Exhibit_F_Small_Business_Participation_Format.pdf

C-17 Type III Hydrant Ramp Expansion, W91242-18-R-0002

EXHIBIT F

EXTENT OF PARTICIPATION OF SMALL BUSINESSES FORMAT

All Offerors (both large and small businesses) are required to complete an Extent of Participation of Small

Businesses Proposal. Offerors should propose the level of participation of small businesses (as a small business prime and/or small business subcontractors) in the performance of the acquisition relative to the objectives/goals set forth in the evaluation paragraph for this Factor.

(a) Check the applicable size and categories for the PRIME offeror only – Check all applicable boxes:

{ } Large Prime

OR

{ } Small Business Prime; also categorized as a

{ } Small Disadvantaged Business (SDB)

{ } Woman-Owned Small Business (WOSB)

{ } Historically Underutilized Zone (HUB Zone) Small Business

{ } Veteran Owned Small Business (VOSB)

{ } Service Disabled Veteran Owned Small Business (SDVOSB)

(b) Submit the total combined percentage of work to be performed by both large and small businesses (include the percentage of work to be performed both by Prime and Subcontractors). When combined, Large and Small

Business totals must equal 100%:

Total Percentage planned for Large Business(es) _______% = $ _______

Total Percentage planned for Small Business(es) _______% = $ _______

(c) Please indicate the total percentage of participation to be performed by each type of subcategory small business.

The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:

Small Business _____%

Small Disadvantaged Business _____%

Woman Owned Small Business _____%

HUBZone Small Business _____%

Veteran Owned Small Business _____%

Service Disabled Veteran Owned SB _____%

(Note: for example, that an Extent of Participation of Small Businesses proposal that reflects {1%} of the contract value for WOSB would also count towards the overall Small Business Goal; and percentages for SDVOSB also count towards VOSB).

(d) List principle supplies/services to be performed by Small Businesses:

(Note: If any Small Business qualifies also as another SB category, you can add them to each category below in which they qualify).

Name of Company

Small Business (SB):

Identify Type of Service/Supply

Small Disadvantaged Business (SDB):

Women-Owned Small Business (WOSB):

Historically Underutilized Business Zone (HUB Zone):

Veteran Owned Small Business (VOSB):

Service Disabled Veteran Owned Small Business (SDVO):

(e) Describe the extent of commitment to use small businesses (for example, what types of commitments if any are in place for this specific acquisition either – small business prime, written contract, verbal, enforceable, nonenforceable, joint venturing, mentor-protégé, etc.)

Additional Important Note for LARGE BUSINESSES ONLY:

A Small Business Subcontracting Plan is Required (FAR 52.219-9). Separate from the Extent of

Participation of Small Businesses stated at the evaluation factors for this solicitation, LARGE BUSINESS

OFFERORS must also submit a subcontracting plan meeting the requirements of FAR 52.219-9 and DFARS

252.219-7003 (or DFARS 252.219-7004 if the offeror has a comprehensive subcontracting plan). The LARGE

BUSINESS must submit acceptable subcontracting plans to be eligible for award. Subcontracting Plans shall reflect and be consistent with the commitments offered in the Extent of Participation of Small Businesses.