MCHH Attachment 3 - SB Subk Record_Final.docx

DOCX document 18 KB Posted

Attached to
MCSC Multi Channel Handheld Solicitation
Solicitation number
M6785421R2090
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About this file

This document includes a Small Business Subcontracting Record template and details of a solicitation by the Marine Corps Systems Command for a Multi Channel Handheld radio system.

The Small Business Subcontracting Record template collects information on subcontracting achievements including actual dollar values and percentages subcontracted to various small business categories. These include small business concerns, small disadvantaged business concerns, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service disabled veteran-owned small businesses.

The solicitation seeks a Multi Channel Handheld radio, vehicle installation kits, mission modules, antennas, headsets, batteries, chargers and other accessories. The Marine Corps Systems Command plans to award a single firm-fixed price indefinite delivery/indefinite quantity contract for one base year and up to ten option years. The North American Industry Classification System code is 334220. The procurement will be conducted as a full and open competition to select a single vendor for all contract line items using a best value tradeoff approach. Technical requirements are in the request for proposal available at SAM.gov under solicitation number M6785421R2090.

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M67854-21-R-2090 Amendment 0003.docx DOCX document
M67854-21-R-2090 Amendment 0003_Conformed.docx DOCX document
MCHH RFP Amendment 0002_Final.docx DOCX document
MCHH Attachment 9 - CLASSIFIED MATERIAL_MAILOUT_COURIER_REQUEST.pdf PDF
MCHH RFP QAs_Final.docx DOCX document
MCHH Attachment 6 - SOW Cross Ref Matrix_Final_v2.xlsx XLSX spreadsheet
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MCHH RFP Amendment 0001_Final.docx DOCX document
MCHH Attachment 6 - SOW Cross Ref Matrix_Final.xlsx XLSX spreadsheet
MCHH Attachment 5 - DD254_Final.pdf PDF
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SMALL BUSINESS 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) Contractor Name/DUNS/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) Contractor Name/DUNS/Contract Number/Title:

ACTUAL

SUBCONTRACT GOAL

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.)

(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

(3) Contractor Name/DUNS/Contract Number/Title:

ACTUAL

SUBCONTRACT GOAL

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.)

(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

M67854-21-R-2090 16 September 2021 Attachment 3

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