Att G Performance Distribution Statement

PERFORMANCE DISTRIBUTION STATEMENT

INSTRUCTIONS

1. Offeror’s scope and percentage of self-performed work must be identified in Line 1. 2. Identify major and minor subcontractor scopes and percentage of work in Lines 2 through 20. 3. Although not all subcontractors need to be listed, statement must include all major subcontractors, defined as those performing 20% or more of the total dollar value ($) of the contract.
4. The “% of Work” column must total no more than 100%. 5. See example below for details.
6. Various definitions which may be helpful in completing this form can be found on Page 3.

EXAMPLE

Line

Company / Entity

XYZ Company LLC (offeror)

Hamid & Sons, Inc.

Overhead Door Company

Offeror

Major
Sub

Minor
Sub

X
X
X

Scope of Work

% of
Work

Management, safety, QC,
paving, surveying, masonry,
misc.

60%

MEP

22%

Specialty roll-up doors

3%

TOTAL

CLEAR

PERFORMANCE DISTRIBUTION

Line

Company / Entity

Offeror

Major
Sub

Minor
Sub

Scope of Work

X

85%

% of
Work
0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

CETAM-CT FORM 2403

MAY 2024

Line

Company / Entity

Offeror

Major
Sub

Minor
Sub

% of
Work

Scope of Work

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

TOTAL

0%

I certify that the above information is current, accurate and complete to the best of my knowledge and that I have the authority to provide the information requested on this form.

PRINTED NAME

POSITION

COMPANY

SIGNATURE

DATE

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

CETAM-CT FORM 2403

MAY 2024

DEFINITIONS

The following are definitions concerning self-performance of work by the Prime Contractor, in accordance with FAR Clause 52.236-1 Performance of Work by the Contractor (APR 1984). "Self-performance of work", "On the site" and "Total amount of work to be performed under the contract" are defined below.
“Self-performance of work” generally includes mobilization and utilization of owned or rented plant and equipment to be operated by the prime contractor's own (not subcontract) employees; only those materials which will be both purchased and installed by the prime's own (not subcontract) forces; labor associated with those aforementioned materials or equipment; only those supplies to directly support work performed by the contractor's own employees; and the contractor's own job overhead costs.
The following is NOT self-performed work for purposes of the clause: Prime contractor markups for profit, general and administrative overhead, bonds, or other indirect costs on self-performed or