Attachment I Post Award Contractors Limitations Subcontracting SB Cert.doc

ATTACHMENT I

POST-AWARD CONTRACTOR’S LIMITATIONS

ON SUBCONTRACTING FOR SMALL BUSINESS CERTIFICATION

From:

Contractor Name, Street Address, City, State, Zip To:

Name of Contracting Officer, FEAD/Office Name, Naval Facilities Engineering Systems Command Northwest, XXXXX Subj:

Contract No. NXXXXX-XX-X-XXXX

1. Prime contractor is to complete and submit the following for each reporting period specified in the contract or task order limitation of subcontracting clause.

2. Provide this certification 20 days prior to the anniversary of contract award.

Contract/Task Order Number:

Reporting Period:

(Line 7 / Line 3) * 100

(Line 6 / Line 3) * 100

2. In accordance with FAR 52.219-14 Limitation on Subcontracting and 13 CFR 125.6, in the performance of this contract, in the case of a contract for general construction, your Company Name has not paid more than 85% of the amount paid by the government to it to firms that are not similarly situated, cost of materials excluded.

In accordance with 13 CFR 135.6(e) (4), the contracting officer may require the contractor to demonstrate its compliance with the limitations of subcontracting at any time during performance and upon completion of a contract. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed.

I certify that to the best of my knowledge and belief, the information provided in this report is accurate, complete, and current as of the date of signature.

CONTRACTOR NAME:

SIGNATURE

NAME AND TITLE

DATE