Attachment_4_-_SB_Subcontracting_Data_Sheet.doc

SMALL BUSINESS SUBCONTRACTING DATA SHEET

Offeror:

Contract Number:

Subcontracting Information

Did contract include the clause at FAR 52.219-8, Utilization of Small Business Concerns (Oct 2000)?

If yes, complete the information below:

1. Total Amount Subcontracted:

100%

2. Total Amount of Subcontracts (including material purchases) to:

a. Small Business:

% of line 1

b. Small Disadvantaged Business:

c. Woman-Owned Small Business:

d. HUBZone Small Business:

e. Veteran-Owned Small Business:

f. Service-Disabled Veteran-Owned Small Business:

Note: Lines 2b through 2f are subcategories of line 2a. Note that in some cases the same dollars may be reported on more than one line (e.g., Small Disadvantaged Business concerns owned by women or veterans). Also, lines 2b through 2f need not add up to the amount on line 2a, since some small business concerns may not qualify for any of the small business subcategories.

3. Subcontractor(s) Point(s) of Contact:

a. Name of Subcontractor:

Amount of Subcontract: $

Point of Contact (name, phone #, e-mail address):

b. Name of Subcontractor:

c. Name of Subcontractor:

d. Name of Subcontractor:

e. Name of Subcontractor:

RFP N55236-15-R-0010

Attachment 4