Appendix_F-Small_Business_Participation_Template.pdf

Source Selection Information (See FAR 3.104) F-4

APPENDIX F Enclosure 4

SMALL BUSINESS PARTICIPATION PLAN Template

All Offerors (both large and small businesses) are required to complete a Small Business Participation Plan and substantiating documentation to demonstrate how you will meet these requirements. 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, based on total contract value.

The small business participation plan is separate and distinct from a small business subcontracting plan. A small business subcontracting plan will be required, in addition to the small business participation plan, only from large business Offerors, however will not be evaluated as part of the source selection. Subcontracting plans submitted will, however, be expected to be consistent with all information submitted with your participation plan and will be incorporated as part of the contract.

The C Business Participation Plan will be incorporated into, and will become a part of the resultant contract. The Contractor will submit a Small Business Participation report to the Contracting Officer twice a year for review. The Contracting Officer shall monitor the Contractors performance against its Small Business Participation commitment dollars to ensure compliance with the terms and conditions stated within. This informat Office of Small Business Programs. Contractors will be required to submit additional information when requested.

(a) The small business concerns (SBC), as defined in FAR Part 19, that are to be used in your proposed approach to satisfy the requirements of this solicitation, including company name, business category(ies), description of the products or services and most appropriate NAICS code (for NAICS identification: https://www.census.gov/cgi-bin/sssd/naics/naicsrch )to be provided by each SBC (including the prime contractor if the prime is an SBC).

Company Name Small Business

Category(ies)-SB, WOSB, SDB, HUBZone, SDVOSB)

Product(s)/Service(s) to be provided, including type/variety of work

NAICS Code

(b) Description of the nature of commitment to small business concerns identified in this proposal (i.e. letter of commitment, verbal commitment, joint ventures, mentor-protégé

F-5 agreements, others). Provide documentation of commitments and/or narratives describing commitments in detail.

(c) Past performance information to demonstrate compliance with the requirements of FAR

52.219-8, Utilization of Small Business Concerns, including the extent to which small busness performance objectives/requirements were met for the contracts that required submission of a Small Business Participation Plan or other small business participation/utilization documentation.

This is separate from reporting on goals for subcontracting plans, and can include company overall plans for ongoing small business utilization, and especially should demonstrate how small business prime contractors utilized small businesses in contract performance for prior procurements. Proposals can include copies of contractual reports to validate compliance with FAR 52.219-8, and/or an explanation of efforts demonstrating compliance, especially for any non-Federal work that would meet the intent of this requirement at FAR 52.219-8.

Supporting documentation should be relevant to the requirements of this solicitation and shall be within the last 5 years. All supporting documentation is excluded from the page count.

(d) For proposals from Large Businesses, past performance information to demonstrate compliance with the requirements if FAR 52.219-9, Small Business Subcontracting Plan, when applicable, including extent to which applicable goals and other small business performance objectives/requirements were met for the contracts submitted to demonstrate compliance. Explanation of efforts where goals were not met should be provided.

Submittal can include subcontracting reports in eSRS, CPARS reports that indicate subcontracting performance, documentation from previous ACO on subcontracting accomplishments, etc. All supporting documentation is excluded from the page count.

(e) Check the applicable size and categories for the PRIME Offeror only -- Check all applicable boxes:

{ } Large Prime { } Historically Black Colleges or Universities and Minority Institutions (HBCU)

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)

F-6

(f) 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):

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

When combined, Large and Small Business totals must equal 100% and should equal the total planned contract cost.

(g) Please indicate the total percentage of participation to be performed by each type of subcategory small business (based on total contract value, not just planned subcontracting dollars). The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:

Small Business (should match overall % in

(e) above)

Small Disadvantaged Business % Woman Owned Small Business % HUBZone Small Business % Veteran Owned Small Business % Service Disabled Veteran Owned Small Business