J-0200000-11 Contractor Self-Performance Certification.pdf

J-0200000-11

CONTRACTOR’S SELF-PERFORMANCE CERTIFICATION

AND NOTIFICATION OF SUBCONTRACTING

From: Company Name, Street Address, City, State, Zip

To: Name of Contracting Officer, FEAD/Office Name, Naval Facilities Engineering Command, Mid-Atlantic

Subj: Contract No. XXXXXX-XX-X-XXXX

1. In accordance with the provisions of DFARS Clause 252.219-7009, Section 8(a) Direct Award (Sep 2007), paragraph (c)(2), the Contracting Officer is hereby notified that Company intends to subcontract the following portion(s) of the requirements of this contract:

SUBCONTRACTOR INFORMATION

TYPE OF WORK TO BE

SUBCONTRACTED

PERCENT (%) OF

TOTAL CONTRACT

VALUE

NAME:

ADDRESS:

CAGE/DUNS:

PRIMARY NAICS:

COMPANY SIZE:

POC:

PHONE:

EMAIL:

NAME:

ADDRESS:

CAGE/DUNS:

PRIMARY NAICS:

COMPANY SIZE:

POC:

PHONE:

EMAIL:

* * Table may be expanded as needed.

2. Furthermore, in accordance with the provisions of FAR 52.219-14, Limitations on Subcontracting (Nov 2011), by submission of an offer and execution of this contract, Company agrees that in performance of this contract, in the case of a contract for –

(a) Services (except construction) - At least 50% of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

(b) Supplies (other than procurement from non-manufacturer of such supplies) - The concern shall perform work for at least 50% of the cost of manufacturing the supplies, not including the cost of materials.

(c) General construction - The concern will perform at least 20% of the cost of the contract, not including the cost of materials, with its own employees.

(d) Construction by special trade contractors - The concern will perform at least 25% of the cost of the contract, not including the cost of materials, with its own employees.

3. Additionally, Company certifies that they will self-perform the following work –

Description of Work Percentage of the

Total Contract Value

* * Table may be expanded as needed.

Note: Percentages of subcontracted work plus self-performed work should equal 100%.

4. No changes in subcontractors are allowed without prior written approval of the Contracting Officer and the SBA. The contractor shall notify the Contracting Officer and its SBA servicing center a minimum of 10 business days prior to any needed change.

The contractor shall not proceed with any requested change in advance of written approval from the Contracting Officer and the SBA. .

CONTRACTOR:

SIGNATURE NAME AND TITLE DATE

CONTRACTING OFFICER APPROVAL:

SBA APPROVAL: