J-4-Small Business Participation Commitment Document.docx

ATTACHMENT J-4

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)

OFFEROR’S NAME

ADDRESS

RFP N62470-22-R-9000

CNIC HCAP

Date Prepared

1. Instructions. The SBPCD includes the minimum level of commitment to subcontract with the SBs identified herein. This form is to be completed by ALL offerors (both large AND small businesses) in order to provide supporting information for evaluation of Factor 4, Small Business Utilization and Participation. This is the only form that will be evaluated to determine the offeror’s small business participation commitment. Information provided in a different format and/or on a form created by the offeror will not be evaluated. Attachments or addendums to this form will not be evaluated. Round dollars to nearest whole dollar and percentages to the nearest tenth of a percent.

2. Offeror Information. Prime contractor size based on the NAICS Code identified in the solicitation (check one):

☐ Large Business (LB) ☐ Small Business (SB)

For offerors that identify as a SB, check all applicable socioeconomic categories that apply or check “None” if the offeror does not qualify under any of the socioeconomic categories:

☐ Historically Underutilized Business Zone Small Business (HUBZone SB) ☐ Woman-Owned Small Business (WOSB) ☐ Economically Disadvantaged Woman-Owned Small Business (EDWOSB) ☐ Small Disadvantaged Business (SDB) ☐ Veteran-Owned Small Business (VOSB) ☐ Service-Disabled Veteran-Owned Small Business (SDVOSB) ☐ None

3. Subcontracting Breakdown.

4. Small Business Participation.

a.

Small Business Participation (Including Small Business prime offeror’s participation)

Total Small Business (SB) (including all SB socio-economic categories and work self-performed as a SB) The minimum total small business subcontracting requirement for this contract is 10%. If this minimum small business participation requirement is not met, a detailed explanation is required below.

If the offeror has not proposed a minimum of 10% for small business participation, provide a detailed explanation:

b. To the greatest extent possible, the table below should identify SBs where firm commitments are in place, to support the minimum small business participation requirement identified in paragraph 4.a (above). Only add subcontractors with firm commitments to the table below, do NOT add subcontractor without firm commitments established. A SB commitment is a written agreement between a prime and small business to work together on this contract. This commitment in writing is considered the nature of commitment, which can include written teaming agreement, joint venture agreement, mentor-protégé agreement, written/signed letter of commitment from the small business, etc. This table can be expanded as needed.

*SB, WOSB, EDWOSB, SDB, HUBZone SB, VOSB, SDVOSB

5. Explanation/Rationale. If no subcontractors are identified in paragraph 4.b. above, provide detailed explanation for why subcontractors are not identified with firm commitments AND how your firm will be able to achieve the proposed small business participation. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. If the offeror does not intend to subcontract, provide a detailed explanation why subcontracting would not result in efficient contract performance. SBs intending to 100% self-perform are not required to provide an explanation.

Attachment J-4 – SBPCD, Page 2 of 3

(Rev 2/2022)