HTASC_DSol_SecJ_Att08_SBPartForm.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- DRAFT SOLICITATION - Huachuca Training and Support Contract (HTASC) Federal contract opportunity
- Solicitation number
- W900KK-17-R-0014
About this file
This document contains a template for reporting small business subcontracting data under the Huachuca Training and Support Contract and instructions for its completion. Prime contractors must submit the form on a semi-annual basis no later than 30 days after March 31 and September 30 each year. The report requires contractors to provide the total dollar amount and percentage of funds subcontracted to various small business categories, including small disadvantaged businesses, women-owned small businesses, veteran-owned small businesses, service-disabled veteran-owned small businesses, and HUBZone small businesses. Large business subcontracting amounts must also be reported. Relevant task orders must be identified. The form collects cumulative data from contract award through the end of each six-month reporting period. A separate cumulative report including all orders from contract inception to each option year exercise is also required.
HTASC_DSol_SecJ_Att08_SBPartForm
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Text version
Instructions
| HUACHUCA TRAINING AND SUPPORT CONTRACT (HTASC) |
| Small Business Participation Form |
INSTRUCTIONS
The intent of this form is to collect subcontract award data from large and small prime contractors on a semi-annual basis. The report should reflect the cumulative total from all TOs awarded within the respective six month period (01 Oct - 31 Mar or 01 Apr - 30 Sep). The report should also include active orders issued.
This report is required on a semi-annual basis 30 days within the close dates of 31 March and 30 September. A separate cumulative report, to include all orders issued since inception of the contract, is required prior to the exercise of each subsequent Option Ordering Period.
The report shall be submitted via email to: Susan Halvatzis, susan.k.halvatzis.civ@mail.mil, Tara Wagner, tara.m.wagner3.civ@mail.mil, Jennifer Kimzey, jennifer.s.kimzey.civ@mail.mil
Block 1. Enter Prime Contractor Name
Block 2. Enter the Contract Number
Block 3. Enter the total funded amount of all awarded TO(s)
Block 4. Indicate your socio-economic status
Block 5. Indicate cumulative dollar amounts funded and percentage subcontracted for each category. Follow these steps to complete this block:
Block 5a. Report the total value of all subcontracts awarded to Small Business Concerns
Block 5a (1). Report all subcontracts awarded to regular Small Businesses that do not contain any socio-economic classification
Block 5a (2). Report all subcontracts awarded to Small Disadvantaged Business (SDB) (may also include as applicable: WOSBs, VOSBs, SDVOSBs, HUBZone SBs and HBCU/MSIs)
Block 5a (3). Report all subcontracts awarded to Women-Owned Small Business (WOSB) (may also include as applicable: SDBs, VOSBs, SDVOSBs and HUBZone SBs)
Block 5a (4). Report all subcontracts awarded to Veteran-Owned Small Business (VOSB) (may also include as applicable: SDBs, WOSBs, SDVOSBs and HUBZone SBs)
Block 5a (5). Report all subcontracts awarded to Service-Disabled Veteran-Owned Small Business (SDVOSB) (may also include as applicable: SDBs, WOSBs, and HUBZone SBs)
Block 5a (6). Report all subcontracts awarded to HUBZones Small Businesses (HUBZone SB) (may also include as applicable: SDBs, WOSBs, VOSBs, SDVOSBs and HUBZone SBs)
Block 5b. Report all subcontracts with Historically Black Colleges/Universities and Minority Serving Institutions (HBCU/MSIs).
Block 5c. Report all subcontracts awarded to Large Businesses (LB).
Block 5d. Report the total subcontract effort by adding Blocks a, b and c.
Block 5e. Identify TO(s) represented in above data.
Attachment (5)
Form Huachuca Training and Support Contract (HTASC) Small Business Participation Reporting Form
Cumulative Report from Base award through: (enter date)
| 1. | CONTRACTOR NAME: |
| 2. | CONTRACT: W900KK-XX-D-XXXX |
| 3. | TOTAL FUNDED AMT OF ALL AWARDED TO(S): |
| 4. | SOCIO-ECONOMIC STATUS: (check all that apply) |
| Small Business | |
| SDB | |
| WOSB | |
| VOSB | |
| SDVOSB | |
| HUBZone | |
| HBCU/MSI | |
| Large Business |
5. SUBCONTRACT AWARDS
| SOCIO-ECONOMIC CATEGORY | DOLLAR VALUE | % OF TOTAL DO/TO(S) FUNDED AMOUNT | % OF TOTAL SUBCONTRACTED AMOUNT | SMALL BUSINESS PARTICIAPTION GOALS |
| a. SMALL BUSINESS CONCERNS (TOTAL) | ERROR:#DIV/0! | ERROR:#DIV/0! | ||
| (1) SMALL BUSINESS (REGULAR) | ERROR:#DIV/0! | |||
| (2) SMALL DISADVANTAGED BUSINESS (SDB) | ERROR:#DIV/0! | |||
| (3) WOMEN-OWNED SMALL BUSINESS (WOSB) | ERROR:#DIV/0! | |||
| (4) VETERAN-OWNED SMALL BUSINESS (VOSB) | ERROR:#DIV/0! | |||
| (5) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) | ERROR:#DIV/0! | |||
| (6) HUBZONE SMALL BUSINESS (HUBZone SB) | ERROR:#DIV/0! | |||
| b. HISTORICALLY BLACK COLLEGES AND UNIVERSITIES AND MINORITY SERVING INSTITUTIONS (HBCU/MSIs) | ERROR:#DIV/0! | |||
| c. LARGE BUSINESS CONCERNS | ERROR:#DIV/0! | |||
| d. TOTAL SUBCONTRACT EFFORT (add a, b and c) | $0 | |||
| e. COMMENTS: |
Attachment (5)
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