J-6 Small Business Participation Commitment Document.docx
DOCX document 28 KB Posted
- Solicitation number
- N00173-22-R-SD01
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Text version
Small Business Participation Commitment Document (SBPCD) Template
1. Prime Contractor Size:
Indicate the applicable size and socioeconomic categories -- all that apply:
{ } Other than Small Business or { } Small Business also categorized as a { } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)
2. Participation of Small Businesses
Total Contract Value (Proposed)$
Minimum Quantitative Requirement (MQR)
| Business Category |
| Dollar Value |
| % of Total Contract Value |
| Total Contract Value – Prime Contractor |
| $ |
| % |
| Total work to be self-performed |
| $ |
| % |
| Other than Small Business (OTS) |
| $ |
| Dollar Value |
| Total Small Business |
| $ |
| % |
| Small Disadvantaged Business |
| $ |
| % |
| Woman-Owned Small Business |
| $ |
| % |
| HUBZone Small Business |
| $ |
| % |
| Veteran-Owned Small Business |
| $ |
| % |
| Service-Disabled Veteran-Owned Small Business |
| $ |
| % |
3. Indicate any work to be self-performed and the total value associated
| Type of Product/Service |
| $ Dollar Value |
| % of Total Contract Value |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
RFP #N00173-22-R-SD01
Attachment J-6
4. List all Other than Small Business Participants (OTS)
| Company Name |
| Product(s)/Service(s) to be Provided |
| NAICS |
Code
| Nature of Commitment |
| $ Dollar Value |
| % of Total Contract Value |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
5. Small Business Participants
| Company Name |
| Product(s)/Service(s) to be Provided |
| NAICS |
Code
| Nature of Commitment |
| $ Dollar Value |
| % of Total Contract Value |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
SIGNATURE REQUIRED: Must be signed and dated by a company official to be valid
This Small Business Participation Commitment Plan was SUBMITTED by:
Signature:
Typed Name:
Title:
Company Name:
Date Signed:
Contracting Officer APPROVAL:
Signature:
Typed Name:
Title:
Date Signed:
Small Business Professional APPROVAL:
Signature:
Typed Name:
Title:
Date Signed:
File details come from the government source that posted it. Updated .