A21. Solicitation Amendment 0003 Small Business Participation Commitment Document Template.pdf

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Attached to
Melvin Price Lock and Dam Lift Gate Installation and Machinery Replacement
Solicitation number
W912P923R0042
Issued by

About this file

This document is a small business participation commitment template for a federal contract solicitation to perform lift gate installation and machinery replacement at the Melvin Price Lock and Dam. The solicitation was issued by the Department of the Army Corps of Engineers Engineering District St Louis under number W912P923R0042. The template requires the prime contractor to indicate its business size and socioeconomic categories, and to commit to meeting the minimum quantitative requirement of awarding a certain dollar value or percentage of subcontracts to small businesses, small disadvantaged businesses, woman-owned small businesses, HUBZone small businesses, and veteran-owned small businesses. It also includes fields for the contractor to list any small business participants by name, business categories, products and services to be provided, NAICS codes, and nature of commitments.

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Section J, Attachment X

1. Prime Contractor Size:

Indicate the applicable size and socioeconomic categories -- 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 { } Service Disabled Veteran Owned Small Business (SDVOSB)

2. Minimum Quantitative Requirement (MQR) -- Participation of Small Businesses

Total Contract Value (Awarded) $__________________________________

Minimum Quantitative Requirement (MQR)

Business Category Dollar Value % of Total Contract Value

Total Contract Value Prime Contractor $________________ ___________% Total Small Business $________________ ___________% Small Disadvantaged Business $________________ ___________% Woman-Owned Small Business $________________ ___________% HUBZone Small Business $________________ ___________% Veteran-Owned Small Business $________________ ___________% Service-Disabled Veteran-Owned Small Business

3. Small Business Participants *

* Changes must be pre-approved by Contracting Officer per: (insert required clause which should be written as a ‘special contract requirement’ if a canned clause does not fit for SBPCDs)

Company Name

Business Category(ies)

(SB, WOSB, SDB,

VOSB, SDVOSB)

Product(s)/Service(s) to be Provided

NAICS

Code

Nature of Commitment

File details come from the government source that posted it. Updated .