Att 7 - Small Business Participation Commitment Document.pdf
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- Solicitation number
- N00173-23-R-EN05
About this file
This document is a Small Business Participation Commitment template for solicitation N00173-23-R-EN05 from the Department of the Navy Secretary of the Navy Office of Naval Research. The solicitation seeks proposals for the development, testing, and assessment of electro-optic/infrared advanced intelligence, surveillance, and reconnaissance systems and technologies. The template requires the prime contractor to specify its size and socioeconomic categories, the total contract value and minimum quantitative requirement, the dollar values and percentages for work to be performed by the prime, other than small businesses, and small businesses including small disadvantaged, woman-owned, HUBZone, and veteran-owned small businesses. The prime must also detail any self-performed work and list all subcontractors, including other than small businesses and small business subcontractors along with the nature of their commitment. A company official must sign and date the completed template, which is then subject to approval by the contracting officer and small business professional.
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Attachment No. 8 SBPCD
N00173-23-R-EN05
Small Business Participation Commitment Document (SBPCD) Template
1. Prime Contractor Size:
Indicate the applicable size and socioeconomic categories -- all that apply:
{ } Other than Small Business or { } Small Business also categorized as a
{ } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Service Disabled Veteran Owned Small Business (SDVOSB)
2. Participation of Small Businesses
Total Contract Value (Proposed)
Minimum Quantitative Requirement (MQR)
Business Category Dollar Value % of Total Contract
Value Total Contract Value – Prime Contractor $ % Total work to be self-performed $ % Other than Small Business (OTS) $ Dollar Value Total Small Business $ %
Small Disadvantaged Business $ % Woman-Owned Small Business $ % HUBZone Small Business $ %
Veteran-Owned Small Business $ % Service-Disabled Veteran-Owned Small
Business
3. Indicate any work to be self-performed and the total value associated
Type of Product/Service $ Dollar Value % of Total Contract Value
Attachment No. 8 SBPCD
N00173-23-R-EN05
4. List all Other than Small Business Participants (OTS)
Company Name
Product(s)/Service(s) to be Provided
NAICS
Code
Nature of Commitment
$ Dollar Value % of Total Contract Value
5. Small Business Participants
Company Name
Product(s)/Service(s) to be Provided
NAICS
Code
Nature of Commitment
$ Dollar Value % of Total Contract Value
SIGNATURE REQUIRED: Must be signed and dated by a company official to be valid
This Small Business Participation Commitment Plan was SUBMITTED by:
Signature:
Typed Name:
Title:
Company Name:
Date Signed:
Contracting Officer APPROVAL:
Typed Name:
Title:
Small Business Professional APPROVAL:
Typed Name:
Title:
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