HTASC_Sol_SecJ_Att08_SBPartForm.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- Huachuca Training and Support Contract (HTASC) Federal contract opportunity
- Solicitation number
- W900KK-17-R-0014
About this file
This document contains a template and instructions for a semi-annual small business participation reporting form required under the Huachuca Training and Support Contract (HTASC). Prime contractors must report subcontract award data every six months and 30 days prior to the exercise of each option period, including the names of subcontractors, total award amounts, and dollars awarded to various small business categories. Subcontractors are categorized as small, small disadvantaged, women-owned, veteran-owned, service-disabled veteran-owned, and HUBZone small businesses as well as large businesses. Reports include cumulative data for all task orders issued under the contract and are submitted to three specified government points of contact via email.
HTASC_Sol_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, and HUBZone SBs)
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 awarded to Large Businesses (LB).
Block 5c. Report the total subcontract effort by adding Blocks a and b.
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 | |
| 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. LARGE BUSINESS CONCERNS | ERROR:#DIV/0! | |||
| c. TOTAL SUBCONTRACT EFFORT (add a and b) | $0 | |||
| d. COMMENTS: |
Attachment 08
File details come from the government source that posted it. Updated .