SB_Subcontracting_Record_SBNVG_06MAR19.pdf

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Attached to
SBNVG RFP Package
Solicitation number
M67854-19-R-1501
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About this file

This document contains a small business past performance subcontracting record template and information about a draft request for proposal for the Squad Binocular Night Vision Goggle program.

The subcontracting record template collects information about a company's past subcontracting achievements, including contract numbers and titles, completion dates, total contract values, total subcontracted values, and subcontracted amounts and percentages to various small business categories. It requests references for each past contract listed.

The draft RFP seeks proposals to supply the Marine Corps Systems Command with Squad Binocular Night Vision Goggles. It provides the solicitation number, opportunity type as an award notice, and describes the RFP package as draft for industry feedback before final posting to the Federal Business Opportunities website to solicit proposals. The closing date and other submission details are not included.

Final SB Subcontracting Record

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SMALL BUSINESS Past Perfromance SUBCONTRACTING RECORD

COMPANY NAME: _______________________________________

SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed.

Include the percentage goal only if a goal was established. Note: Form may be expanded.

(1) Contract Number/Title:

Check One: ____ Prime Contract ____ Subcontract

Subcontracting Plan Required ____ Yes ____ No

ACTUAL

SUBCONTRACTED

SUBCONTRACT

GOAL

(if applicable)

Completion Date: Total Contract Value: $

Total Subcontracted Value: $ Whole Dollars Percent Percent

(a) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and

AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE (Women’s

Business Enterprise).

(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line c.)

(c) Total (sum of lines a & b above)

(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line c.) Including MBE & DBE

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.) Including WBE

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.) Including DVBE

Name of customer reference for this project: ___________________________________________

Phone Number: _______________________ FAX Number: _______________________

Email address: ________________________________________

(2) Contract Number/Title:

SUBCONTRACT

GOAL

(if applicable)

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $ Whole Dollars Percent Percent

(b) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and

AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),

(b) OTS Business Concerns (Dollar amount and percent of line c.)

(3) Contract Number/Title:

SUBCONTRACT

GOAL

(if applicable)

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $ Whole Dollars Percent Percent

(c) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and

AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise),

(b) OTS Business Concerns (Dollar amount and percent of line c.)

File details come from the government source that posted it. Updated .