Attachment_L-6 _Small_Business_Participation_Plan_Template.docx
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- Solicitation number
- N00173-17-R-GB01
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Small Business Participation Plan Template
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SMALL BUSINESS PARTICIPATION PLAN
Note: Where the term contractor/offeror/bidder appears, the name of your company/institution may be substituted.
DATE:________________________
Contractor:___________________________________________________________________
Address:______________________________________________________________________
Solicitation (Contract) No.: _____________________________________________________________________________
Program Description/Title: ______________________________________________________________________________ ______________________________________________________________________________
The following, together with any attachments, is submitted as a Small Business Participation Plan to satisfy the requirements of the Request for Proposal. The following goals are required for the basic quantity (base period) and each option quantity (period) of the contract.
1. Estimated Dollar Value of Contract
The total estimated dollar value of the contract award is $_______________.
If the contract is expected to include options, goals shall be established for the base period and each option year.
2. Goals
a. The following percentage goals (expressed in terms of a percentage of total contract value dollars) are applicable to the solicitation (contract) cited above.
i. Small business concerns: ______% of total contract award dollars will go to small business concerns.
ii. Small Disadvantaged Business (SDB) concerns: ______% of total contract award dollars will go to small business concerns owned and controlled by socially and economically disadvantaged individuals.
Jan 2016
iii. Woman-Owned Small Business (WOSB) concerns: _____% of total contract award dollars will go to woman-owned small business concerns.
iv. Historically Underutilized Business (HUB) Zone small business concerns ____% of total contract award dollars will go to HUBZone small business concerns.
v. Service-disabled small business (SDVOSB) concerns: ______% of total contract award dollars will go to service-disabled veteran-owned small business concerns.
The total percentage of planned with small business concerns includes total dollars planned to service-disabled-veteran-owned small, HUBZonel, small disadvantaged and women-owned small business concerns.
Total Dollars Planned to be Subcontracted
b. The following dollar values correspond to the percentage goals shown in 2. (a) above.
i. Total dollars planned to go to Small Business concerns:
ii. Total dollars planned to go to SDB concerns:
iii. Total dollars planned to be subcontracted to WOSB concerns:
iv. Total dollars planned to go to HUBZone small business concerns: $_____________.
v. Total dollars planned to go to SDVOSB concerns:
The total dollars planned for small business concerns includes total dollars planned to HUBZone small business, small disadvantaged, women-owned small business concerns, and service-disabled veteran-owned small business.
3. Description of the extent to which Small Businesses are specifically identified in the proposal.
4. Commitment to Small Business
The following is a detailed description of the supplies/services for each small business subcategory including the names of firms, dollar value, and timeframe of commitment:
a. Products/services to be performed by small business concerns:
b. Products/services to be performed by SDB concerns:
c. Products/services to be performed by WOSB concerns:
d. Products/services to be performed by HUBZone small business concerns:
e. Products/services to be performed by SDVOSB concerns:
The extent of commitment to use SB firms (for example, enforceable commitments are to be weighted more heavily than non-enforceable ones). Provide documentation regarding enforceable commitments to utilize each small Business as defined in FAR Part 19, as subcontractors. Provide the names of protégé firms being utilized in the proposal as subcontractors. Offerors shall clearly describe the nature of commitment (e.g., fully executed teaming agreement; planned purchase order).
5. Flow-down
Description of the process we will use to ensure proper flow-down of requirements, process management, and performance assessments of small business utilization at lower tiers.
SIGNATURES:
CONTRACTOR:
Signed:_________________________________ Date_____________________________ Typed Name:____________________________ Title:___________________________________
Jan 2016
| Govt Targeted Goals (tailor these percentages to match the table in Paragraph (g) of Section L clause) |
| Identify Type of Service/Supply |
| Base Period Amount ($) |
| % of Total Base Period Amount |
| Opt_____ Amount ($) |
| % of Total Opt _____ Amount |
| Opt_____ Amount ($) |
| % of Total Opt _____ Amount |
| Opt_____ Amount ($) |
| % of Total Opt _____ Amount |
| Total Contract Amount ($) |
| % of Total Contract Amount |
1. Total Acquisition
2. Small Business Concerns a.
b.
| TOTAL SB |
| 21.60% |
3. Small Disadvantaged Business Concerns a.
b.
| TOTAL SDB |
| 5% |
4. Women-Owned Small Business Concerns a.
b.
| TOTAL WOSB |
| 5% |
5. HUBZone Small Business Concerns a.
b.
| Total HUBZone SB |
| 3% |
6. Service-Disabled Veteran-Owned Small Business concerns a.
b.
| TOTAL SDVOSB |
| 3% |
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