Attachment_15_Small_Business_Participation_Commitment_Document.docx

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Acoustic Device Countermeasure (ADC) MK 3 and MK 4
Solicitation number
N00253-17-R-0001
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Attachment 15 Small Business Participation Commitment Document

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N00253-17-R-0001 Attachment 15, Small Business Participation Commitment Document Offeror: [Click here to complete.] Copy of approved subcontracting plan attached: |_| Yes |_| No If No, explain:

[Click here to complete.]

a. Please provide a description of principal types of supply and service areas to be subcontracted and identify areas where SB, VOSB, SDVOSB, HUBZSB, SDB, and WOSB are planned to be used.

[Click here to complete.]

b. Describe the method used in developing proposed subcontracting goals.

[Click here to complete.]

c. Describe the method used to identify potential sources for solicitation purposes.

[Click here to complete.]

d. Are indirect costs included in establishing subcontracting goals? |_| Yes |_| No If yes, please describe the method used to determine the proportionate share of indirect costs to be incurred with SB, VOSB, SDVOSB, HUBZSB, SDB, and WOSB.

[Click here to complete.]

e. Identify the small business(es) proposed, type of commitment (e.g. joint venture, teaming arrangement, subcontractor, etc.), complexity and variety of the work such firms are to perform; and participation of such firms in terms of the total acquisition expressed in both dollars and percentage proposed for each. Add lines as necessary.

Small Business Name

& CAGE

Type of Commitment
Dollars Proposed
Percent of Total

[Click here to address complexity & variety of work.]

f. Identification of the Offeror’s subcontract administrator.

Name: [Click here to complete.] Title: [Click here to complete.] Phone: [Click here to complete.] Email: [Click here to complete.]

Proposed Goals for this Requirement Total Amount Proposed: $[Click here to complete.] Total Amount Subcontracting: $[Click here to complete.]

BASE YEAR
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

OPTION YEAR ONE
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

OPTION YEAR TWO
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

OPTION YEAR THREE
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

OPTION YEAR FOUR
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

TOTAL FOR ALL PERIODS OF PERFORMANCE
Dollars
Percentage

Small Business Concerns (SB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business Concerns (SDVOSB)

HUBZone Small Business Concerns (HubZone)

Small Disadvantaged Business Concerns (SDB)

Women-Owned Small Business Concerns (WOSB)

Other than Small Business

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