Sba Form 1531 - Application For Certificate Of Competency
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4Control No. 3245-0225
Exp. Date: 5/31/2011
SMALL BUSINESS ADMINISTRATION
APPLICATION FOR CERTIFICATE OF COMPETENCY
COC Case Number:
Instructions: The Certificate of Compentency (COC) program allows a small business to appeal a contracting officer's determination that it is unable to fulfill the
requirements of a specific government procurement (or sale) contract on which it is the apparent low bidder. This form (SBA Form 1531) should be completed by a
small business concern seeking a COC determination from SBA that it is responsible to perform the specific contract. Applicants must complete items 11-19 and Parts II
and III of this form (SBA will complete items 1-10). The completed form must be submitted to an Area Director serving your area. Visit
sbaprograms/gc/programs/gc_certificate_competency.html and click on the following "Contacts and Representatives" and Certificate of Competency Program to locate
an Area Director in your area.
Basis of Referral:
PART I
Capacity
Credit
T&P
Int.
1. U.S. Small Business Administration (Office)
Procurement Designation (IFB, RFP or other number)
Restricted
Unrestricted
2. Next Low Bidder -- Whether large or small business, price difference.
3. Name and Address of Contracting Agency
Buyer
a.
Quantity
Phone
b.
Increase Option
C/O
c.
Unit Price
Phone
d.
Total Bid
e.
Progress Payments
Available?
4. Name of Company, Address (Street, City State, ZIP Code)
Principal Company Officials (Attach Resumes)
Name
Title
5. Telephone No. (Include Area Code)
County:
6. Work Performance Location, if different from the above address
Functions at Location
(Street, City, State, ZIP Code)
7. Telephone No. (Include Area Code)
County:
Contact Name:
8. Brief Description of Solicited Items or Services
9. What are contract delivery and special provision requirements of contract?
10. Applicant's directly related experience to solicited items/services
Attach a list of all current commercial contracts and all
11. Percentage of Government contracts in relation to total sales over 3
%
government contracts for past 3 years.
yrs
Without
With CoC
Without
With CoC
12.
Number of Employees
Hours of Work
CoC Contract
Contract
CoC Contract
Contract
Administrative and Management
No. of Shifts
Production
Hours per Shift
Other
Employees per Shift
Days per Week
Total
Total Manhours per week
Are Employees with necessary skills
13. Are special skills required?
Yes
No
Yes
No
available?
SBA Form 1531 (05-08)
Previous Editions Obsolete
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