Attachment C - Small Business Participation Commitment Document - U0001.pdf

Source Selection Information -- See FAR 2.101 and 3.104.

FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE INFORMATION

ATTACHMENT C

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT

Other than small business Offerors (large businesses) are required to complete a Small Business Participation Commitment Document. Offerors shall 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 of this area. A mandatory minimum Total Small Business Participation goal of 10% of the total contract value is assigned to this acquisition.

(a) 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):

Example: If Prime proposes a price of $1,000,000 (including all options), and small business(es) will provide $250,000 in services/supplies as a prime or subcontractor, the % planned for small businesses is 25%; and 75% for large business equaling 100%.

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

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

(b) 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:

(Suggested)

SDB % 0.5%

HUB Zone Small Business % 1%

Woman Owned Small Business % 0.25%

Service Disabled Veteran Owned SB % 1%

Veteran Owned Small Business % 0.25%

SOURCE SELECTION SENSITIVE INFORMATION

(c) List of principle small business firms by name and/or socioeconomic category and the services/supplies to be performed/acquired from the company:

Name of Company Identified Type of Service/Supply

Small:

SDB/8(a):

Women-Owned Small:

HUB Zone Small:

Veteran Owned Small:

Service Disabled Veteran Owned Small:

(d) Describe the extent of commitment to use each of the identified small business. Offerors do not need to submit copies of commitment instruments in their proposals. Rather, identify what types of commitments are in place with each company —i.e. a written contract, letter of commitment, verbal agreement, joint venture, mentor-protégé agreement, including how long agreement in place.

Company: Type of Commitment:

(e) Past performance of the offerors in complying with requirements of the clauses at FAR 52.219-8, Utilization of Small Business Concerns and 52.219-9, Small Business Subcontracting Plan. Offerors are required to submit verifiable information on up to three (no less than one) project(s) that demonstrate the degree (by total dollars and percentage of contract value) to which the contractor utilized small business firms in performing the project. The projects to be considered for this element do not have to be the same as those submitted for the Experience and Past Performance factors.

Project 1:

Title: Company Name Current representative & contact info Contract awarded amount Project completion date Dollar amount and Percent Self Performed Dollar amount and Percent of contract Subcontracted Dollar amount and Percent Subcontracted to Small Business Dollar amount and Percent Subcontracted to Large business

Project 2:

Title:

Company Name Current representative & contact info Contract awarded amount Project completion date Dollar amount and Percent Self Performed Dollar amount and Percent of contract Subcontracted

Dollar amount and Percent Subcontracted to Large

Project 3:

Title: Company Name Current representative & contact info Contract awarded amount Project completion date Dollar amount and Percent Self Performed Dollar amount and Percent of contract Subcontracted

Dollar amount and Percent Subcontracted to Large

No award will be made to an offeror until an approved subcontracting plan is in place. The subcontracting plan must contain the mandatory plan requirements outlined in FAR 19.704 and the dollar amount for each socioeconomic category must match the dollar amount for each socioeconomic category that was proposed in the evaluated Small Business Participation Commitment Document (Factor 4)