J-4 ADAP Form 219-704 Subcontracting Plan Format.docx

ADAP FORM 219-704

SUBCONTRACTING PLAN (JAN 2024)

SOLICITATION or CONTRACT NUMBER: ________HQ003426RE004______

Project Title: ROOF FALL PROTECTION SYSTEM (RFPS), PENTAGON

This plan follows the format for addressing the fifteen elements as shown at Federal Acquisition Regulation (FAR) 52.219-9(d). If any of the information below is not consistent with FAR 52.219-9(d), the requirement at FAR 52.219-9(d) will supersede this document. Please be sure to address all fifteen elements at FAR 52.219-9(d).

Contractor: _________________________________________________________________

Address: ___________________________________________________________________

Approximate Value of Contract: ________________________________

( ) Individual Plan ( ) Master Plan ( ) Commercial Plan

(1) – GOALS

State the percentage of total planned subcontracting dollars that will go to all Small Business (SB) concerns, Historically Underutilized Business Zone (HUBZone) SB concerns, Small Disadvantaged Business (SDB) concerns, Woman-Owned SB (WOSB) concerns, Veteran- Owned SB (VOSB) concerns, and Service-Disabled Veteran-Owned SB (SDVOSB) concerns.

NOTE: For contracts containing options, the percentage goals and dollars must be shown separately for the basic contract period and for EACH option period.

All subcontracts that contribute to contract performance must be included, and a proportionate share of products and services that are normally allocated as indirect costs may be included.

Subcontracts awarded to an Alaska Native Corporation (ANC) or Indian tribe must be counted towards the subcontracting goals for SB and SDB concerns, regardless of the size or Small Business Administration (SBA) certification status of the ANC or Indian tribe.

Basic – Year 1:

and SDVOSB when applicable.)

Option – Year 2:

and SDVOSB when applicable.)

Option – Year 3:

and SDVOSB when applicable.)

Option - Year 4:

and SDVOSB when applicable.)

Option - Year 5:

and SDVOSB when applicable.)

(2) – STATEMENT OF DOLLARS

The following dollar values correspond to the percentage goals in (1).

HUBZone SB, SDB, WOSB, VOSB, and SDVOSB):

and Indian tribes):

Option – Year 2 (Total contract value of $ ):

HUBZone SB, SDB, WOSB, VOSB, and SDVOSB):

and Indian tribes):

Option – Year 3 (Total contract value of $ ):

HUBZone SB, SDB, WOSB, VOSB, and SDVOSB):

and Indian tribes):

Option – Year 4 (Total contract value of $ ):

HUBZone SB, SDB, WOSB, VOSB, and SDVOSB):

and Indian tribes):

SUBCONTRACTING PLAN FORMAT (DEC 2022)

Option – Year 5 (Total contract value of $ ):

HUBZone SB, SDB, WOSB, VOSB, and SDVOSB):

and Indian tribes):

(3) – DESCRIPTION OF PRINCIPAL TYPES OF SUPPLIES AND SERVICES TO BE SUBCONTRACTED AND TYPES OF BUSINESSES SUPPLYING THEM (Check all that apply)

(4) – METHOD USED TO DEVELOP GOALS

Explain how you arrived at your percentage goals and dollars for subcontracting to SB, HUBZone SB, SDB, WOSB, VOSB, and SDVOSB.

(5) – METHOD USED TO IDENTIFY POTENTIAL SUBCONTRACTING SOURCES

(Check all that apply) System for Award Management (SAM) database

Company Source Lists.

U.S. Department of Commerce Minority Business Development Agency’s Research and Information Service.

SB, HUBZone SB, SDB, WOSB, VOSB, and SDVOSB Service/Trade Associations.

SBA’s Lists of Certified SDB and HSB Concerns.

SB and Minority Business trade fairs or conferences

Other: Explain –

(6) – INDIRECT COSTS (Check which applies.)

Indirect costs have not been included in establishing subcontracting goals.

Indirect costs have been included in establishing subcontracting goals.

If included, describe how you determine the proportionate share of indirect costs incurred with: SB (Including ANCs and Indian tribes):

HUBZone SB:

SDB (Including ANCs and Indian tribes):

WOSB:

VOSB:

SDVOSB:

(7) – ADMINISTRATION OF SUBCONTRACTING PROGRAM

The following individual employed by the offeror will administer this subcontracting plan: Name:

Address:

Telephone:

Title:

Description of Duties:

(8) – EQUITABLE OPPORTUNITY TO COMPETE (Check which apply.)

Describe your efforts to ensure that SB, HUBZone SB, SDB, WOSB, VOSB, and SDVOSB will have an equitable opportunity to compete for subcontracts. These efforts include, but are not limited to, the following activities:

Outreach Efforts to Obtain Sources:

Internal Efforts to Guide and Encourage Purchasing Personnel:

(9) – INCLUSION OF FAR CLAUSE 52.219-8, “UTILIZATION OF SMALL BUSINESS CONCERNS,” IN SUBCONTRACTS Place a check by each statement as assurance that the following will be done:

(10) – REQUIREMENT TO COOPERATE IN STUDIES AND SUBMISSION OF REPORTS

_____ I will provide this prime contract number, its DUNS number, and the e-mail address of our company official responsible for acknowledging receipt of or rejecting the ISRs, to all first-tier subcontractors with subcontracting plans so they can enter this information into the eSRS when submitting their ISRs.

_____ I will require that each subcontractor with a subcontracting plan provide the prime contract number, its own DUNS number, and the e-mail address of the subcontractor’s official responsible for acknowledging receipt of or rejecting the ISRs, to its subcontractors with subcontracting plans.

(11) – DESCRIPTION OF TYPES OF RECORDS TO BE MAINTAINED; AND A DESCRIPTION OF THE CONTRACTOR’S EFFORTS TO LOCATE SB CONCERNS AND AWARD SUBCONTRACTS TO THEM (Check if in agreement)

_____ I agree to maintain the following records to show compliance with this subcontracting plan:

a. Source lists (e.g. SAM), guides, and other data that identify SB, HUBZone SB, SDB, WOSB, VOSB and SDVOSB concerns.

b. Records on organizations contacted to locate SB, HUBZone SB, SDB, WOSB, VOSB and SDVOSB sources.

c. Records on each subcontract solicitation resulting in an award of more than $250,000, on the date of subcontract award, indicating

(1) Whether SB concerns were solicited and, if not, why not.

(2) Whether HUBZone SB concerns were solicited and, if not, why not.

(3) Whether SDB concerns were solicited and, if not, why not.

(4) Whether WOSB concerns were solicited and, if not, why not.

(5) Whether VOSB concerns were solicited and, if not, why not.

(6) Whether SDVOSB concerns were solicited and, if not, why not.

(7) If applicable, the reason award was not made to a SB, HUBZone SB, SDB, WOSB, VOSB, or SDVOSB concern.

d. Records of outreach efforts to contact:

(1) Trade/service associations.

(2) Business development organizations.

(3) Conferences and trade fairs to locate SB, HUBZone SB, SDB, WOSB, VOSB, and SDVOSB sources.

(4) Veterans service organizations.

e. Records of internal guidance and encouragement provided to buyers through:

(1) Workshops, seminars, training, etc.

(2) Monitoring performance to evaluate compliance with the program’s requirements.

f. On a contract-by-contract basis, records to support award data submitted to the government, including the name, address, and business size of each subcontractor.

(12) – Good Faith Effort

Place a check by each statement as assurance that the following will be done:

Contractor 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 it 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. Responding to a request for a quote does not constitute use in preparing a bid or proposal.

_____ The offeror identifies the small business concern as a subcontractor in the bid or proposal or associated small business subcontracting plan, to furnish certain supplies or perform a portion of the subcontract; or

_____ The offeror used the small business concern’s pricing or cost information or technical expertise in preparing the bid or proposal, where there is written evidence of an intent or understanding that the small business concern will be awarded a subcontract for the related work if the offeror is awarded the contract.

(13) – Acquisition of articles, equipment, supplies, services or materials Place a check by each statement as assurance that the following will be done:

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 as described in 52.219 (d)(12). This written explanation will be submitted to the contracting officer within 30 days of contract completion.

(14) – Discussion with Contracting Officer Place a check by each statement as assurance that the following will be done:

_____ Contractor will not prohibit a subcontractor from discussing with the contracting officer any material matter pertaining to payment to or utilization of a subcontractor.

(15) – Payment to small business subcontractors

_____ 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 (see 52.242-5).

This subcontracting plan was prepared by the contractor:

Signature: ______________________________________________

Printed name: ___________________________________________

Title: _______________________________________

Phone number: _______________________________

Date prepared: ________________________________

This subcontracting plan was approved by WHS/AD:

Signature: ______________________________________________

Printed name: ___________________________________________

Title: _______________________________________

Phone number: _______________________________

Date approved: ________________________________

(End of Plan)