<table style="width:100%;">
<colgroup>
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 9%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 9%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="20"><strong>SUBCONTRACTING REPORT FOR INDIVIDUAL
CONTRACTS</strong></td>
</tr>
<tr class="even">
<td colspan="20"><em><strong>(See instructions on
reverse)</strong></em></td>
</tr>
<tr class="odd">
<td colspan="12">1. CORPORATION, COMPANY OR SUBDIVISION COVERED</td>
<td colspan="8">3. DATE SUBMITTED</td>
</tr>
<tr class="even">
<td colspan="12">a. COMPANY NAME –––––</td>
<td colspan="8">–––––</td>
</tr>
<tr class="odd">
<td colspan="12">b. STREET ADDRESS</td>
<td colspan="8">4. REPORTING PERIOD FROM INCEPTION OF:</td>
</tr>
<tr class="even">
<td colspan="12">–––––</td>
<td colspan="5"><p>CONTRACT THRU</p>
<p> MAR 31 SEP 30</p></td>
<td colspan="3">YEAR ––––</td>
</tr>
<tr class="odd">
<td colspan="8"><p>c. CITY</p>
<p>–––––</p></td>
<td colspan="2"><p>d, STATE</p>
<p>––</p></td>
<td colspan="2"><p>e. ZIP CODE</p>
<p>––</p></td>
<td colspan="8">5. TYPE OF REPORT</td>
</tr>
<tr class="even">
<td colspan="12"><p>2. CONTRACTOR’S ESTABLISHMENT CODE</p>
<p>–––––</p></td>
<td colspan="3"> REGULAR</td>
<td colspan="3"> FINAL</td>
<td colspan="2"> REVISED</td>
</tr>
<tr class="odd">
<td colspan="20">6. ADMINISTERING ACTIVITY <em>(Please check applicable
box)</em></td>
</tr>
<tr class="even">
<td></td>
<td colspan="6"></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="7"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="6">ARMY</td>
<td></td>
<td colspan="4">GSA</td>
<td></td>
<td colspan="7">NASA</td>
</tr>
<tr class="even">
<td></td>
<td colspan="6">NAVY</td>
<td></td>
<td colspan="4">DOE</td>
<td></td>
<td colspan="7">OTHER FEDERAL AGENCY (Specify)</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="6">AIR FORCE</td>
<td></td>
<td colspan="4">DEFENSE LOGISTICS AGENCY</td>
<td></td>
<td colspan="7">–––––</td>
</tr>
<tr class="even">
<td colspan="11">7. REPORT SUBMITTED AS <em>(Check one and provide
appropriate number)</em></td>
<td colspan="9">8.. AGENCY OR CONTRACTOR AWARDING CONTRACT</td>
</tr>
<tr class="odd">
<td colspan="6"> PRIME CONTRACTOR</td>
<td colspan="5">PRIME CONTRACT NUMBER</td>
<td colspan="9">a. AGENCY’S OR CONTRACTOR’S NAME</td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="5">–––––</td>
<td colspan="9">–––––</td>
</tr>
<tr class="odd">
<td colspan="6"> SUBCONTRACTOR</td>
<td colspan="5">SUBCONTRACT NUMBER</td>
<td colspan="9">b. STREET ADDRESS</td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="5">–––––</td>
<td colspan="9">–––––</td>
</tr>
<tr class="odd">
<td colspan="11">9. DOLLARS AND PERCENTAGES IN THE FOLLOWING
BLOCKS:</td>
<td colspan="5">c. CITY</td>
<td colspan="3">d. STATE</td>
<td>e. ZIP CODE</td>
</tr>
<tr class="even">
<td colspan="6"> DO INCLUDE INDIRECT COSTS</td>
<td colspan="5"> DO NOT INCLUDE INDIRECT COSTS</td>
<td colspan="5">–––––</td>
<td colspan="3">––</td>
<td>––</td>
</tr>
<tr class="odd">
<td colspan="20"><strong>SUBCONTRACT AWARDS</strong></td>
</tr>
<tr class="even">
<td colspan="10">TYPE</td>
<td colspan="4">CURRENT GOAL</td>
<td colspan="6">ACTUAL CUMULATIVE</td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2">WHOLE DOLLARS</td>
<td colspan="2">PERCENT</td>
<td colspan="5">WHOLE DOLLARS</td>
<td>PERCENT</td>
</tr>
<tr class="even">
<td colspan="10"><p>10a. SMALL BUSINESS CONCERNS <em>(Include SDB,
WOSB,</em></p>
<p><em>HBCU/MI) (Dollar Amount and Percent of 10c.)</em></p></td>
<td colspan="2">–––––</td>
<td colspan="2">–––––</td>
<td colspan="5">–––––</td>
<td>–––––</td>
</tr>
<tr class="odd">
<td colspan="10"><p>10b. LARGE BUSINESS CONCERNS <em>(Dollar Amount and
Percent</em></p>
<p><em>of 10c.)</em></p></td>
<td colspan="2">–––––</td>
<td colspan="2"></td>
<td colspan="5">–––––</td>
<td>–––––</td>
</tr>
<tr class="even">
<td colspan="10">10c. TOTAL (Sum of 10a and 10b.</td>
<td colspan="2">–––––</td>
<td colspan="2">100%</td>
<td colspan="5">–––––</td>
<td>100%</td>
</tr>
<tr class="odd">
<td colspan="10"><p>11. SMALL DISADVANTAGE (SDB) CONCERNS
<em>(Include</em></p>
<p><em>HBCU/MI) (Dollar Amount and Percent of 10c.)</em></p></td>
<td colspan="2">–––––</td>
<td colspan="2">–––––</td>
<td colspan="5">–––––</td>
<td>–––––</td>
</tr>
<tr class="even">
<td colspan="10"><p>12. WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS</p>
<p><em>(Dollar Amount and Percent of 10c.)</em></p></td>
<td colspan="2">–––––</td>
<td colspan="2">–––––</td>
<td colspan="5">–––––</td>
<td>–––––</td>
</tr>
<tr class="odd">
<td colspan="20"><p>13. REMARKS</p>
<p>–––––</p></td>
</tr>
<tr class="even">
<td colspan="12">14a.. NAME OF INDIVIDUAL ADMINISTERING SUBCONTRACTING
PLAN</td>
<td colspan="8">14b. TELEPHONE NUMBER</td>
</tr>
<tr class="odd">
<td colspan="12">–––––</td>
<td colspan="4"><p>AREA CODE</p>
<p>–––––</p></td>
<td colspan="4"><p>NUMBER</p>
<p>–––––</p></td>
</tr>
</tbody>
</table>

+---------------------------------+---+---------------------------------+
| **GENERAL INSTRUCTIONS**        |   | BLOCKS 10a through 12: Under    |
|                                 |   | "Current Goal," enter the       |
| 1\. This report is not required |   | dollar and percent goals in     |
| from small businesses.          |   | each category (SB, SDB, and,    |
|                                 |   | WOSB) from the subcontracting   |
| 2\. This report is not required |   | plan approved for this          |
| for commercial products for     |   | contract. (If the original      |
| which a company-wide annual     |   | goals agreed upon at contract   |
| plan (i.e., a Commercial        |   | award have been revised as a    |
| Products Plan) has been         |   | result of contract              |
| approved, nor from large        |   | modification, enter the         |
| businesses in the Department of |   | original goals in Block 13. The |
| Defense (DOD) Test Program for  |   | amounts entered in Blocks 10a   |
| Negotiation of Comprehensive    |   | through 12 should reflect the   |
| Subcontracting Plans. The       |   | revised goals.) Under "Actual   |
| Summary Subcontract Report (SF  |   | Cumulative," enter actual       |
| 295) is required for            |   | subcontract achievements        |
| contractors operating under one |   | (dollar and percent) from the   |
| of these two conditions and     |   | inception of the contract       |
| should be submitted to the      |   | through the date of the report  |
| Government in accordance with   |   | shown in Block 4. In cases      |
| the instructions on that form.  |   | where indirect costs are        |
|                                 |   | included, the amounts should    |
| 3\. This form collects          |   | include both direct awards and  |
| subcontract award data from     |   | an appropriate prorated portion |
| prime                           |   | of indirect costs.              |
| contractors/subcontractors      |   |                                 |
| that: (a) hold one or more      |   | BLOCK 10a.: Report all          |
| contracts over \$500,000 (over  |   | subcontracts awarded to SBs     |
| \$1,000,000 for construction of |   | including subcontracts to SDBs  |
| a public facility); and (b) are |   | and WOSBs. For DOD, NASA, and   |
| required to report subcontracts |   | Coast Guard contracts,          |
| awarded to Small Business (SB), |   | [include]{.underline}           |
| Small Disadvantaged Business    |   | subcontracting awards to HBCUs  |
| (SDB), and Women-Owned Small    |   | and Mis.                        |
| Business (WOSB) concerns under  |   |                                 |
| a subcontracting plan. For the  |   | BLOCK 10b: Report all           |
| Department of Defense (DOD),    |   | subcontracts awarded to large   |
| the National Aeronautics and    |   | businesses (LBs).               |
| Space Administration (NASA),    |   |                                 |
| and the Coast Guard, this from  |   | BLOCK 10c: Report on this line  |
| also collects subcontract award |   | the total of all subcontracts   |
| data for Historically Black     |   | awarded under the contract (the |
| Colleges and Universities       |   | sum of lines 10a and 10b).      |
| (HABCUs) and Minority           |   |                                 |
| Institutions (MIs).             |   | BLOCKS 11 and 12: Each of these |
|                                 |   | items is a subcategory of Block |
| 4\. This report is required for |   | 10a. Note that in some cases    |
| each contract containing a      |   | the same dollars may be         |
| subcontracting plan and must be |   | reported in both Block 11 and   |
| submitted to the administrative |   | Block 12 (i.e., SDBs owned by   |
| contracting officer (ACO) or    |   | woman).                         |
| contracting officer if no ACO   |   |                                 |
| is assigned, semi-annually      |   | BLOCK 11: Report all            |
| during contract performance for |   | subcontracts awarded to SBDs    |
| the periods ended March 31st    |   | (including women-owned SDBs).   |
| and September 30th. A separate  |   | For DOD, NASA, and Coast Guard  |
| report is required for each     |   | contracts,                      |
| contract at contract            |   | [include]{.underline}           |
| completion. Reports are due 30  |   | subcontract awards to HBCUs and |
| days after the close of each    |   | Mis.                            |
| reporting period unless         |   |                                 |
| otherwise directed by the       |   | BLOCK 12: Report all            |
| contracting officer. Reports    |   | subcontracts awarded to         |
| are required when due,          |   | Woman-Owned firms (including    |
| regardless of whether there has |   | SDBs owned by women).           |
| been any subcontracting         |   |                                 |
| activity since the inception of |   | BLOCK 13: Enter a short         |
| the contract or since the       |   | narrative explanation if (a)    |
| previous report.                |   | SB, SDB, or WOSB                |
|                                 |   | accomplishments fall below that |
| 5\. Only subcontracting         |   | which would be expected using a |
| involving performance within    |   | straight-line projection of     |
| the U.S., its possessions,      |   | goals through the period of     |
| Puerto Rico, and the Trust      |   | contract performance: or (b) if |
| Territory of the Pacific        |   | this is a final report, any one |
| Islands should be included in   |   | of the three goals was not met. |
| this report.                    |   |                                 |
|                                 |   | **SPECIAL INSTRUCTIONS FOR      |
| 6\. Purchases from a            |   | COMMERCIAL PRODUCTS PLANS**     |
| corporation, company, or        |   |                                 |
| subdivision that is an          |   | **DEFINITIONS**                 |
| affiliate of the                |   |                                 |
| prime/subcontractor are         |   | 1\. Commercial products means   |
| [not]{.underline} included in   |   | products sold in substantial    |
| this report.                    |   | quantities to the general       |
|                                 |   | public and/or industry at       |
| 7\. Subcontract award data      |   | established catalog or market   |
| reported on the form by prime   |   | place.                          |
| contractors/subcontractors      |   |                                 |
| shall be limited to awards made |   | 2\. Subcontract means a         |
| to their immediate              |   | contract, purchase order,       |
| subcontractors. Credit          |   | amendment, or other legal       |
| [cannot]{.underline} be taken   |   | obligation executed by the      |
| for awards made to lower tier   |   | prime contractor/subcontractor  |
| subcontractors.                 |   | calling for supplies or         |
|                                 |   | services required for the       |
| **SPECIFIC INSTRUCTIONS**       |   | performance of the original     |
|                                 |   | contract or subcontract.        |
| BLOCK 2: Enter the              |   |                                 |
| nine-position Contractor        |   | 3\. Direct Subcontract Awards   |
| Establishment Code (CEC) that   |   | are those that are identified   |
| identifies the specific         |   | with the performance of one or  |
| contractor establishment. (The  |   | more specific Government        |
| CEC consists of eight digits    |   | contract(s).                    |
| followed by one letter. It is   |   |                                 |
| the responsibility of the       |   | 4\. Indirect costs are those    |
| contracting activity to obtain  |   | which, because of incurrence    |
| the CEC for a company that does |   | for common or joint purposes,   |
| not have one. The CEC is to     |   | are not identified with         |
| coincide with the address in    |   | specific Government contracts;  |
| Block 1.)                       |   | these awards are related to     |
|                                 |   | Government contract performance |
| BLOCK 4: Check only one. Note   |   | but remain for allocation after |
| that all subcontract award data |   | direct awards have been         |
| reported on this form           |   | determined and identified to    |
| represents activity since the   |   | specific Government contracts.  |
| inception of the contract       |   |                                 |
| through the data indicated in   |   | **DISTRIBUTION OF THIS REPORT** |
| this block.                     |   |                                 |
|                                 |   | For the Awarding Agency or      |
| BLOCK 5: Check whether this     |   | Contractor:                     |
| report is a "Regular," "Final," |   |                                 |
| and/or "Revised" report. A      |   | The original copy of this       |
| "Final" report should be        |   | report should be provided to    |
| checked only if the contractor  |   | the contracting officer at the  |
| has completed the contract or   |   | agency or contractor identified |
| subcontract reported in Block   |   | in Block 8. For contracts with  |
| 7. A "Revised" report is a      |   | DOD, a copy should be provided  |
| change to a report previously   |   | to the Defense Logistics Agency |
| submitted for the same period.  |   | (DLA) at the cognizant Defense  |
|                                 |   | Contract Management Area        |
| BLOCK 6: Identify the           |   | Operations (DCMAO) office.      |
| department or agency            |   |                                 |
| administering the majority of   |   | For the Small Business          |
| subcontracting plans.           |   | Administration (SBA):           |
|                                 |   |                                 |
| BLOCK 7: Indicate whether the   |   | A copy of this report must be   |
| reporting contractor is         |   | provided to the cognizant       |
| submitting this report as a     |   | Commercial Market               |
| prime contractor or             |   | Representative (CMR) at the     |
| subcontractor and the prime     |   | time of a compliance review. It |
| contract or subcontract number. |   | is not necessary to mail the SF |
|                                 |   | 294 to SBA unless specifically  |
| BLOCK 8: Enter the name and     |   | requested by the CMR.           |
| address of the Federal          |   |                                 |
| department or agency awarding   |   |                                 |
| the contract or the prime       |   |                                 |
| contractor awarding the         |   |                                 |
| subcontract.                    |   |                                 |
|                                 |   |                                 |
| BLOCK 9: Check the appropriate  |   |                                 |
| block to indicate whether       |   |                                 |
| indirect costs are included in  |   |                                 |
| the dollar amounts in blocks    |   |                                 |
| 10a through 12. To ensure       |   |                                 |
| comparability between the goal  |   |                                 |
| and actual columns, the         |   |                                 |
| contractor may include indirect |   |                                 |
| costs in the actual column only |   |                                 |
| if the subcontracting plan      |   |                                 |
| included indirect costs in the  |   |                                 |
| goal.                           |   |                                 |
+---------------------------------+---+---------------------------------+