Dhs Form 700-22 - Small Business Review Form - Department Of Homeland Security Page 2
Download a blank fillable Dhs Form 700-22 - Small Business Review Form - Department Of Homeland Security in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Dhs Form 700-22 - Small Business Review Form - Department Of Homeland Security with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3(16) Reason for Unrestricted Procurement
No reasonable expectation that offers will be obtained from at least two 8(a), HubZone small, Service Disabled Veteran
Owned small or traditional small business concerns offering the products of different small business concerns.
No reasonable expectation that award will be made at a fair market price.
Sole Source/Proprietary item justified in accordance with FAR Part 6.3.
Requirement not severable into two or more production runs or lots.
(17) Substantial Bundling Review (Completed for all open market actions of $2,000,000 or more)
YES
NO
Does the procurement meet the definition of a Bundled Contract (FAR Part 7.107 and 13 CFR
Part 125.2 (d)(1)(i))?
If YES continue, if NO proceed to item (20).
YES
NO
Did procuring activity coordinate acquisition strategy with the small business specialist and the Small Business
Administration (SBA) Procurement Center Representative (PCR) (FAR Part 7.104(d)(1) and FAR Part 19.202-1(e)(1)?
YES
NO
Was requirement to notify the affected incumbent small business concerns of the Government's intention to
bundle the requirement performed, at least 30 days before release of the solicitation (FAR Part 10.001(c)(2)(i)?
YES
NO
If procuring activity believes bundling is necessary and justified, was proper analysis submitted to CPO
(HSAM 3007.107(b))?
* * * *
* * * *
FOR ALL ORDERS OF $2M OR MORE UNDER PRE-EXISTING CONTRACT VEHICLES
* * * *
* * * *
(18) Select from the following Pre-existing Contract Vehicles:
Multiple Award Schedule - MAS (FSS) - GSA
Multi-Agency Contract - MAC
Govt-Wide Acquisition Contract - GWAC
Other (such as DHS-wide contract, multiple award contract, BPA, etc.) Specify: ______________________________
(Attach proposed list of vendors, including size status)
(19) Substantial Bundling Review (Completed for all actions of $2,000,000 or more planned under a pre-existing contract vehicle)
YES
NO
Does the procurement meet the definition of a Bundled Contract (FAR Part 7.107 and 13 CFR Part 125.2
(d)(1)(i))? If YES continue, if NO proceed to item (20).
YES
NO
Did procuring activity coordinate acquisition strategy with the small business specialist and the Small Business
Administration (SBA) Procurement Center Representative (PCR) (FAR Part 7.104(d)(1) and FAR Part 19.202-1(e)(1)?
YES
NO
Was requirement to notify the affected incumbent small business concerns of the Government's intention to
bundle the requirement performed, at least 30 days before release of the solicitation (FAR Part 10.001(c)(2)(i)?
YES
NO
If procuring activity believes bundling is necessary and justified, was proper analysis submitted to CPO
(HSAM 3007.107(b))?
* * * *
* * * *
* * * *
SUBMISSION AND REVIEW SIGNATURES
* * * *
* * * *
* * * *
Items (20-23) Submission and Reviews (Completed by appropriate officials)
(20) Contracting Officer
Concurrence
Non-Concurrence (Attach justification)
Signature of Contracting Officer:
_______________________________________________ Date _____________________
(21) Small Business Specialist
Concurrence
Non-Concurrence (Attach justification)
Signature of Small Business Specialist: _________________________________________ Date _____________________
(22) Contracting Officer response to SBS Non-Conur
Concurrence
Non-Concurrence (Attach justification)
Signature of Contracting Officer:
_______________________________________________ Date _____________________
(23) Completed for all unrestricted actions of $2,000,000 or more, including sole source procurements to other than small business.
SBA Procurement Center Representative
Concurrence
Non-Concurrence
Signature of SBA PCR:
_______________________________________________ Date _____________________
DHS Form 700-22 (Rev. 10/05)
Page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal