N0025318R0011_Attachment_5_Small_Business_Participation_Commitment_Document.docx
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N0025318R0011 Attachment 5 Small Business Participation Commitment Document
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N0025318R0011 Section J - Attachment 5, 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, nature and extend of commitment (e.g. joint venture, teaming arrangement, written contract, letter of commitment, verbal agreement, existent or proposed non-binding communications, 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. Binding commitments shall become enforceable, contractual requirements. Use the table/format below in proposing this required information.
Small Business Name
& CAGE
| Nature and Extent of Commitment |
| Dollars Proposed |
| Percent of Total |
[Click here to address complexity & variety of work (materials, supplies, or services to be provided with specific reference(s) to the SOW]
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
| 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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