Noaa Subcontracting Plan Review Form - National Oceanic And Atmosphering Administration - U.s. Department Of Commerce

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Version 3
February 2017
NOAA SUBCONTRACTING PLAN REVIEW FORM
OSDBU Control No.:
Multiple Awards?
Yes:
No:
(If yes, attach a copy of each subcontracting plan)
PROJECT INFORMATION
Solicitation/Contract No.:
MOD No. (If applicable):
Title of Acquisition including types of products and services:
Contractor’s Name:
DUNS Number:
Period of Performance:
Total Contract Amount (including options):
$
Total Modification Amount: (if applicable)
$
Base Period (if there are options):
$
Option 1 (if applicable):
$
Option 2 (if applicable):
$
Option 3 (if applicable):
$
Option 4 (if applicable):
$
Contracting Officer/Specialist Name:
Tel&Fax:
Division/Branch (including location):
Email:
SUBCONTRACT PLAN REQUIREMENTS
1. Type of Plan (check one):
Individual
Master
Commercial
C.O.
SBS
SBA/PCR
(A=Acceptable; U=Unacceptable)
2. Subcontracting Goal Data
A
U
A
U
A
U
a. Total Subcontracting Dollars [(2b+2h=2a), except when subcontract baseline
equals contract value]:
$
b. Total Subcontracting Dollars & Percentage with Small Businesses (incl. SDB,
WOSB, HUBZone, SDVOSB) - [Percentage of 2a.]:
$
and
%
c. Total Subcontracting Dollars & Percentage with Small Disadvantaged Businesses -
[Percentage of 2.a.]
$
and
%
d. Total Subcontracting Dollars & Percentage with Woman-owned Small Businesses -
[Percentage of 2.a.]
$
and
%
e. Total Subcontracting Dollars & Percentage with HUBZone Small Businesses -
[Percentage of 2.a.]
$
and
%
f. Total Subcontracting Dollars & Percentage with Veteran Owned Small Businesses -
[Percentage of 2.a.]
$
and
%
g. Total Subcontracting Dollars & Percentage with Service-Disabled Veteran Small
Businesses - [Percentage of 2.a.]
$
and
%
h. Total Subcontracting Dollars & Percentage with “Other” than Small Businesses (i.e.,
large companies, non profits, etc.) [Percentage of 2.a.]
$
and
%
i. Subcontracting Opportunities (description of all principal products/services to be
subcontracted to all types of concerns)
j.k.l. Methodology used to develop goals, identify potential sources (e.g. historical
trends, information on technical and competitive bidding, formula for calculating goals,
etc.), and use of indirect costs.
Subcontracting Plan Review Form (February 2017)

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