04_SB_Participation_Plan_rev16July2017.doc

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DLA-Energy Petroleum Facilities Recurring Maintenance and Minor/Emergency Repairs - Army Phase 2
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W912DY-17-R-0102
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ATTACHMENT 04 - ARMY PHASE 2 SMALL BUSINESS PARTICIPATION PLAN

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ATTACHMENT 04

SMALL BUSINESS PARTICIPATION PLAN (FORMAT)

Factor Four (4) All offerors (both large and small businesses) are required to complete a Small Business Participation Plan. 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 of this area.

(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)

{ } Women-Owned Small Business (WOSB)

{ } Historically Underutilized Business 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):

Note: In order to comply with the requirements for the Small Business Participation Plan, the offeror has to base their percentages on TOTAL OFFEROR PROPOSED AMOUNT (EXCLUDING CLIN X004 amounts).

For the plan, use this format, as follows:

% of total

Offeror Proposed

Offeror Proposed Amount

Amount

1) Percentage and dollar value of your participation as Prime:

2) Total Percentage planned for Large Business subcontracts:

3) Total Percentage planned for Small Business subcontracts:

Total Offeror Proposed Amount* 100%

(Do NOT Include CLIN X004 estimates) *The totals for 1, 2, and 3 above must equal this TOTAL OFFEROR PROPOSED AMOUNT (EXCLUDING CLIN X004 amounts) dollar value and percentage.

(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:

Example: Victory Prop Mgt (WOSB and SDVOSB) performing 2%; and Williams Group (SDB, HubZ and WOSB) performing 3%. Results equate to: SDB 3%; HubZone 3%; WOSB 5%; SDVOSB 2%; VOSB 2%;). SDVOSBs are also VOSBs automatically; however VOSBs are not automatically SDVOSBs.

Business Category

Dollar Value
% of Total Acquisition Value
Total Small Business
$________
___________%

Small Disadvantaged Business

$________
___________%
Women-Owned Small Business
$________
___________%

HUBZone Small Business

$________
___________%

Veteran-Owned Small Business

$________
___________%
Service-Disabled Veteran-Owned Small Business
$________
___________%

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

Example: If a small business qualifies also as a WOSB and a SDVOSB, and you can add them to each category below in which they qualify.

Category
Name of Company/School
Type of Service/Supply

Large Business

Total Small Business

Small Disadvantaged Business

Women-Owned Small Business

HUBZone Small Business

Veteran Owned Small Business

Service Disabled Veteran Owned Small Business

(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, non-enforceable, joint venturing, mentor-protégé, etc.) Offerors shall provide documentation (in Volume 5) that substantiates the commitment of the teaming partners or key subcontractors listed and include these documents in the Small Business Participation Plan. All letters of commitment, joint venture agreements, teaming agreements are excluded from the page count.

(f) Provide a statement describing extent to which applicable goals were met for the contracts that were previously identified in the proposal that required submission of a Small Business Participation Plan and/or Subcontracting Plan. Copies of eSRS reports may be submitted (in Volume 5) to validate past performance and will not count against page limitation. Explanation of efforts where goals were not met may also be provided.

Additional Important Note for Other Than Small Businesses ONLY. Small Business Subcontracting Plan is Required (FAR 52.219-9)

Separate from Small Business Participation Plan, other than Small 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). Other than U.S. Small Businesses must submit acceptable subcontracting plans to be eligible for award. Subcontracting Plans shall reflect and be consistent (in terms of dollar value) with the commitments offered in the Small Business Participation Plan.

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