RFP_ATT 08 Small Business Participation Commit 22RDH01_Final.pdf

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Attached to
Research and Development of Optical Techniques, Devices, and Measurements
Solicitation number
N0017322RDH01
Issued by

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This document is a Small Business Participation Commitment Plan template for the solicitation N0017322RDH01, which requests proposals for research and development of optical techniques, devices, and measurements from the Department of the Navy Secretary of the Navy Office of Naval Research. The template requires offerors to specify their business size and socioeconomic categories, and provide a commitment plan detailing the percentage and dollar value of work to be performed by small businesses, including categories such as small disadvantaged businesses, women-owned small businesses, veteran-owned small businesses, and historically underutilized business zone small businesses. Offerors must also list all participating businesses, including non-small businesses as well as small business subcontractors, specifying the time frame, type of business, products and services provided, and nature and dollar value of commitments. The contracting officer must approve the completed plan prior to award.

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N00173-22-R-DH01 ATTACHMENT # 8

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)

Offeror’s Name (Language in blue is instructional and should be deleted after completion)

Address

Solicitation or Contract Number

Title of the Project

CAGE code: _____

1. Prime Contractor Size:

Indicate the applicable size and socioeconomic categories (all that apply):

{ } Other than Small Business or

{ } Small Business also categorized as a

{ } Small Disadvantaged Business (SDB)

{ } Women-Owned Small Business (WOSB)

{ } Historically Underutilized Business Zone (HUBZone) Small Business

{ } Service-Disabled Veteran-Owned Small Business (SDVOSB)

2. Participation of All Businesses:

Category Dollar Value Percent of TAV

Total Acquisition Value (TAV) $ 100%

Total work self-performed $ %

Other Than Small Business $ %

Total Small Business $ %

Small Disadvantaged Business (SDB) $ %

Women-Owned Small Business (WOSB) $ %

Veteran-Owned Small Business (VOSB) $ %

Service-Disabled Veteran-Owned Small

Business (SDVOSB)

Historically Underutilized Business Zone

Small Business (HUBZone)

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

3. List all Other than Small Business Participants (i.e. large business, educational institution, etc.) including the Prime Contractor, if applicable:

Company

Name

Time

Frame

Type of

Business Products/Services

Nature of

Commitment Dollar Value

Percent of TAV*

*TAV: Total Acquisition Value

4. List all Small Business Participants including the Prime Contractor, if applicable:

Company

Name

Time

Frame

Type of

Business* Products/Services

Nature of

Commitment

Dollar

Value

Percent of TAV

*Include all socioeconomic categories (SDB, WOSB, etc.), if applicable

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

SIGNATURE REQUIRED: Must be signed and dated by a company official to be valid.

This Small Business Participation Commitment Plan was SUBMITTED by:

Signature: ____________________________________________________________________

Typed Name: __________________________________________________________________

Company Title: ________________________________________________________________

Date Signed: __________________________________________________________________

Contracting Officer APPROVAL:

Signature: ____________________________________________________________________

Typed Name: __________________________________________________________________

Title: ________________________________________________________________________

Date Signed: __________________________________________________________________

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