L-3 DISA OSBP Subcontracting Checklist Amendment 0002

Contractor Name and Address

Date of Subcontracting Plan

Solicitation Number & Title

Description of Requirement

Total Contract Price

Period of Performance

Individual

Approved Commercial Plan
Approved by:
Date Signed:
Date Plan Approved Through:
DoD Test Program Comprehensive Plan or Master Plan
Approved by:
Date Signed:
Date Plan Approved Through:
Total Prime Self Performing – Contract Dollars and Percentages of Total Contract Dollars (Informational Only): Base Period
Option Period
Total All Periods
$
%
$
%
$
%

REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN

1. Total Large and Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. Small Disadvantaged Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. Women-Owned Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. HUBZone Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. Veteran-Owned Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%
2. Service-Disabled Veteran-Owned Small Business Subcontracting - Contract Dollars and Percentages of Total Subcontract Dollars FAR 52.219-9(d)(1)&(2) Base Period
Option Period
Total All Periods
$
%
$
%
$
%

REQUIRED ELEMENTS OF THE SUBCONTRACTING PLAN - Statements/assurances that address the following: Para # & Page #
3.A description of principal types of supplies and services to be subcontracted, and an identification of types planned for subcontracting to SB, VOSB, SDVOSB, HUBZone, SDB, & WOSB concerns. FAR 52.219-9(d)(3)

4.A description of the method used to develop the subcontracting goals in paragraph (d)(1) of this clause. FAR 52.219-9(d)(4)