Attachment_3_Small_Business_Participation_Form.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Amendment 0004 to Request for Proposal for the Life Cycle Product-line Management (LCPM) Procurement
Solicitation number
W900KK-17-R-0023
Issued by

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File Type Posted
Amendment_0003_to_LCPM_Solicitation_W900KK-17-R-0023.pdf PDF
Amendment_0003_to_LCPM_Solicitation_W900KK-17-R-0023_Conformed_Copy.pdf PDF
Attachment_6.3_LCPM__HPL_DO_0001_Workbook_changes.pdf PDF
Amendment_0003_to_LCPM_Solicitation_W900KK-17-R-0023_Track_Changes.pdf PDF
LCPM_Final_RFP_Questions_Responses_21-24__04Aug2017.pdf PDF
Attachment_6.3_LCPM_HPL_DO_0001_CostPrice_Workbook_04Aug17_Amendment_3.xlsx XLSX spreadsheet
LCPM_Final_RFP_Questions_Responses_25Jul2017.pdf PDF
Amendment_0002_to_LCPM_Solicitation_W900KK-17-R-0023_Track_Changes.pdf PDF
Amendment_0002_to_LCPM_Solicitation_W900KK-17-R-0023_Conformed_Copy.pdf PDF
Attachment_7.2_IMTS_Performance_Specification_Amendment_2.pdf PDF
Attachment_7.3_LCPM_DO_0002_CDRL_A003_Amendment_2.pdf PDF
Attachment_6.1_LCPM_DO_0001_HPL_SOW_Amendment_2.pdf PDF
Attachment_6.0_HPL_DO_0001_Amendment_2.pdf PDF
Attachment_6.2_LCPM_DO_0001_CDRL_A006_Amendment_2.pdf PDF
Attachment_6.2_LCPM_DO_0001_CDRL_A002_Amendment_2.pdf PDF
Attachment_6.3_LCPM_HPL_DO_0001_CostPrice_Workbook_20Jul17_Amendment_2.xlsx XLSX spreadsheet
Amendment_0002_to_LCPM_Solicitation_W900KK-17-R-0023.pdf PDF
Attachment_15_Government_Rights_for_LCPM_CDRLs_Amendment_2.xlsx XLSX spreadsheet
Amendment_0001_to_LCPM_Solicitation_W900KK-17-R-0023.pdf PDF
Paragraph_L.10.0_Track_Changes.pdf PDF
Amendment_0001_to_LCPM_Solicitation_W900KK-17-R-0023_Conformed_Copy.pdf PDF
Attachment_9_LCPM_PPQ_for_Solicitation_W900KK-17-R-0023_Amendment_1.docx DOCX document
Attachment_5_Work_Request_Procedures.pdf PDF
Attachment_7.4_LCPM_IMTS_DO_0002_CostPrice_Workbook_25May17.xlsx XLSX spreadsheet
Attachment_11_SF1408-14a.pdf PDF
Attachment_7.2_IMTS_Performance_Specification.pdf PDF
Attachment_6.0_HPL_DO_0001.pdf PDF
Attachment_15_Government_Rights_for_LCPM_CDRLs.xlsx XLSX spreadsheet
Attachment_10_Industry_Question-Comment_Form.pdf PDF
Attachment_6.1_LCPM_DO_0001_HPL_SOW.pdf PDF
Attachment_7.0_IMTS_DO_0002.pdf PDF
Attachment_7.1_LCPM_DO_0002_IMTS_SOW.pdf PDF
Attachment_1_LCPM_BASE_SOW.pdf PDF
Attachment_9_LCPM_PPQ_for_Solicitation_W900KK-17-R-0023.docx DOCX document
Attachment_7.3_LCPM_DO_0002_CDRLS_5Jul2017.pdf PDF
Attachment_4_Data_Item_Transmittal.pdf PDF
Attachment_12_Inst_for_the_LT2_Portal.pdf PDF
Attachment_7.5_Annex_to_Exhibit_A_for_LCPM_CDRLs_in_DO2.docx DOCX document
Attachment_6.2_LCPM_DO1_CDRLS_5Jul2017.pdf PDF
Attachment_14_Site_Locations.pptx PPTX presentation
Attachment_13_LT2_Portal_Documents.pdf PDF
LCPM_Solicitation_W900KK-17-R-0023.pdf PDF
Attachment_2_LCPM_W900KK-17-R-0023_DD254.pdf PDF
Attachment_7.6_Annex_to_Exhibit_B_for_LCPM_CDRLs_in_DO2.pdf PDF
Attachment_16_Delivery_Order_Procedures.pdf PDF
Attachment_8_LCPM_Requirements_Compliance_Matrix.xlsx XLSX spreadsheet
Attachment_6.3_LCPM_HPL_DO_0001_CostPrice_Workbook_5Jul17.xlsx XLSX spreadsheet
Attachment_7.7_Annex_to_Exhibit_C_for_LCPM_CDRLs_in_DO2.docx DOCX document
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Instructions

LCPM Contract W900KK-XX-D-XXXX
Small Business Participation Form

INSTRUCTIONS

The intent of this form is to collect subcontract award on a semi-annual basis. The report should reflect the cumulative total from all Delivery Orderss awarded within the Ordering Period.

This report is required on a semi-annual basis following award and must be submitted within 30 days following the close of each six month period.

The report shall be submitted electronically (Email) to:
Keyanna.r.boone.civ@mail.mil
Tara.M.Wagner3.civ@mail.mil
Randall.A.Edney.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 DO/TO(s)

Block 4. Indicate your socio-economic status by checking the applicable blocks

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 DO/TO(s) represented in above data.

LCPM

Life Cycle Product-line Management (LCPM) Contract W900KK-XX-D-XXXX Small Business Participation Reporting Form

Cumulative Report from Base award through: (enter date)

1.CONTRACTOR NAME:
2.CONTRACT: TBD
3.TOTAL FUNDED AMT OF ALL AWARDED DO/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 CATEGORYDOLLAR VALUE% OF TOTAL DO/TO(S) FUNDED AMOUNT% OF TOTAL SUBCONTRACTED AMOUNT
a. SMALL BUSINESS CONCERNS (TOTAL)ERROR:#VALUE!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 CONCERNSERROR:#DIV/0!
d. TOTAL SUBCONTRACT EFFORT (add a, b and c)$0
e. COMMENTS:

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