ATTACHMENT D- SB SUBCONTRACTING RECORD.pdf
PDF 210 KB Posted
- Attached to
- Hurricane Florence Recovery Support and Applied Instruction Facilities at MCB Camp Lejeune
- Solicitation number
- N4008519R9255
About this file
This document is an attachment for tracking small business subcontracting achievements on federal contracts. It contains a template for contractors to report on three separate contracts the total contract value, amounts subcontracted to various small business categories, and whether subcontracting goals were established. The categories include small disadvantaged businesses, women-owned small businesses, HUBZone small businesses, veteran-owned small businesses, and service-disabled veteran-owned small businesses. For each contract, contractors provide a contract number, completion date, dollar values subcontracted to small and other-than-small businesses, and percentages of the total value. Contact information for customer references is also requested.
The related federal contract opportunity is a solicitation from the Naval Facilities Engineering Command for hurricane recovery support and applied instruction facilities at Marine Corps Base Camp Lejeune in North Carolina. The work includes recovery support and facilities under Hurricane Florence Package 5.
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Text version
ATTACHMENT D
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
(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:
SUBCONTRACT
GOAL
(if applicable)
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:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE
(b) OTS Business Concerns (Dollar amount and percent of line c.)
(3) Contract Number/Title:
SUBCONTRACT
GOAL
(if applicable)
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:
MBE (Minority Business Enterprise), DBE (Disadvantaged Business Enterprise), DVBE (Disabled Veteran Business Enterprise), SB (Small Business), WBE
(b) OTS Business Concerns (Dollar amount and percent of line c.)
File details come from the government source that posted it. Updated .