Subcontracting Plan - District Of Columbia Government printable pdf download

Subcontracting Plan - District Of Columbia Government

SUBCONTRACTING PLAN

Page 1 of 2

PRIME CONTRACTOR INFORMATION:

Company:

Solicitation Number:

Street Address:

Contractor’s Tax ID Number:

City & Zip Code: :

Caption of Plan:

Phone Number:

Fax:

Email Address:

Duration of the Plan: From

Project Name:

Total Prime Contract Value: $

Address:

Amount of Contract (excluding the cost of

materials, goods, supplies and equipment) $

Project Descriptions:

Amount of all Subcontracts:$

LSDBE Total:$

equals

LSDBE Subcontract Value

Percentage Set Aside

(List each subcontractor at any tier that will be awarded a subcontract to meet your total set aside goal.)

BCONTRACTOR INFORMATION: (use continuation sheet for additional subcontracts)

Name

Address & Telephone No.

Type of Work

NIGP Code(s)

Description of Work

Total Amount Set Aside: $

Point of Contact:

Name (Print)

Percentage of Total Set Aside Amount :

Tier: :

Contact Telephone Number:

, 2

, 3rd

LSDBE Certification Number:

Fax Number:

Certification Status:

SBE:

LBE:

DBE:

DZE:

ROB:

LRB:

Email Address:

(

)

check all that apply

CERTIFICATIONS

The prime contractor shall attach a notarized statement including the following:

a. A description of the efforts the prime contractor will make to ensure that LBEs, DBEs, ROBs, SBEs, LRBs, or DZEs will have an equitable

opportunity to compete for subcontracts;

b. In all subcontracts that offer further subcontracting opportunities, assurances that the prime contractor will include a statement, approved by the

CO, that the subcontractor will adopt a subcontracting plan similar to the subcontracting plan required by the contract;

c. Assurances that the prime contractor will cooperate in any studies or surveys that may be required by the CO, and submit periodic reports, as

requested by the CO, to allow the District to determine the extent of compliance by the prime contractor with the subcontracting plan;

d. Listing of the type of records the prime contractor will maintain to demonstrate procedures adopted to comply with the requirements set forth in the

subcontracting plan, and include assurances that the prime contractor will make such records available for review upon the District’s request; and

e. A description of the prime contractor’s recent efforts to locate LBEs, DBEs, SBEs, DZEs, LRBs, and ROBs, and to award subcontracts to them.

PERSON PREPARING THE SUBCONTRACTING PLAN:

Name:

(Print)

Signature:

Telephone Number: (

)

Title:

Fax Number: (

)

Date: