ATTACHMENT4_SB_PARTICIP&COMMIT.docx

ATTACHMENT 4

SMALL BUSINESS PARTICIPATION AND COMMITMENT STRATEGY

(OFFEROR’S NAME)

(ADDRESS)

Solicitation or Contract Number (Title of the Project) (Location) (Date Prepared)

INSERT INTRODUCTION/EXECUTIVE SUMMARY (Up to 2 pages maximum)

SMALL BUSINESS PARTICIPATION AND COMMITMENT STRATEGY – (Base and Option Years)

4. Subcontracts for products and services to be awarded under this project.

a. Self-Performed Work:

TYPE OF SERVICE/PRODUCT $ VALUE OF WORK

If the offeror is a small business, the Government will add self-performed work to the appropriate category(ies) in c. (1) through c. (6) below to calculate overall small business participation rates.

b. Other Than Small (OTS) Business Subcontracts**

NAME OF COMPANY* TYPE OF SERVICE/PRODUCT $ VALUE OF SUBCONTRACT

c. Small Business (SB) Subcontracts

NAME OF COMPANY* TYPE OF SERVICE/PRODUCT $ VALUE OF SUBCONTRACT

(1) SMALL DISADVANTAGED BUSINESSES: (SDB)

NAME OF COMPANY* TYPE OF SERVICE/PRODUCT $ VALUE OF SUBCONTRACT

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

NAME OF COMPANY* TYPE OF SERVICE/PRODUCT $ VALUE OF SUBCONTRACT

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

NAME OF COMPANY* TYPE OF SERVICES $ VALUE OF SUBCONTRACT

(4) VETERAN OWNED SMALL BUSINESS: (VOSB)

NAME OF COMPANY* TYPE OF SERVICES $ VALUE OF SUBCONTRACT

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

NAME OF COMPANY* TYPE OF SERVICES $ VALUE OF SUBCONTRACT

(6) ABILITYONE PROGRAM ORGANIZATIONS

NAME OF ORG* TYPE OF SERVICES $ VALUE OF SUBCONTRACT

* For each company/organization listed, describe the nature of commitment to subcontract and whether or not it is legally binding. If unknown/to be determined, so indicate.

** Include any subcontracts to Historically Black Colleges and Universities/Minority Institutions (HBCU/MI) in the OTS Business listing.

NOTES:

1. The dollar sum of lines 4.b and 4.c (excluding (1)-(6)) must equal line 1.

2. Lines 4.c. (1) through 4.c. (6) identify various subcategories of small businesses. Subcontracts to companies that qualify in multiple categories must be reported under each category. For example: A $100,000 subcontract to ABC, a woman-owned, small disadvantaged business that is also a certified HUBZone concern, will be reported as $100,000 on line 4.c., SB, line 4.c. (1), SDB, line 4.c. (2), WOSB and line 4.c.(3), HUBZone concern.

3. Subcontracts to qualified nonprofit agencies participating in the AbilityOne Program are considered small business subcontracts for the purposes of this strategy and any associated small business subcontracting plan.

Rev Oct 2016 58

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

Rev Oct 2016

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

CONTRACT LEVEL PERFORMANCE SUMMARY

This document summarizes participation (total contract performance, including self performance and subcontracted efforts) by type of business entity in terms of both dollar value and percentage of total contract value.

Base

Option 1

Option 2

TOTAL

DOLLARS

Total contract value

OTS Business*

SB*

SDB

WOSB

HUBZone SB

VOSB

SDVOSB

ABILITYONE

PERCENTAGES (of total contract value)

OTS Business*

SB*

OTSB + SB

SDB

WOSB

HUBZone SB

VOSB

SDVOSB

ABILITYONE

Include additional option years if applicable

* The sums of the “OTS Business” and “SB” dollars lines (excluding subcategories) must equal the associated dollar values on the “Total dollar value of this contract” line. The sum of “OTS Business” and “SB” percentage lines (again, excluding subcategories) must equal 100% and represent all work to be performed under the contract.