Section J - Section L.12 Attachment SDB Target Identification List Form.doc
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- TIRNO-09-R-00051
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Section J L.12 SDB ID List Form
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Section J – Attachment L.12 J.
IDENTIFICATION LIST OF SMALL DISADVANTAGED BUSINESS FIRMS IN TARGETED NAICS CODES PROJECTED TO BE USED ON THIS CONTRACT Category I – Prime Contractor Target NAICS SDB Credit (Applicable only if the proposed prime Contractor is an SDB in a targeted NAICS code, and the proposed prime certifies that the Price Evaluation Adjustment factor has been waived).
| Name, Address, Telephone of Contractor |
| Target NAICS |
Classification
| Service Provided |
| $ Amount |
| % of Total Contract Value |
ABC Company
123 Main St.
Baltimore, MD 1234
| 541512 |
| Computer Systems Design Services |
| $500,000 |
| 30% |
Category II – Joint Venture Partners and Team Member Proposed for Target NAICS SDB Credit
| Name, Address, Telephone of Contractor |
| Target NAICS Classification |
| Service Provided |
| $ Amount |
| % of Total Contract Value |
ABC Company
123 Main St.
Baltimore, MD 1234
| 541512 |
| Computer Systems Design Services |
| $500,000 |
| 30% |
Category III – Subcontractors Proposed for Target NAICS SDB Credit
| Name, Address, Telephone of Contractor |
| Target NAICS Classification |
| Service Provided |
| $ Amount |
| % of Total Contract Value |
ABC Company
123 Main St.
Baltimore, MD 1234
| 541512 |
| Computer Systems Design Services |
| $500,000 |
| 30% |
Note: A separate target NAICS SDB list must be submitted for each option year of the contract.
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