ATT2_Medical_Facilities_A-E_SBPCD.docx

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (FORMAT)

All offerors (both large and small businesses) are required to complete a Small Business Participation Commitment Document. 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

(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):

For the plan, use this format, as follows:

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 Contract Capacity* 100% = $

*The totals for 1, 2, and 3 above must equal this total contract dollar capacity 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 both prime and subcontractor 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.

(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.

Large (Other than Small)

Historically Black Colleges or Universities and Minority Institutions

Small

Small Disadvantaged

Woman-Owned Small

HUB Zone Small

Veteran Owned Small

Service Disabled Veteran Owned Small

(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 that substantiates the commitment of the teaming partners or key subcontractors listed. All letters of commitment, joint venture agreements, teaming agreements are excluded from the page count.

(f) Describe the extent to which small business concerns were utilized during performance on previous contracts within the past three to five years. Other than small firms may submit copies of eSRS reports to validate past performance. Explanation of efforts where goals were not met should also be provided. Responses will not count against page limitation.

Note: