1. Contracting Officer (CO):

 

Address:

 

Phone:                        FAX:

 

E-mail:

2. Administrative CO:

 

Address:

 

Phone:                        FAX:

 

E-mail:

3. Contractor:

 

Address:

 

Phone:                        FAX:

 

E-mail:

4. Sub. Plan Administrator:

 

Address:

 

Phone:                        FAX:

 

E-mail:

5. Place of Performance
(if different from no. 3):

6. Type of Contract (fill in both A and B)

A. o Commercial Item B. o Schedule

o Sealed Bid o Non-Schedule

o Negotiated

7. Solicitation No.:

9A. Date of Award:

 

9B. Contract Period:

 

9C. Contract Dollar Value:

10. Type of Plan (check one)

o Individual Contract o Master

o Plan

8. Contract No.:

 

 

11. Description of Supplies or Services:

Total subcontracting planned

100

 

 

 

 

 

 

 

Small business (include HUBZone small, small disadvantaged, and women-owned small), veteran-owned small, and service-disabled veteran-owned small business concerns)

 

 

 

 

 

 

 

 

HUBZone small (% of total)

 

 

 

 

 

 

 

 

Small disadvantaged business (% of total)

 

 

 

 

 

 

 

 

Women-owned small (% of total)

 

 

 

 

 

 

 

 

Veteran-owned small (% of total)

 

 

 

 

 

 

 

 

Service-disabled veteran-owned small (% of total)

 

 

 

 

 

 

 

 

(1) Does the offeror propose separate small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business percentage goals?

 

 

 

 

 

 

(2) Does the offeror express the goals as a percentage of total planned subcontracting dollars?

 

 

 

 

 

 

(3) Does the offeror provide a statement of the total dollars planned to be:

 

 

 

 

 

 

(a) Subcontracted under an individual plan or total projected sales and the total value of projected subcontracts to support the sales for a commercial plan?

 

 

 

 

 

 

(b) Subcontracted to small business concerns?

 

 

 

 

 

 

(c) Subcontracted to HUBZone small business concerns?

 

 

 

 

 

 

(d) Subcontracted to small disadvantaged business concerns?

 

 

 

 

 

 

(e) Subcontracted to women-owned small business concerns?

 

 

 

 

 

 

(f) Subcontracted to veteran-owned small business concerns?

 

 

 

 

 

 

(g) Subcontracted to service-disabled veteran-owned small business concerns?

 

 

 

 

 

 

(4) Does the offeror furnish a description of the major product and service areas to be subcontracted?

 

 

 

 

 

 

(5) Does the offeror furnish a description of the major product and service areas where small, HUBZone small, small disadvantaged, veteran-owned small, service-disabled veteran-owned business small, and women-owned small business concerns will be considered for subcontract awards?

 

 

 

 

 

 

(6) Does the offeror provide a statement of the method used to develop goals?

 

 

 

 

 

 

(7) Does the offeror describe the method used to identify potential sources for solicitation purposes?

 

 

 

 

 

 

(8) Does the offeror include a statement as to whether or not it includes indirect or overhead costs as an element in developing goals?

 

 

 

 

 

 

(9) Where costs are elements in developing goals, does the offeror describe the method used in determining a proportionate share of the indirect and overhead?

 

 

 

 

 

 

(10) Does the offeror provide the name and description of the duties of the individual who will administer the subcontracting plan?

 

 

 

 

 

 

(11) Does the offeror describe the efforts it will make to assure that small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns have an equitable opportunity to compete for subcontracts?

 

 

 

 

 

 

(12) Does the offeror provide for the flow down of the clause entitled “Utilization of Small Business Concerns?”

 

 

 

 

 

 

(13) Does the offeror require subcontractors to adopt subcontracting policies and subcontracting plans in accordance with the Small Business Act, as amended, and implementing regulations for all appropriate subcontracts?

 

 

 

 

 

 

(14) Does the offeror provide assurance that it will:

 

 

 

 

 

 

(a) Cooperate in any studies or surveys as may be required?

 

 

 

 

 

 

(b) Submit periodic reports act to determine compliance with the plan?

 

 

 

 

 

 

(c) Submit SF 294 and SF 295 reports following the instructions on the forms, paragraph (j) of the clause at FAR 52.219-9, and provided by GSA?

 

 

 

 

 

 

(d) Ensure that its subcontractors, that are required to adopt a subcontracting plan, agree to submit SF 294 and SF 295 reports?

 

 

 

 

 

 

(15) Does the offeror provide assurance that the following types of records will be maintained:

 

 

 

 

 

 

(a) Source lists, guides, and other data that identify small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business source lists?

 

 

 

 

 

 

(b) List of organizations contacted for small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business sources?

 

 

 

 

 

 

(c) List of solicitations resulting in awards over $100,000 that identify whether small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns were solicited (or reasons why not) and explain, if applicable, why award was not made to a small business concern?

 

 

 

 

 

 

(d) Contacts with trade associations?

 

 

 

 

 

 

(e) Contacts with business development associations?

 

 

 

 

 

 

(f) Contacts with conferences and trade fairs to locate small, HUBZone small, small disadvantaged, women-owned small veteran-owned small, and service-disabled veteran-owned small business concerns?

 

 

 

 

 

 

(g) Records to support internal activities to promote and implement the subcontracting initiatives?

 

 

 

 

 

 

(h) For each contract, records supporting award data submitted to the Government, including the name, address, and business size of each subcontractor? Commercial plans do not have to provide this assurance.

 

 

 

 

 

 

(1) If the offeror identifies previous contracts with subcontracting plans, does the record indicate any significant achievements, i.e., sustained increase in the number of dollars awarded to small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns or the total number of subcontracts?

 

 

 

 

 

 

(2) Does the offeror describe its strategies used to involve small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns in subcontracting opportunities, i.e., public announcements (newspaper or FedBizOpps notices or radio commercials), set-asides, counseling, long-term arrangements, contacts with local or national advocacy groups or trade associations, or workshops?

 

 

 

 

 

 

(3) Does the offeror express or manifest an interest in diversifying or increasing the amount of subcontracting (i.e., are subcontracting opportunities (1) only in very limited areas, (2) varied if the offeror has several plants in different locations, or (3) basically unchanged from previous contracts)?

 

 

 

 

 

 

(4) Does the offeror have a program that seeks out new small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns instead of relying upon them to come to the offeror?

 

 

 

 

 

 

(5) Does the offeror include specific examples of new concerns that were added to its subcontractor base as a result of (1) attendance at trade fairs or business conferences, (2) contacts with local or national advocacy groups or trade associations, (3) advance planning notices in newspapers, radio announcements, or FedBizOpps, (4) counseling, or (5) workshops?

 

 

 

 

 

 

(6) Is the official responsible for administering the subcontracting plan a senior official?

 

 

 

 

 

 

(7) Does this official review and approve required subcontracting plans of major subcontractors?

 

 

 

 

 

 

(8) Does the offeror have a written policy statement that is distributed and provides guidance to employees involved in making purchasing decisions?

 

 

 

 

 

 

(9) Does the offeror provide training to these employees concerning these policies?

 

 

 

 

 

 

(10) Does the offeror, as part of its subcontracting program, establish annual goals for subcontracting to small, HUBZone small, small disadvantaged, women-owned small, veteran-owned small, and service-disabled veteran-owned small business concerns?

 

 

 

 

 

 

(11) Does the offeror, as part of its subcontracting program, evaluate accomplishments under each of these goals and adjust the goals annually?

 

 

 

 

 

 

                                                                                          

Contracting Officer

                              

Date

                                                                                          

SBTA

                              

Date

                                                                                          

PCR

                              

Date

Decision: Plan is [ ] Acceptable [ ] Unacceptable

                                                                                          

Contracting Officer

                              

Date