Sol_Doc_75F40125R00037_Attachment 9 - HHS Subcontracting Plan.pdf

PDF 383 KB Posted

Attached to
Access to Outpatient Longitudinal Data IDIQ Federal contract opportunity
Solicitation number
75F40125R00037
Issued by
Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services

About this file

This document is a HHS Subcontracting Plan Template for the "Access to Outpatient Longitudinal Data IDIQ" federal contract opportunity (Solicitation Number 75F40125R00037). The template outlines the subcontracting goals and requirements for the Department of Health and Human Services Food and Drug Administration contract, which has a five-year performance period. For Fiscal Year 2025, the FDA has established specific subcontracting goals: 38.50% for Small Business, 26.00% for Small Disadvantaged Businesses (including 8(a) Program Participants, Alaska Native Corporations, and Indian Tribes), 9.25% for Women-Owned Small Businesses, 5.00% for Service-Disabled Veteran-Owned Small Businesses, and 5.00% for HUBZone businesses. The plan requires detailed reporting on subcontracting efforts, including cooperation in studies, submission of periodic reports, and maintenance of records demonstrating compliance with the subcontracting goals.

View the file

Other files for this federal contract opportunity

Other files attached to Access to Outpatient Longitudinal Data IDIQ, newest first.
File Type Posted
Amend_1_75F40125R00037_Attachment 7 - FDA Secure Electronic Mail System.pdf PDF
Amend_1_75F40125R00037_Attachment 14 - Task Order Statement of Work.pdf PDF
Amend_1_75F40125R00037.pdf PDF
Amend_1_75F40125R00037_Attachment 13 - Pricing Worksheet.xlsx XLSX spreadsheet
Amend_1_75F40125R00037_QR.pdf PDF
Sol_Doc_75F40125R00037_Attachment 8 - Active FAR - HHSAR Class Deviations.pdf PDF
Sol_Doc_75F40125R00037_Attachment 10 - Example of Monthly Report.xlsx XLSX spreadsheet
Sol_Doc_75F40125R00037.pdf PDF
Sol_Doc_75F40125R00037_Attachment 2 - Glossary.pdf PDF
Sol_Doc_75F40125R00037_Attachment 4 - Data Disclosure Clearance Forms.docx DOCX document
Sol_Doc_75F40125R00037_Attachment 7 - FDA Secure Electronic Mail System.pdf PDF
Sol_Doc_75F40125R00037_Attachment 1 - Data Characteristics Table.pdf PDF
Sol_Doc_75F40125R00037_Attachment 3 - Data Disclosure Clearance Procedures.docx DOCX document
Sol_Doc_75F40125R00037_Attachment 11 - Past Performance Worksheet.docx DOCX document
Sol_Doc_75F40125R00037_Attachment 12 - Past Performance Questionnaire.docx DOCX document
Sol_Doc_75F40125R00037_Attachment 5 - Census Regions.pdf PDF
Sol_Doc_75F40125R00037_Attachment 6 - Trial Subscription Agreement.docx DOCX document
Sol_Doc_75F40125R00037_Attachment 13 - Pricing Worksheet.xlsx XLSX spreadsheet
Sol_Doc_75F40125R00037_Attachment 14 - Task Order Statement of Work.pdf PDF
Show all 19

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

HHS SUBCONTRACTING PLAN TEMPLATE

A Subcontracting Plan is required if the estimated cost of the contract may exceed $750,000 ($1,500,000 for construction) Small businesses are excluded.

Informational purposes only: The following outline meets the minimum requirements of section 8(d) of the Small Business Act, as amended, and implemented by the Federal Acquisition Regulations (FAR) Subpart 19.7. The U.S.

Department of Health and Human Services (HHS), Office of Small and Disadvantaged Business Utilization (OSDBU) recommends that offerers use the following format as a guideline to submit proposed Individual Subcontracting Plans.

It is not intended to replace any existing Corporate/Commercial Plan that is more extensive.

Questions should be forwarded to the Contracting Officer and/or Small Business Specialist/Subcontracting Program Manager.

PROJECT INFORMATION

Solicitation/Contract No.: MOD No. (If applicable):

Title of Acquisition:

Contractor’s Name:

Period of Performance:

Total Contract Amount (including options, and any modifications if this submission is due to a modification):

Total Modification Amount: (if applicable) $ Base Period (if there are options): $

Option 1 (if applicable): $ Option 2 (if applicable): $

Option 3 (if applicable): $ Option 4 (if applicable): $

FAR 52.217-8 (if applicable): $

Contracting Officer/Specialist Name: Tel & Fax:

OPDIV/Division/Branch (including location): Email:

SUBCONTRACT PLAN REQUIREMENTS- Failure to include the essential information of FAR Subpart 19.7 may be cause for either a delay in acceptance or the rejection of a bid or offer when a subcontracting plan is required. “SUBCONTRACT,” as used in this clause, means any agreement (other than one involving an employer-employee relationship) entered into by a Federal Government prime contractor or subcontractor requesting supplies or services required for performance of the contract or subcontract.

If assistance is needed to locate small business sources, contact the Small Business Specialist (SBS) supporting the OPDIV/STAFFDIV. SBS contact information is located on the OSDBU website (https://osdbu.hhs.gov) or contact the HHS OSDBU Customer Care Center at sbmail@hhs.gov or (202) 690-7300..

FDA currently has the following subcontracting goals for Fiscal Year 2025:

Type of Concern Goal (%) Small Business 38.50% Small Disadvantaged Business, including 8(a) Program Participants, Alaska Native Corporations (ANC) and Indian Tribes

26.00%

Women Owned Small Business 9.25% Service Disabled Veteran Owned Small Business 5.00% HUBZone 5.00% https://osdbu.hhs.gov/ mailto:sbmail@hhs.gov

1. Type of Plan (check one):

Individual *Master (Addendum) *Commercial *When Master is checked, Individual must also be checked and submission must include both.

*If Commercial is checked, please stop here and attach a copy of your commercial plan.

For Informational Purposes:

Individual plan - all elements developed specifically for this contract and applicable for the full term of this contract.

Master plan - goals developed for this contract, all other elements standardized and approved by a lead agency Federal Official; must be renewed every three years and contractor must provide copy of lead agency approval.

Commercial products/service plan - goals are negotiated with the initial agency on a company-wide basis rather than for individual contracts; this plan applies to the entire production of commercial service or items or a portion thereof. The contractor sells commercial products and services customarily used for non-government purposes. The plan is ef fective during the offeror’s fiscal year. This plan is negotiated annually.

2. Subcontracting Goal Data: (FAR19.702(a)(1-3) & FAR 52.219-9(d)(1)) Below indicate the dollar and percentage goals for Small Business (SB), Small Disadvantaged (SDB) including Alaska Native Corporations and Indian Tribes, Women-owned and Economically Disadvantaged Women-Owned (WOSB), Historically Underutilized Business Zone (HUBZone), Veteran Owned Small Business (VOSB), Service-Disabled Veteran-Owned (SDVOSB) Small Businesses and “Other than Small Business” (Other) as subcontractors. Indicate the base year and each option year, as specified in FAR 19.704. If any contract has more than four options, please attach additional sheets which illustrate dollar amounts and percentages.

PLEASE NOTE: Zero dollars is not an acceptable goal for the SB, SDB, WOSB, HUBZone, VOSB or SDVOSB categories since this does not demonstrate a good faith effort throughout the period of performance of the contract.

% of Total Contract $

For Individual Plans complete a(1): (FAR 52.219-9(d)(2)(i)) a(1). Total dollars planned to be subcontracted under this contract is:

For Individual Plan

$ =2b+2h

If your contract includes options, please include the break down here:

Base Period: $ Option Period 3: $

Option Period 1: $ Option Period 4: $

Option Period 2: $

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

b. Total dollars planned to be subcontracted to small business concerns (including ANC and Indian tribes)- [Percentage of 2a.]: (FAR 52.219-9(d)(2)(ii))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: % % and

c. Total dollars planned to be subcontracted to veteran-owned small business concerns- [Percentage of 2.a.]:

(FAR 52.219-9(d)(2)(iii))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

d. Total dollars planned to be subcontracted to service-disabled veteran-owned small business - [Percentage of 2.a.]: (FAR 52.219-9(d)(2)(iv))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

e. Total dollars planned to be subcontracted to HUBZone small business concerns - [Percentage of 2.a.]:

(FAR 52.219-9(d)(2)(v))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

f. Total dollars planned to be subcontracted to small disadvantaged business concerns (including ANCs and Indian tribes) - [Percentage of 2.a.]: (FAR 52.219-9(d)(2)(vi))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: $ and %

OPT 4: %

g. Total dollars planned to be subcontracted to women-owned small business concerns- [Percentage of 2.a.]:

(FAR 52.219-9(d)(2)(vii))

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

h. Total Subcontracting Dollars & Percentage with “Other” than Small Businesses (i.e., large companies, non profits, etc.) [Percentage of 2.a.]: (HHS OSDBU)

If your contract includes options, please include the break down here:

Base: $

OPT 1: $

OPT 2: $

OPT 3: $

OPT 4: $

and and and and and and

If options are applicable:

Base: %

OPT 1: %

OPT 2: %

OPT 3: %

OPT 4: %

i. Subcontracting Opportunities (description of all principal products/services to be subcontracted to all types of concerns listed in 2.b.- 2.f.) (FAR 52.219-9(d)(3)):

Provide a description of ALL the products and/or services to be subcontracted under this contract, and indicate the size and type of business supplying them (include all that apply):

Products and/or Services

Other Small Business

SDB WOSB Hubz VOSB SDVOSB

j. Please describe the methodology used to develop goals & identify potential sources (e.g. historical trends, information on technical and competitive bidding, formula for calculating goals, etc.) (FAR 52.219-9(d)(4-5)):

k. Indirect costs have have not been included in the dollar and percentage subcontracting goals above (check one).

If indirect costs have been included in establishing subcontracting goals, please provide a description of the method used to determine the proportionate share of indirect costs to be incurred with all types of concerns listed in 2.b.-2.f. (FAR 52.219-9(d)(6)):

SUBCONTRACTING PLAN REQUIREMENTS (con’t)

3. Please enter the following information for the individual who will administer your Subcontracting Program: (FAR 52.219-9(d)(7))

Name: Title:

Address:

Telephone: Email:

Duties: Does the individual named above have general overall responsibility for the company’s subcontracting program, i.e., developing, preparing, and executing subcontracting plans and monitoring performance relative to the requirements of those subcontracting plans and perform the following duties? yes no

Additionally, please respond whether or not the individual who will administer you subcontracting program conducts the following:

1. Developing and promoting company-wide policy initiatives that demonstrate the company’s support for awarding contracts and subcontracts to SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns; and for assuring that these concerns are included on the source lists for solicitations for products and services they are capable of providing; yes no

2. Developing and maintaining bidder source lists of SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns from all possible sources; yes no

3. Ensuring periodic rotation of potential subcontractors on bidder’s lists; yes no

4. Assuring that SB, SDB, WOSB, HUBZone, VOSB and SDVOSB businesses are included on the bidders’ list for every subcontract solicitation for products and services that they are capable of providing. yes no

5. Ensuring that Requests for Proposals (RFPs) are designed to permit the maximum practicable participation of SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns. yes no

6. Reviewing subcontract solicitations to remove statements, clauses, etc., which might tend to restrict or prohibit small, 8(a), SDB, WOSB, HUBZone, VOSB and SDVOSB small business participation. yes no

7. Accessing various sources for the identification of SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns to include the

System for Award Management ( http://sam.gov ), local small business and minority associations, local chambers of commerce and Federal agencies’ Small Business Offices; yes no

8. Establishing and maintaining contract and subcontract award records; yes no

9. Participating in Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade Fairs, Procurement

Conferences, etc; yes no

10. Ensuring that SB, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns are made aware of subcontracting opportunities and assisting concerns in preparing responsive bids to the company; yes no

11. Conducting or arranging for the conduct of training for purchasing personnel regarding the intent and impact of Section 8(d) of the Small Business Act, as amended; yes no

12. Monitoring the company’s subcontracting program performance and making any adjustments necessary to achieve the subcontract plan goals; yes no

13. Preparing and submitting timely, required subcontract reports; yes no

14. Conducting or arranging training for purchasing personnel regarding the intent and impact of 8(d) of the Small Business Act on purchasing procedures;and yes no

15. Coordinating the company’s activities during the conduct of compliance reviews by Federal agencies. yes no

(If NO is checked for any of the duties above, please provide who in the company performs those duties, or indicate why the duties are not performed in your company on a separate sheet of paper and submit with the proposed subcontracting plan.)

Additional duties of the individual:

http://sam.gov/

4. Please describe your efforts to ensure that Small Businesses (incl. SDB, WOSB, HUBZone, SDVOSB) have an equitable opportunity to compete for subcontracts: (FAR 52.219-9(d)(8))

These efforts include, but are not limited to, the following activities:

a. Outreach efforts to obtain sources: (1) Contact minority and small business trade associations; (2) contact business development organizations and local chambers of commerce; (3) attend SB, SDB, WOSB, HUBZone, VOSB and SDVOSB procurement conferences and trade fairs; (4) review sources from the System for Award Management ( http://www.sam.gov); (5) review sources from the Small Business Administration (SBA), Dynamic Small Business Search database (DSBS) http://dsbs.sba.gov/); and (6) Utilize newspaper and magazine ads to encourage new sources.

b. Internal efforts to guide and encourage purchasing personnel: (1) Conduct workshops, seminars and training programs;

(2) Establish, maintain, and utilize SB, SDB, WOSB, HUBZone, VOSB and SDVOSB source lists, guides, and other data for soliciting subcontractors; and (3) Monitor activities to evaluate compliance with the subcontracting plan.

Efforts Described:

5. Flow Down Clause: (FAR 52.219-9(d)(8))

The contractor agrees to include the provisions under FAR 52.219‑8, “Utilization of Small Business Concerns,” in all acquisitions exceeding the simplified acquisition threshold that offers further subcontracting opportunities. All subcontractors, except small business concerns, that receive subcontracts in excess of $750,000 ($1,500,000 for construction) must adopt and comply with a plan similar to the plan required by FAR 52.219‑9, “Small Business Subcontracting Plan.” Note: In accordance with FAR 52.212-5(e) and 52.244-6(c)(2) the contractor is not required to include flow-down clause FAR 52.219.-9 if it is subcontracting commercial items.

6. Reporting and Cooperation: (FAR 52.219-9(d)(10)); (FAR 19.704(a)(10))

The contractor gives assurance of 1) cooperation in any studies or surveys that may be required; 2) submission of periodic reports which illustrate compliance with the subcontracting plan; 3) submission of its Individual Subcontracting Report (ISR) and Summary Subcontract Report (SSR); and 4) subcontractors submission of ISRs and SSRs. ISRs and SSRs shall be submitted via the Electronic Subcontracting Reporting System (eSRS) website https://esrs.symplicity.com/index?_tab=signin&cck=1; 5) include subcontracting data for orders against indefinite-delivery, indefinite-quantity contracts for use by multiple agencies. Please refer to FAR Part 19.7 or contact the Contracting Officer for regulatory reporting requirements and other obligations you are accepting as part of your signing of this document and acceptance of any subsequent contract award that may be granted. See additional requirements below.

7. Record keeping: (FAR 52.219-9(d)(11))

FAR 52.219-9(d)(11) requires a list of the types of records your company will maintain to demonstrate the procedures adopted to comply with the requirements and goals in the subcontracting plan.

Contractor acknowledges and agrees to record keeping obligation expressed at FAR 52.219-9(d)(11). yes no

8. Assurances of Good Faith Effort, and the submission of explanations when failing to acquire as stated in Good Faith Effort: (FAR 52.219-9(d)(12-13))

Contractor hereby makes the following assurances:

(1) that contractor will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that it used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal yes no ; and

(2) that the Contractor will provide the Contracting Officer with a written explanation if the Contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work within 30 days of contract completion and as required under FAR 19.7. yes no

9. Assurances that the Contractor will not prohibit a subcontractor from discussing with the Contracting Officer any material matter pertaining to payment to or utilization of a subcontractor: (FAR 52.219-9(d)(14))

Contractor hereby makes the assurance that the Contractor will not prohibit a subcontractor from discussing with the Contracting Officer any material matter pertaining to payment to or utilization of a subcontractor. yes no

10. Assurances of Timely Payments to Subcontractors: (FAR 52.219-9(d)(15))

FAR 19.702 requires your company to establish and use procedures to ensure the timely payment of amounts due pursuant to the terms of your subcontracts with SB concerns, SDB, WOSB, HUBZone, VOSB and SDVOSB concerns.

Your company has established and use such procedures yes no . Additionally, Contractor makes an assurance that Contractor will pay its small business subcontractors on time and in accordance with the terms and conditions of the underlying subcontract, and notify https://esrs.symplicity.com/index?_tab=signin&cck=1 shelly.thomas Highlight the contracting officer when the prime contractor makes either a reduced or an untimely payment to a small business subcontractor yes no .

Signature Page

1. Contractor makes the following representation: I have reviewed FAR Part 19.704 and FAR Clause 52.219-9, and this Subcontracting Plan is in compliance. yes no This Subcontracting Plan was submitted by:

Name: Title:

Signature:

Address:

Telephone: Email:

6. Reporting and Cooperation: (FAR 52.219-9(d)(10)); (FAR 19.704(a)(10)):Provide its prime contract number, its unique entity identif ier, and the e-mail address of the offeror’s official responsible for acknowledging receipt of or rejecting the ISRs to all f irst-t ier subcontractors and (vii) Require that each subcontractor with a subcontracting plan provide the prime contract number, its own unique entity identif ier, and the e-mail address of the subcontractor’s official responsible for acknowledging receipt of or rejecting the ISRs

HHS SUBCONTRACTING PLAN TEMPLATE
A Subcontracting Plan is required if the estimated cost of the contract may exceed $750,000 ($1,500,000 for construction) Small businesses are excluded.
The following outline meets the minimum requirements of section 8(d) of the Small Business Act, as amended, and implemented by the Federal Acquisition Regulations (FAR) Subpart 19.7. The U.S. Department of Health and Human Services (HHS), Office of Sm...
Questions should be forwarded to the Contracting Officer and/or Small Business Subcontracting Program Manager.
Text45: 75F40125R00037
Text46: N/A
Text47: Access to Outpatient Longitudinal Data IDIQ
Text48: Sixty months (five years)
Text49:
Text50: N/A
Text51:
Text52:
Text53:
Text54:
Text55:
Text56:
Text57: Noah Wills
Text58: 240-402-5220
Text59: FDA/OAGS/DAO/COB
Text60: Noah.Wills@fda.hhs.gov
Text61:
Check Box62: Yes
Text63:
Text64:
Text65:
Text66:
Text67:
Text68:
Text69:
Text70:
Text71:
Text72:
Text73:
Text74:
Text75:
Text76:
Text77:
Text78:
Text80:
Text81:
Text82:
Text83:
Text84:
Text85:
Text86:
Text87:
Text88:
Text89:
Text90:
Text91:
Text92:
Text93:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text7:
Text8:
Text9:
Text10:
Text11:
Text12:
Text13:
Text14:
Text15:
Text16:
Text17:
Text18:
Text19:
Text20:
Text21:
Text22:
Text23:
Text24:
Text25:
Text26:
Text27:
Text28:
Text29:
Text30:
Text31:
Text32:
Text33:
Text34:
Text35:
Text36:
Text37:
Text38:
Text39:
Text40:
Text41:
Text42:
Text43:
Text44:
Text62:
Text79:
Text94:
Text95:
Text96:
Text97:
Text98:
Text99:
Text100:
Text101:
Text102:
Text103:
Text104:
Text105:
Text106:
Text107:
Text108:
Text109:
Text110:
Text111:
Text112:
Text113:
Text114:
Text115:
Text116:
Text117:
Text118:
Text119:
Text120:
Text121:
Text122:
Text123:
Text124:
Text125:
Text126:
Text127:
Text128:
Text129:
Text130:
Text131:
Text132:
Text133:
Text134:
Text135:
Text136:
Text137:
Text138:
Text139:
Text140:
Text141:
Text142:
Text143:
Text144:
Text145:
Text146:
Text147:
Text148:
Text149:
Text150:
Text151:
Text152:
Text153:
Text154:
Text155:
Text156:
Check Box157: Off
Check Box158: Off
Check Box159: Off
Check Box160: Off
Check Box161: Off
Check Box162: Off
Check Box163: Off
Text164:
Check Box165: Off
Check Box166: Off
Check Box167: Off
Check Box168: Off
Check Box169: Off
Check Box170: Off
Check Box171: Off
Text172:
Check Box173: Off
Check Box174: Off
Check Box175: Off
Check Box176: Off
Check Box177: Off
Check Box178: Off
Check Box179: Off
Text180:
Check Box181: Off
Check Box182: Off
Check Box183: Off
Check Box184: Off
Check Box185: Off
Check Box186: Off
Check Box187: Off
Text188:
Check Box189: Off
Check Box190: Off
Check Box191: Off
Check Box192: Off
Check Box193: Off
Check Box194: Off
Check Box195: Off
Text196:
Check Box197: Off
Check Box204: Off
Check Box205: Off
Check Box206: Off
Check Box207: Off
Check Box208: Off
Check Box209: Off
Text210:
Text211:
Check Box220: Off
Check Box221: Off
Text222:
Text223:
Text224:
Text225:
Text226:
Text227:
Text228:
Text229:
Check Box230: Off
Check Box231: Off
Check Box232: Off
Check Box233: Off
Check Box234: Off
Check Box235: Off
Check Box236: Off
Check Box237: Off
Check Box238: Off
Check Box239: Off
Check Box240: Off
Check Box241: Off
Check Box242: Off
Check Box243: Off
Check Box244: Off
Check Box245: Off
Check Box246: Off
Check Box247: Off
Check Box248: Off
Check Box249: Off
Check Box250: Off
Check Box251: Off
Check Box252: Off
Check Box253: Off
Check Box254: Off
Check Box255: Off
Check Box256: Off
Check Box257: Off
Check Box258: Off
Check Box259: Off
Check Box260: Off
Check Box261: Off
Text262:
Text263:
Text264:
Text265:
Text266:
Text267:
Text268:
Check Box269: Off
Check Box270: Off
Check Box271: Off
Check Box272: Off
Check Box273: Off
Check Box274: Off
Check Box275: Off
Check Box276: Off
Check Box277: Off
Check Box278: Off
Check Box279: Off
Check Box280: Off
Check Box281: Off
Check Box282: Off
Text283:
Text284:
Text286:
Text287:
Text288:

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