N0017325R0007 - Attachment 5_Small Business Participation Commitment Document.docx

N00173-25-R-0007 Attachment #5

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)

Offeror’s Business Name (Language in blue is instructional and should be deleted after completion) N00173-25-R-0007

FROST

Commercial And Government Entity (CAGE) code: _______________

Unique Entity Identifier (UEI): _______________

1. Prime Contractor Size (indicate all socio-economic categories that apply):

{ } Small Business also categorized as a

2. Total Acquisition Value (TAV): $_______________

3. Minimum Goals: Offerors are strongly encouraged to propose their best goals for all small business socio-economic categories. However, the minimum goals for the following socio-economic categories are:

4. Small Business Participation: The prime offeror should count work self-performed as part of its small business participation. The percentage of work performed by small businesses (including the prime offeror) that qualify in multiple socio-economic categories should be counted in each category.

5. List each SMALL BUSINESS participant:

Code

Prime Offeror Work Self-Performed:

Total Small Business Dollar Value:

TAV:

Small Business Percent of TAV: %

*Nature of Commitment (i.e. letter, teaming agreement, purchase order, etc.)

6. List each SMALL DISADVANTAGED BUSINESS participant:

Code

Prime Offeror Work Self-Performed (if applicable):

Total SDB Dollar Value:

TAV:

SDB Percent of TAV: %

7. List each WOMEN-OWNED SMALL BUSINESS participant:

Code

Prime Offeror Work Self-Performed (if applicable):

Total WOSB Dollar Value:

TAV:

WOSB Percent of TAV: %

8. List each VETERAN-OWNED SMALL BUSINESS participant:

Code

Prime Offeror Work Self-Performed (if applicable):

Total VOSB Dollar Value:

TAV:

VOSB Percent of TAV: %

9. List each SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS participant:

Code

Prime Offeror Work Self-Performed (if applicable):

Total SDVOSB Dollar Value:

TAV:

SDVOSB Percent of TAV: %

10. List each HISTORICALLY UNDER-UTILIZED BUSINESS ZONE participant:

Code

Prime Offeror Work Self-Performed (if applicable):

Total HUBZone Dollar Value:

TAV:

HUBZone Percent of TAV: %

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: __________________________________________________________________

Company Title: ________________________________________________________________

Date Signed: __________________________________________________________________

Contracting Officer APPROVAL:

Signature: ____________________________________________________________________

Typed Name: __________________________________________________________________

Title: ________________________________________________________________________

Date Signed: __________________________________________________________________

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY