Attachment_F_Small_business_Participation_breakdown.docx
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- Solicitation number
- N4008018R0003
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Attachment_F_Small_business_Participation_breakdown.docx
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Text version
ATTACHMENT F
PROPOSED SUBCONTRACTING PARTICIPATION BREAKDOWN
(TO BE SUBMITTED BY SMALL BUSINESSES)
(CONTRACTOR’S NAME)
(ADDRESS)
Solicitation or Contract Number
(Title of the Project) (Location)
(Date Prepared)
SUBCONTRACTING BREAKDOWN – (Base Year and/or All Bid Items excluding Options)
1. Estimated $ value of all planned subcontracting $________________
2. Estimated $ value of all work to be performed by Offeror’s workforce $________________
3. Total $ value of the proposal (sum of 1 and 2) $________________
4. Subcontracts for products and services to be awarded under this project.
a. Large Business: (LB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
b. Small Business (SB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(1) SMALL DISADVANTAGED BUSINESSES: (SDB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(2) WOMEN-OWNED SMALL BUSINESSES: (WOSB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $_______________
(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) BUSINESS:
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(4) VETERAN OWNED SMALL BUSINESS: (VOSB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(5) SERVICE-DISABLED VETERAN OWNED SMALL BUSINESS: (SDVOSB)
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(6) HISTORICALLY BLACK COLLEGES AND UNIVERSITIES & MINORITY INSTITUTIONS: (HBCU/MI)
NAME OF C, U, OR MI TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
(7) ABILITYONE PROGRAM (FORMERLY JWOD) - NISH
NAME OF COMPANY TYPE OF SERVICES $ VALUE OF SUBCONTRACT
TOTAL: $________________
NOTES:
1. The sum of lines 4.a and 4.b must equal line 1.
2. Lines 4.b. (1) through 4.b (7) identify various categories of small businesses under the main small business (SB) group. Subcontracts to companies that qualify in multiple categories must be reported under each category. For example: if you are planning to subcontract $100,000 to ABC, a woman-owned small disadvantaged business that is also a certified HUBZone small business, you will report $100,000 on line 4.b SB, line 4.b (1) SDB, line 4.b (2) WOSB and line 4.b.(3) HUBZone SB.
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