Statement_of_Compliance_fillable.pdf

Statement of Compliance for Incumbent Contractors Subcontracting Plan

In accordance with Federal Acquisition Regulation Part 19.7 Small Business Subcontracting Program.

Contract Information

Contract Number:

Corporate Name:

Duns Number:

Place of Performance (City/State/County):

Period of Performance:

Aggregate Contract Value:

Item/Service: (Provide a brief description of item and/or service; attach copy of Table ‘A’)

9 RRC Services 9 Construction 9 A/E 9 TDAT 9 Medical 9 Other (Specify)

Good Faith Efforts

Previous Plan Type: 9 Individual 9 Commercial 9 Master

Were all reporting requirements meet in a timely manner? 9 Yes 9 No

Were all issues/concerns resolved in a timely manner? 9Yes 9 No

If not, was immediate notice provided regarding the incumbents “failure to meet its commitment” under FAR 52.219-9? 9Yes 9 No

Were Liquidated Damages Assessed? 9Yes 9 No

Is there additional rebutting statements/information regarding incumbent=s Agood faith efforts@?

9 No 9 Yes (Attach supporting documentation i.e. rebuttal statement etc.)

Accomplished Subcontracting Goals

(See final Summary of Subcontracting Report @ www.eSRS.gov)

Small Business: $ % Small Disadvantaged Business: $ % Women Owned Small Business: $ % HUBZone Small Business: $ % Service-Disabled Veteran-Owned Small Businesses: $ % Veteran Owned Small Business (Optional): $ %

Contracting Officer’s Name/Title: _________________________________________