B08-W81XWH-19-R-0032_Attch-1-Small_Business_Utilization.docx
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- Analgesic Ketamine
- Solicitation number
- W81XWH19R0032
- Issued by
-
Department of the Army Medical Command
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Solicitation-W81XWH-19-R-0032-Attachment 1
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Other files
| File | Type | Posted |
|---|---|---|
| B08-Solicitation-W81XWH-19-R-0032-0001.docx | DOCX document | |
| Solicitation_Questions_and_Answers.docx | DOCX document | |
| B08-W81XWH-19-R-0032_Attch-2_OCI-Certification.docx | DOCX document | |
| B08-Exhibit-CDRL_A002_TDP.pdf | ||
| B08-W81XWH-19-R-0032_Attch-3_Cost-Template.xls | XLS spreadsheet | |
| B08-Exhibit_-CDRL_A001_Regulatory_Strategy.pdf | ||
| B08-Solicitation-W81XWH-19-R-0032.docx | DOCX document |
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W81XWH-19-R-0032
SOLICITATION ATTACHMENT 1:
SMALL BUSINESS UTILIZATION
Solicitation Number: W81XWH-19-R-0032
Offeror: <Offeror to enter name>
Date: <Offeror to enter date>
All Offerors are required to complete a Small Business Participation Breakout for this solicitation. The Offeror should provide the level of participation of small businesses as subcontractors in the performance of the acquisition. Include only first-tier U.S. small business subcontractors.
(a) Submit the total percent of estimated work to be performed by small business subcontractors. Provide the percentage of work to be performed by Large and Small Business Subcontractors:
Example: If total performance of the contract is 100%, and small business(es) will provide 50% (as a prime or subcontractor); the remaining 50% is planned for large business.
Total Percentage of estimated Work to be performed by the Prime _________% = $__________
Total Percentage of estimated Work to be subcontracted to Large Businesses: _________% = $__________
Total Percentage of estimated work to be Subcontracted to Small Businesses: _________% = $__________
When combined, totals must equal 100%
___100___% = $__________
(b) Please indicate the total percentage of subcontractor participation to be performed by each type of small business. The Offeror shall propose its best effort for all socioeconomic categories. The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:
*Example: Company A (WOSB and SDVOSB) performing 2%; and Company B (SDB, HUB Zone and WOSB) performing 3%. Results equate to: SDB 5%; HUB Zone 3%; WOSB 5%; SDVOSB 2%; VOSB 2%;). SDVOSBs are also VOSBs automatically; however VOSBs are not automatically SDVOSBs.
HBCU/MI _________% = $ ________
Small Disadvantaged Business _________% = $ ________
Woman Owned Small Business _________% = $ ________
HUB Zone Small Business _________% = $ ________
Veteran Owned Small Business _________% = $ ________
Service Disabled Veteran Owned SB _________% = $ ________
*Please provide the above information for the initial period of performance and each option period of performance.
(c) Intended supplies/services to be performed by small business subcontractors. Identify the Prime Offeror and type of supply/service that the Prime Offeror will provide. List each of the intended small business subcontractors and principal supplies/services provided by that subcontractor. Be as specific and detailed as possible in describing the type of service or supply being provided by the Prime and each subcontractor in order to demonstrate the variety and complexity of the work to be performed. Reference the specific task(s) or subtask(s) in the Offeror’s Statement of Work (SOW) and the percentages of work that are to be performed by Small Businesses. Additional space other than this chart may be necessary to adequately address the required information. Provide the Commercial and Government Entity (CAGE) code for each intended subcontractor. Also provide the anticipated NAICS code(s) that the Prime Offeror believes best describes the product or services being acquired by its subcontracts with each intended subcontractor (see Note 1 below). Small Business subcontractors that qualify as small businesses in multiple small business categories should be listed in each applicable small business category:
| Task/Subtask/ SOW reference |
| Name of Company |
(include CAGE Code)
| Anticipated NAICS Code |
| % of Estimated |
Subcontract $
Prime Offeror:
Large Business:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
HBCU/MI:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Small Business:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Small Disadvantaged:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Woman Owned Small:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
HUBZone Small:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Veteran Owned Small:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Service-Disabled Veteran Owned Small:
| 1. | ________________ _______________________________ ___________ _______________ |
| 2. | ________________ _______________________________ ___________ _______________ |
etc….
Note 1: Pursuant to Sections 8(d) of the Small Business Act, a concern is small for subcontracts which relate to Government procurements if it does not exceed the size standard for the NAICS code that the prime contractor believes best describes the product or services being acquired by the subcontract. In other words, the size of your subcontractors and suppliers is determined by the NAICS code of their subcontract, which may or may not be the same NAICS code as the one for your prime contract with the Government.
File details come from the government source that posted it.