Dd Form 2579 Small Business Coordination Record
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1
2SMALL BUSINESS COORDINATION RECORD
(See DFARS PGI 253.219-70 for form completion instructions.)
1. CONTROL NO.
2. PURCHASE REQUEST/
3. TOTAL ESTIMATED
4a. PIID
b. PIID 2
5. SUPPLEMENTARY PIID
REQUISITION NO.
VALUE
(With options)
(Optional)
(If applicable)
6a. CONTRACTING OFFICER NAME
b. DODAAC
c. OFFICE SYMBOL
(Last, First, Middle Initial)
d. EMAIL ADDRESS
e. TELEPHONE NUMBER
(Include Area Code)
7a. ITEM AND/OR SERVICE DESCRIPTION
b. PRODUCT OR SERVICE CODE
c. NAICS CODE
d. SIZE STANDARD
8. PERIOD OF PERFORMANCE/DELIVERY DATES
9. PURPOSE OF COORDINATION
(Including options)
(X one)
Initial Coordination
Withdrawal
Change
10. RECOMMENDATION
(X all that apply)
a. SMALL BUSINESS SET-ASIDE
b. SECTION 8(a)
(X one)
(X one)
100%
Partial
%
Competitive
Sole Source
c. HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone)
d. SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
SMALL BUSINESS
(SDVOSB)
(X one)
(X one)
Competitive
Sole Source
Competitive
Sole Source
e. ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
f. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
BUSINESS (EDWOSB) SET-ASIDE
UNDER WOSB PROGRAM SET-ASIDE
g. OTHER SET-ASIDE
(Cite authority, e.g., FAR 26.202-1 or 6.208; or
h. OTHER THAN FULL AND OPEN COMPETITION NOT
DFARS 226.71)
PREVIOUSLY ADDRESSED
i. FULL AND OPEN COMPETITION
j. MULTIPLE AWARD:
Contract
Delivery/Task Order
(Complete block 13)
Reserves
(FAR 19.5) (List type(s) of small business, e.g., WOSB,
HUBZONE PRICE EVALUATION PREFERENCE
SDVOSB)
(Ref. FAR 19.1307)
11a. MARKET RESEARCH/ACQUISITION PLAN
b. SYNOPSIS REQUIRED
(X one)
c. SMALL BUSINESS PROGRESS PAYMENTS
(X one)
Yes
No
(Provide FAR 5.202 exception)
(NOTE: Synopsis not required if <$25,000; see FAR 5.101(a)(1).)
Yes
No
12. CONSOLIDATED OR BUNDLED
(X as applicable)
a. CONSOLIDATED REQUIREMENT
Yes
No
(Attach required documentation per DFARS 207.170.)
b. BUNDLED REQUIREMENT
Yes
No
(Attach required documentation per FAR 7.107 including benefit analysis.)
13. SUBCONTRACTING PLAN REQUIRED
(X one)
Yes
No
DD FORM 2579, AUG 2015
PREVIOUS EDITION IS OBSOLETE.
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Parent category: Business