Attachment G - Small Business Commitment Participation (SBPCD).docx
DOCX document 31 KB Posted
- Solicitation number
- N4008023R0010
About this file
This document is an Attachment to a solicitation providing a Small Business Commitment Participation form for Offerors to complete. The solicitation is for the design-build replacement of two steam boilers at the Naval Support Facility in Indian Head, Maryland. Offerors must provide the total contract value, estimated small business subcontracting value as a percentage of total contract value, and details of any committed small business subcontractors, including their socioeconomic category, products/services to be provided, and type of commitment. Subcontracting commitments and plans will be required from the large business Offeror selected for award. The solicitation number is N4008023R0010 and was issued by the Department of the Navy Naval Facilities Engineering Command for partial rehabilitation of the Indian Head facility's steam system.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0008.pdf | ||
| Amendment 0007.pdf | ||
| 1374726_Steam B_Amendment 0002.pdf | ||
| Amendment 0006.pdf | ||
| Amendment 0005.pdf | ||
| Amendment 0004.pdf | ||
| Steam B Site Visit Sign-In Sheet.pdf | ||
| Amendment 0003.pdf | ||
| Attachment D - Expected Visitor Form Steam B.docx | DOCX document | |
| Attachment F - Historical Small Business Utilization Form.docx | DOCX document | |
| Attachment H - Small Business Subcontracting Plan.docx | DOCX document | |
| Amendment 0002 - Phase II.pdf | ||
| Attachment J - Price Proposal Form.docx | DOCX document | |
| Attachment I - Steam B Site Visit Map.pdf | ||
| Attachment E - SECNAV 5512.pdf | ||
| Amendment 0001.pdf | ||
| Attachment C - Pre-Proposal Inquiry (PPI Form).xlsx | XLSX spreadsheet | |
| Attachment B - Past Performance Questionnaire (PPQ) Form.docx | DOCX document | |
| N4008023R0010 Steam Boiler Replacement - Phase I RFP.pdf | ||
| Attachment A - Construction and Design Experience Project Data Sheet.docx | DOCX document |
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Text version
ATTACHMENT G
SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)
Solicitation N4008023R0010
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for evaluation of Small Business Utilization and Participation Factor. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).
1. Offeror Information:
| Offeror Name: |
| Applicable size category for the Offeror under the NAICS Code identified (check one): |
| Large Business (LB) ☐ |
Small Business (SB) ☐
If the Offeror is a Small Business, check all socioeconomic categories that apply to the Offeror.
If none of the socioeconomic categories apply to the Offeror, check NONE.
Historically Underutilized Business Zone Small Business (HUBZone SB) ☐ Woman-Owned Small Business (WOSB) ☐ Economically Disadvantaged Woman-Owned Small Business (EDWOSB) ☐ Small Disadvantaged Business (SDB) ☐ Veteran-Owned Small Business (VOSB) ☐ Service-Disabled Veteran-Owned Small Business (SDVOSB) ☐
NONE ☐
2. Subcontracting Breakdown:
| a. Total contract value: |
| $ |
| 100% |
| b. Estimated value of all planned small business subcontracting for the contract: |
| $ |
| % of 2.a |
3. Committed Planned Subcontractor for products and services to be awarded under this contract:
a. Small Business:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
b. HUBZone SB:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
c. WOSB/EDWOSB:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
d. SDB:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
e. VOSB:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
Teaming Agreement (TA)
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
f. SDVOSB:
| Name of Subcontractor |
| Type and Complexity of Product/Service |
| Type of Commitment to Subcontractor: |
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
| Teaming Agreement (TA) |
☐YES ☐ NO
Date of Agreement:
Letter of Commitment ☐YES ☐ NO Date of the LOC:
Other Type of Commitment:
☐YES ☐ NO
Other Commitment Date:
UEI NUMBER
Notes:
(1) Designated HUBZone SB concerns must be certified by SBA.
(2) Large business Offerors selected for award shall be required to submit an acceptable Small Business Subcontracting Plan incorporating the proposed subcontract values and any specifically identified small business concerns. The Small Business Subcontracting Plan shall also include small business subcontracting goals that meet or exceed the minimum small business subcontracting targets stated in the solicitation. If the Offeror fails to negotiate an acceptable subcontracting plan, the Offeror will be ineligible for award.
(3) This form may be expanded as needed.
File details come from the government source that posted it. Updated .