Dd Form 2579 Small Business Coordination Record Page 2
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214. ACQUISITION HISTORY
a. IS THIS A NEW REQUIREMENT?
(X one)
Yes
No
(Proceed to Block 15)
(Continue to Blocks a(1) through (10), marking all that apply for the immediately preceding acquisition.)
(1) SMALL BUSINESS SET-ASIDE
(2) SECTION 8(a)
(X one)
(X one)
100%
Partial
%
Competitive
Sole Source
(3) HISTORICALLY UNDERUTILIZED BUSINESS ZONE (HUBZone)
(4) SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS
SMALL BUSINESS
(SDVOSB)
(X one)
(X one)
Competitive
Sole Source
Competitive
Sole Source
(5) ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL
(6) WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE
BUSINESS (EDWOSB) SET-ASIDE
UNDER WOSB PROGRAM SET-ASIDE
(7) OTHER SET-ASIDE
(Cite authority, e.g., FAR 26.202-1 or 6.208; or
(8) OTHER THAN FULL AND OPEN COMPETITION NOT
DFARS 226.71)
PREVIOUSLY ADDRESSED
(9) FULL AND OPEN COMPETITION
(10) 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)
b. PREVIOUSLY CONSOLIDATED OR BUNDLED?
(X one)
(1) CONSOLIDATED
Yes
No
(2) BUNDLED
Yes
No
c. DETAILS OF PREVIOUS AWARD(S)
(List details requested in instructions. Attach additional page(s) if necessary.)
15. CONTRACTING OFFICER
a. NAME
b. EMAIL ADDRESS
(Last, First, Middle Initial)
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
16. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW
Concur
a. NAME
b. EMAIL ADDRESS
(Last, First, Middle Initial)
Non-concur
e. DATE ACQUISITION PACKAGE PROVIDED
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
TO SBA
(FAR 19.202-1(e)) (YYYYMMDD)
f. SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REMARKS
17. SBA PROCUREMENT CENTER REPRESENTATIVE REVIEW
Concur
a. NAME
b. EMAIL ADDRESS
(Last, First, Middle Initial)
Non-concur
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
e. SBA PROCUREMENT CENTER REPRESENTATIVE REMARKS
18. CONTRACTING OFFICER REVIEW
Concur with PCR recommendation
a. SIGNATURE
b. DATE SIGNED
(YYYYMMDD)
Reject PCR recommendation
c. CONTRACTING OFFICER REMARKS
DD FORM 2579 (BACK), AUG 2015
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Parent category: Business