Attachment_G_Small_Business_Offeror_Small_Business_Participation_Breakdown.doc

DOC document 92 KB Posted

Attached to
Waterfront Multiple Award Construction Contract (MACC) Federal contract opportunity
Solicitation number
N4425513R8002
Issued by
Department of the Navy Naval Facilities Engineering Command

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Attachment G Small Business Offeror Small Business Participation Breakdown

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Attachment G

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

(1) SMALL DISADVANTAGED BUSINESSES: (SDB)

NAME OF COMPANY

(2) WOMEN-OWNED SMALL BUSINESSES: (WOSB)

NAME OF COMPANY

TOTAL: $_______________

(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone) BUSINESS:

NAME OF COMPANY

(4) VETERAN OWNED SMALL BUSINESS: (VOSB)

NAME OF COMPANY

(5) SERVICE-DISABLED VETERAN OWNED SMALL BUSINESS: (SDVOSB)

NAME OF COMPANY

(6) HISTORICALLY BLACK COLLEGES AND UNIVERSITIES & MINORITY INSTITUTIONS: (HBCU/MI)

NAME OF C, U, OR MI

(7) ABILITYONE PROGRAM (FORMERLY JWOD) - NISH

NAME OF COMPANY

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.

Line Item

Base

Option 1

Option 2

Option 3

Option 4

TOTAL

DOLLARS

Total dollar value of this contract.

Total Subcontracted

Large Business

Small Business

SDB

WOSB

HUBZone SB

VOSB

SDVOSB

HBCU/MI

ABILITYONE -NISH

PERCENTAGES

*Large Business

*Small Business

*SDB

*WOSB

*HUBZone SB

*VOSB

*SDVOSB

*HBCU/MI

*ABILITYONE-NISH

*% of total dollars subcontracted

Attachment G

File details come from the government source that posted it. Updated .