Standard Form 294 - Subcontracting Report For Individual Contracts
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1
2SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS
OMB No: 9000-0006
(See instructions on reverse)
Expires:
03/31/2013
Public reporting burden for this collection of information is estimated to average 55.34 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Acquisition Policy Division, Regulatory Secretariat, GSA, Washington, DC 20405.
1. CORPORATION, COMPANY, OR SUBDIVISION COVERED
3. DATE SUBMITTED
a. COMPANY NAME
b. STREET ADDRESS
4. REPORTING PERIOD FROM INCEPTION OF CONTRACT THRU:
YEAR
MAR 31
SEPT 30
c. CITY
d. STATE e. ZIP CODE
5. TYPE OF REPORT
2. CONTRACTOR IDENTIFICATION NUMBER
REGULAR
FINAL
REVISED
6. ADMINISTERING ACTIVITY (Please check applicable box)
ARMY
GSA
NASA
NAVY
DOE
OTHER FEDERAL AGENCY (Specify)
AIR FORCE
DEFENSE CONTRACT MANAGEMENT AGENCY
7. REPORT SUBMITTED AS (Check one and provide appropriate number)
8. AGENCY OR CONTRACTOR AWARDING CONTRACT
PRIME CONTRACT NUMBER
a. AGENCY'S OR CONTRACTOR'S NAME
PRIME CONTRACTOR
SUBCONTRACT NUMBER
b. STREET ADDRESS
SUBCONTRACTOR
c. CITY
d. STATE e. ZIP CODE
9. DOLLARS AND PERCENTAGES IN THE FOLLOWING BLOCKS:
DO INCLUDE INDIRECT COSTS
DO NOT INCLUDE INDIRECT COSTS
SUBCONTRACT AWARDS
CURRENT GOAL
ACTUAL CUMULATIVE
TYPE
WHOLE DOLLARS
PERCENT
WHOLE DOLLARS
PERCENT
10a.
SMALL BUSINESS CONCERNS (Dollar Amount and
Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
10b.
LARGE BUSINESS CONCERNS (Dollar Amount and
Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
10c.
TOTAL (Sum of 10a and 10b.)
100.0%
100.0%
11.
SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS (Dollar
Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
12.
WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS (Dollar
Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
13.
HISTORICALLY BLACK COLLEGES AND UNIVERSITIES (HBCU)
AND MINORITY INSTITUTIONS (MI) (If applicable) (Dollar Amount
and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
14.
HUBZone SMALL BUSINESS (HUBZone SB) CONCERNS (Dollar
Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
15. VETERAN-OWNED SMALL BUSINESS CONCERNS (Dollar
Amount and Percent of 10c.) (SEE SPECIFIC INSTRUCTIONS)
16.
SERVICE-DISABLED VETERAN-OWNED SMALL
BUSINESS CONCERNS (Dollar Amount and Percent of 10c)
(SEE SPECIFIC INSTRUCTIONS)
ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN TRIBES
17.
THAT HAVE NOT BEEN CERTIFIED BY THE SMALL BUSINESS
ADMINISTRATION AS SMALL DISADVANTAGED BUSINESSES
(Dollar Amount) (SEE SPECIFIC INSTRUCTIONS)
18.
ALASKA NATIVE CORPORATIONS (ANCs) AND INDIAN
TRIBES THAT ARE NOT SMALL BUSINESSES (Dollar
Amount) (SEE SPECIFIC INSTRUCTIONS)
Previous Edition is Not Usable
STANDARD FORM 294 (REV. 6/2010)
Prescribed by GSA-FAR (48 CFR 53.219(a))
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