(1) Page 9 of Standard Form 251. 20. EXHIBITS OF COMPLETED 21. Inless specifically requested, submission of photographs is optional. Where submitted, furnish one exterior and one interior photograph of five examples of completed architectural work that are listed in items 18 and 19. (Photographs of models, renderings, sketches, etc., are MT desired.) Size of photographs not to exceed 8"x11". On the back of each photograph give the following information: (1) Name of your firm; (2) Name and address of client; (3) Type of structure; (4) Location of structure; (5) Cost of specific structure. Photographs of electrical or mechanical facilities und other components of a decided engineering character are not necessary. A. CURRENT STATUS (Check one) 5. DEGREE OF CLEARANCE C. DATE OF CLEARANCE D. CLEARED BY E. HAVE PRINCIPALS BEEN CLEARED 22. IN THE EVENT SPACES PROVIDED ON THE FORM ARE NOT SUFFICIENT FOR ENTRIES, OR IF YOU WISH TO FURNISH ADDITIONAL INFORMATION, IT MAY RE INSERTED HERE, ON THE REVERSE OF THIS PAGE, OR ON SEPARATE SHEETS, WITH APPROPRIATE REFERENCES. 23. SPECIMEN PURPOSE OF SUBMITTING THIS QUESTIONNAIRE (Check A or B, not both) A. I/We wish to be considered for architectural or engineering services in connection with the design, inspection, supervision (check applicable box or boxes) of construction projects for Federal Agencies. § 1-16.902 Optional forms. Optional forms are illustrated in this section in the same manner and for the same purpose as is stated in § 1-16.901 for standard forms. § 1-16.902-OF-61 Optional Form 61: Small Business Subcontracting Program Quarterly Report of Participating Large Company on Subcontract Commitments to Small Business Concerns. 1. This report is to be submitted for each calendar quarter by all contractors maintaining SMALL BUSINESS SUBCONTRACTING PROGRAMS, and required to report. The original and es of each report shall be submitted to: SPECIMEN Reports shall be submitted or more tha individual companies will be treated as confidem? day after the close of the quarter being reported. Data pertaining to 2. Each reporting company, drision or plus shall report the required information for the reporting unit as a whole on the basis of the total "mix" of contracting agency business (e.g., commitments for subcontracting work shall not be segregated as between subcontracts under prime or under subcontracts). SPECIFIC INSTRUCTIONS ITEM 1. Specify the agency and its representative who established reporting arrangements under the Subcontracting Small Business Program. ITEM 2. Enter the day, month and year of the first and last days of the period covered by this report. ITEM 3. Enter the name of the reporting company or subdivision thereof (e.g., division or plant) which is covered by the data submitted. A company may elect to report on a corporate, division or plant basis. ITEM 4. If the report is for a division, plant or other subdivision of a company, enter the name of the company of which the reporting subdivision is a part. ITEM Sa. Enter the net dollar amount of the commitments made by the reporting organization during the quarter to small business concerns for agency (see Item 1) subcontracts and purchases. The repor ng company may accept the representation of a supplier that it is a small business concern under Definition No. 1. b. Enter the net dollar amounts of commitments made by the reporting organization during the quarter to large business concerns for agency (see Item 1) subcontracts and purchases. c. Enter the total net dollar amount of commitments made by the reporting organization during the quarter to all business concerns for agency (see Item 1) subcontracts and purchases. ITEM 6. Self explanatory. ITEM 7. Enter the date (day, month, year) this report is submitted. DEFINITIONS 1. SMALL BUSINESS CONCERN. A small business concern is a concern that meets the pertinent criteria established by the Small Business Administration and set forth in Title 13, Chapter 1, Part 121 of the Code of Federal Regulations. 2. SUBCONTRACTS AND PURCHASES. Subcontracts and purchases as used herein means procurement by a business concern of any article, material or service, including agency (see Item 1) portion of stock inventory and, where reasonably determined to be attributable to such agency contracting, purchases of plant maintenance, repair, operation, and capital equipment, entering into the performance of such agency supply, service or facility contract received by that business concern from (i) the (INSTRUCTIONS CONTINUED ON REVERSE) 5061-101 OPTIONAL FORM NO. 61 FPR (41 CFR) 1-16.804 (b) Page 2 of Optional Form 61. agency (see Item 1), or (ii) another business concern. Procurement of Experimental, Development and Research work is to be included. 3. COMMITMENTS. Commitments as used herein means contracts, purchase orders or other legal obligations executed by the reporting Company for goods and services to be received by the reporting Company. Commitments shall include increases to purchase orders and contracts less downward adjustments to purchase orders and contracts as a result of contract changes, cut-backs, or terminations. 4. SUBCONTRACT AND PURCHASE COMMITMENTS. Subcontract and purchase commitments will include all commitments (net, after adjustments) to a supplier of subcontracted or purchased articles, materials or services, as defined in 2 above, except purchases from a company, division, or plant which is an affiliate of the reporting company. NOTE: Agencies may enter the letters N.A. (meaning not available) in each block where data is called for by the forms and the data is not available by the close of the first reporting period (1.e., June 80, 1969) because of necessary changes in systems employed to collect the data. |