ATT0065_Small_Business_Participation_Commitment_Document_(SBPCD).pdf
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- TEIS IV
- Solicitation number
- W9128Z19R0002
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SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT
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Section J, Attachment 065 W9128Z-19-R-0002
Small Business Participation Commitment Document (SBPCD)
Template
1. Prime Contractor Size: Indicate applicable size/socioeconomic category – check all that apply:
{ } Other than Small Business or { } Small Business also categorized as a
{ } Small Disadvantaged Business (SDB) { } Woman-Owned Small Business (WOSB) { } Historically Underutilized Business Zone (HUBZone) Small Business { } Veteran Owned Small Business (SDVOSB) { } Service Disabled Veteran Owned Small Business (SDVOSB)
2. Small Business Participants*
*Changes must be pre-approved by the Contracting Officer regardless of the applicability of FAR Clause 52.244-2, Consent to Subcontracting
Company Name
Business Category(ies)
(SB, SDB,
WOSB, VOSB,
SDVOSB)
Product(s)/ Service(s) to be Provided
NAICS
Code*
Nature of Commitment
* NOTE 1: Pursuant to Section 8(d) of the Small Business Act, a business is considered small for Government procurements if it does not exceed the size standard for the NAICS code that the prime contractor believes best describes the product or services being acquired. In other words, the size of the prime’s suppliers is determined by the applicable NAICS code of their joint venture, teaming partner, or subcontract, which may or may not be the same NAICS code as the one used in the prime contract with the Government.
3. Proposed Total Contract Value $ Fill in base contract and all option years
4. Minimum Quantitative Requirement (MQR) -- Participation of Small Businesses*
* CDRL A003, Small Business Participation, reporting applies
IDIQ Contract – Level Summary
(Including the Small Business prime Offeror’s participation)
Business Category Dollar Value % of Total Contract
Value Total Proposed Contract Value (This value should include all options, etc. and match the TOTAL
CONTRACT VALUE of $800 million)
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Business
Base Period Delivery Orders
Business Category Dollar Value % of Total Contract
Value Total Proposed Contract Value Base
Period
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 1 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 1
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 2 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 2
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 3 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 3
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 4 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 4
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Option Period Delivery Orders
Value Total Proposed Contract Value Base
Period
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 5 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 5
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 6 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 6
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 7 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 7
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 8 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 8
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 9 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 9
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
Ordering Period 10 Delivery Orders
Value Total Proposed Contract Value Ordering
Period 10
Prime Contractor $ %
Total Large Business Subcontractors
(excluding Prime Contractor)
Total Small Business Subcontractors
(including any Small Business Prime
Contractors)
Small Disadvantaged Business $ %
Woman-Owned Small Business $ %
HUBZone Small Business $ %
Veteran-Owned Small Business $ %
Service-Disabled Veteran-Owned Small
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