Optional Task Period 2: $ Optional Task Period 3 (if applicable): $

Contracting Officer/Specialist Name: Tel&Fax:

Operating Component/Division: Email:

SUBCONTRACT PLAN REQUIREMENTS

1. Type of Plan (check one): Individual Master Commercial

(A=Acceptable; U=Unacceptable) C.O. SBS SBA/PCR

2. Subcontracting Goal Data A U A U A U

a. Total Subcontracting Dollars [(2b+2h=2a), except when subcontract baseline equals contract value]

b. Total Subcontracting Dollars & Percentage with Small Businesses (incl. SDB, WOSB, HUBZone, SDVOSB) - [Percentage of 2a.]

$ and %

c. Total Subcontracting Dollars & Percentage with Small Disadvantaged Businesses - [Percentage of 2.a.]

$ and %

d. Total Subcontracting Dollars & Percentage with Woman-owned Small Businesses - [Percentage of 2.a.]

$ and %

e. Total Subcontracting Dollars & Percentage with HUBZone Small Businesses - [Percentage of 2.a.]

$ and %

f. Total Subcontracting Dollars & Percentage with Veteran Owned Small Businesses - [Percentage of 2.a.]

g. Total Subcontracting Dollars & Percentage with Service-Disabled Veteran Small Businesses - [Percentage of 2.a.]

$ and %

Attachment B-Small Business Subcontracting Plan

h. Total Subcontracting Dollars & Percentage with “Other” than Small Businesses (i.e., large companies, non-profits, etc.) [Percentage of 2.a.]

$ and %

h. Subcontracting Opportunities (description of all principal products/services to be subcontracted to all types of concerns) i.j.k. Methodology used to develop goals & identify potential sources (e.g. historical trends, information on technical and competitive bidding, formula for calculating goals, etc.).