Attachment E - Small Business Subcontracting Record.docx

DOCX document 18 KB Posted

Attached to
Indefinite Delivery, Indefinite Quantity (IDIQ) contract for construction Contract for Regional Mechanical Maintenance for the Hampton Roads Area of Responsibility
Solicitation number
N40085-19-B-9098
Issued by

About this file

This document contains an attachment for tracking small business subcontracting achievements on federal contracts. It requires contractors to provide actual dollar values subcontracted to various small business categories on up to three past contracts, including goals and percentages achieved for small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service disabled veteran-owned small businesses. Contractors must also provide a customer reference, phone number, fax number, and email contact for each contract. The related federal contract opportunity is an indefinite delivery, indefinite quantity contract for regional mechanical maintenance services in the Hampton Roads area of Virginia for the Department of the Navy Naval Facilities Engineering Command.

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Other files

File Type Posted
Amend 001.docx.pdf PDF
Amend 0002.pdf PDF
Register Modified 4 Mar 2020.pdf PDF
Elins IDIQ Second Moficiation 4 Mar 2020.xlsx XLSX spreadsheet
Elins IDIQ Mod-02-26-20- 19-9098.xlsx XLSX spreadsheet
PPI Answers.docx DOCX document
Elins IDIQ Contract 10_2_19 - 19-9098.xlsx XLSX spreadsheet
Attachment B - Pre-Proposal Inquiry Form.xlsx XLSX spreadsheet
N40085-19-B-9098 Solicitation.pdf PDF
Attachment F - WO # 1633187.pdf PDF
REGISTER.pdf PDF
Attachment C_SECNAV_5512_1_11787.pdf PDF
Attachment D – Badge Spreadsheet.xls XLS spreadsheet
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ATTACHMENT E

SMALL BUSINESS SUBCONTRACTING RECORD

COMPANY NAME: _______________________________________

SUBCONTRACTING ACHIEVEMENTS – Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. Note: Form may be expanded.

(1) Contract Number/Title:

Check One: ____ Prime Contract ____ Subcontract

Subcontracting Plan Required ____ Yes ____ No

ACTUAL

SUBCONTRACTED

SUBCONTRACT GOAL

(if applicable)

Completion Date: Total Contract Value: $

Total Subcontracted Value: $

Whole Dollars
Percent
Percent

(a) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE (Women’s Business Enterprise).

(b) Other Than Small (OTS) Business Concerns (Dollar amount and percent of line c.)

(c) Total (sum of lines a & b above)

(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line c.) Including MBE & DBE

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.) Including WBE

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.) Including DVBE

Name of customer reference for this project: ___________________________________________ Phone Number: _______________________ FAX Number: _______________________ Email address: ________________________________________

(2) Contract Number/Title:

ACTUAL

SUBCONTRACT GOAL

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $

Whole Dollars
Percent
Percent

(b) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

(b) OTS Business Concerns (Dollar amount and percent of line c.)

(c) Total (sum of lines a & b above)

(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line c.) Including MBE & DBE

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.) Including WBE

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar

(3) Contract Number/Title:

ACTUAL

SUBCONTRACT GOAL

Completion Date: Contract Dollar Value: $

Total Subcontracted Value: $
Whole Dollars
Percent
Percent

(c) Small Business Concerns (Including SDB, WOSB, HUBZone, VOSB, SDVOSB and AbilityOne entities) (Dollar amount and percent of line c.)

Small Business Concerns (Non-Federal Certifications Examples:

(b) OTS Business Concerns (Dollar amount and percent of line c.)

(c) Total (sum of lines a & b above)

(d) Small Disadvantaged Business Concerns (Dollar amount and percent of line c.) Including MBE & DBE

(e) Women-Owned Small Business Concerns (Dollar amount and percent of line c.) Including WBE

(f) HUBZone Small Business Concerns (Dollar amount and percent of line c.)

(g) Veteran-Owned Small Business Concerns (Dollar amount and percent of line c.)

(h) Service Disabled Veteran-Owned Small Business Concerns (Dollar

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