J4-Sub Contract Plan.docx
DOCX document 22 KB Posted
- Attached to
- Contract Medical Consultants Federal contract opportunity
- Solicitation number
- 1605C3-22-R-00001
- Issued by
- Not on record
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Solicitation Number: 1605C3-22-R-00001 Office of Workers’ Compensation Programs (OWCP), Division of Energy Employees’ Occupational Illness Compensation (DEEOIC), Energy Employees Occupational Illness Compensation Program (EEOICP) DOL/ CMC 2022 Contract Medical Consultant Services
ATTACHMENT J-4 - SUBCONTRACTING PLAN SUMMARY SHEET
Contract Name: TBD
RFP/Contract No.: TBD
Contractor: TBD
Name of Subcontract Administrator: Dr. Gladys Bailey
Total Dollar Value of Contract (5 Years):
Contract Period Covered By Plan:
| 1st Year |
| 2nd Year |
| 3rd Year |
| 4th Year |
| 5th Year |
| Total |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
| $ |
| % |
A. Total Contract Value
B. Total dollars to be subcontracted:
(% of line A)
C. Subcontracted to:
(% of line B)
(1) Small Business
(2) Small Disadvantaged Business
(3) Women-Owned Small Business
(4) HUB Zone Small Business
(5) Veteran-Owned Small Business (Including Service-Disabled)
(6) Service Disabled Veteran-Owned Small Business
Item A: Enter the total proposed value of the contract for each year.
Item B: Enter the total amount to be subcontracted for each contract year. Calculate the percentage of line A.
Item C: For categories (1) thru (6), enter the dollar amounts to be subcontracted to each category of small business. Small business categories are not mutually exclusive; subcontract dollars may be attributed to as many categories as are applicable. For example, the dollars subcontracted to a self-certified woman-owned and service-disabled veteran –owned small business that is also certified by SBA (on SAM) as a small disadvantaged and HUBZone business should be counted in each of the six categories. Calculate the percentage of line B.
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