Small_Business_Participation_Plan_Attachment.docx

SMALL BUSINESS PARTICIPATION PLAN

This Small Business Participation Plan form is required as part of Volume III. Please note that the requirement for a Small Business Subcontracting Plan is entirely separate and apart from the Small Business Participation factor.

All Offerors (both large and small businesses) are required to complete a Small Business Participation Plan. Offerors shall prepare and submit one copy of this attachment to identify the level of participation of specific small businesses (as a small business prime and/or small business subcontractors) in terms of the total dollar value of the acquisition. For purposes of small business participation only, the total acquisition cost shall be calculated by using the estimated quantity for each ordering period as shown below.

1. Check the applicable size and categories for the PRIME offeror only -- Check all applicable boxes:

{ } Large Prime or { } Small Business Prime; also categorized as a { } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Service Disabled Veteran Owned Small Business (SDVOSB) { } Historically Underutilized Zone (HUB Zone) Small Business

2. Indicate the total percentage of participation to be performed by each type of small business and subcategory of small business for the entire contract. The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category. Small business participation is based on total contract value (dollars) based on the estimated quantity for each year. The goals should reflect a combined Years 1 through 5 goal.

Small Business _______%

SDB _______%

Woman Owned Small Business % Service Disabled Veteran Owned SB _______% HUB Zone Small Business _______%

3. List small business firms by name and socioeconomic category:

(add rows as necessary)

4. List any other relevant information:

Important Note for other than U.S. Small Businesses only.

Separate from Small Business Participation Plan, other than U.S. Small Business offerors must also submit a subcontracting plan meeting the requirements of FAR 52.219-9 and DFARS 252.219-7003 (or DFARS 252.219-7004 if the offeror has a comprehensive subcontracting plan).

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