RFP_Exhibit D_SB Historical Small Business Utilization.doc

Paving DBB IDIQ

N69450-20-R-0078

Florida Panhandle Area of Operation

Section V - Attachments

Exhibit D – Historical Small Business Utilization

EXHIBIT D

HISTORICAL SMALL BUSINESS UTILIZATION

N69450-20-R-0078

This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for the evaluation of Factor 4, Small Business Utilization and Participation. Exhibit D documents the offeror’s historical small business utilization and achievements for each project submitted under Factor 1, Experience. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).

Include actual dollar values subcontracted for each of the categories listed. Include the whole dollar and percentage goals ONLY if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. Acknowledging a goal was missed, is not the same as providing an explanation for why a goal was missed. If goals were not established for a project, mark N/A. Enter zeroes (0) where applicable.

Project #1: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business Performed as: Prime Contractor Subcontractor

JV Member

Subcontracting Plan Required: Yes No

(if applicable)

Total Self Performed Value: $

Total Subcontracted Value: $

Explanation of each unmet goal (if applicable):

Explanation for a lack of small business subcontracting achievements (if applicable):

Name of customer reference for this project:

Phone Number:

Email address:

Project #2: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business Performed as: Prime Contractor

(if applicable)

Total Self Performed Value: $

Total Subcontracted Value: $

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #3: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business Performed as: Prime Contractor

(if applicable)

Total Self Performed Value: $

Total Subcontracted Value: $

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #4: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business Performed as: Prime Contractor

(if applicable)

Total Self Performed Value: $

Total Subcontracted Value: $

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

Project #5: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business Performed as: Prime Contractor

(if applicable)

Total Self Performed Value: $

Total Subcontracted Value: $

Explanation of each unmet goal (if applicable):

Name of customer reference for this project:

Email address:

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY