Standard Form 295 PDF Details

Are you looking for a simple and efficient way to submit financial disclosures? Standard Form 295 may be just the ticket. The form is developed by the US government as a convenient and secure means of disclosing investments, income, assets, liabilities and other financial information. This blog post will provide an overview of what's included on SF-295 forms, how they're used and where to obtain your own copy. Keep reading if you want to learn more about this time-saving filing tool!

QuestionAnswer
Form NameStandard Form 295
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstandard forms 295, summary subcontracting report sf 295, form, standard form 295

Form Preview Example

SUM M ARY SUBCONTRACT REPORT

(See instructions on reverse)

OMB No.: 9 0 0 0 -0 0 0 7

Expires: 09/30/2003

Public report ing burden f or t his collect ion of inf ormat ion is est imat ed t o average 15.9 hours per response, including t he t ime f or review ing inst ruct ions, searching exist ing dat a sources, gat hering and maint aining t he dat a needed, and complet ing and review ing t he collect ion of inf ormat ion. Send comment s regarding t his burden est imat e or any ot her aspect of t his collect ion of inf ormat ion, including suggest ions f or reducing t his burden, t o t he FAR Secret ariat (MVP), Acquisit ion Policy Division, GSA, Washingt on, DC 20405.

 

1. CORPORATION, COMPANY OR SUBDIVISION COVERED

 

3. DATE SUBMITTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. COMPANY NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. STREET ADDRESS

 

 

 

 

 

 

 

4 . REPORTING PERIOD:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

 

 

 

 

 

 

 

OCT 1 -

OCT 1 -

 

 

 

c. CITY

 

 

d. STATE

e. ZIP CODE

 

 

 

 

 

 

MAR 31

SEPT 30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. TYPE OF REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. CONTRACTOR IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REGULAR

FINAL

REVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

6. ADMINISTERING ACTIVITY (Please check applicable box)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARMY

 

DEFENSE CONTRACT MANAGEMENT AGENCY

 

DOE

 

 

 

 

 

NAVY

 

NASA

 

 

OTHER FEDERAL AGENCY (Specif y)

 

 

 

 

 

 

 

 

 

 

 

 

 

AIR FORCE

 

GSA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. REPORT SUBMITTED AS (Check one )

 

 

 

 

8. TYPE OF PLAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIME CONTRACTOR

 

INDIVIDUAL

IF PLAN IS A COMMERCIAL PLAN, SPECIFY THE

 

 

 

 

 

 

 

 

SUBCONTRACTOR

 

 

 

 

PERCENTAGE OF THE DOLLARS ON THIS REPORT

 

 

 

 

 

 

 

 

 

 

 

 

COMMERCIAL PRODUCTS

ATTRIBUTABLE TO THIS AGENCY.

 

 

 

 

 

BOTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. CONTRACTOR' S MAJOR PRODUCTS OR SERVICE LINES

 

 

 

 

a

b

CUM ULATIVE FISCAL YEAR SUBCONTRACT AWARDS

(Report cumulative figures for reporting period in Block 4 )

 

TYPE

 

PERCENT

 

WHOLE DOLLARS

(To nearest t ent h

 

 

 

of a % )

10a.

SMALL BUSINESS CONCERNS (Include SDB, WOSB, HBCU/MI, HUBZone SB, and VOSB

 

 

 

(including Service-Disabled VOSB)) (Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

10b.

LARGE BUSINESS CONCERNS (Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

10c.

TOTAL (Sum of 10a and 10b.)

 

100. 0%

 

 

 

 

 

 

 

11.

SMALL DISADVANTAGED BUSINESS (SDB) CONCERNS (Include HBCU/MI)

 

 

 

(Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

12.

WOMEN-OWNED SMALL BUSINESS (WOSB) CONCERNS

 

 

 

(Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

13.

HISTORICALLY BLACK COLLEGES AND UNIVERSITIES (HBCU) AND MINORITY

 

 

 

INSTITUTIONS (MI) (If applicable) (Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

14.

HUBZONE SMALL BUSINESS (HUBZone SB) CONCERNS

 

 

 

(Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

15.

VETERAN-OWNED SMALL BUSINESS (VOSB) CONCERNS (Including Service-Disabled

 

 

 

VOSB Concerns) (Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

16.

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS CONCERNS

 

 

 

(Dollar Amount and Percent of 10c.)

 

 

 

 

 

 

17 . REMARKS

 

18. CONTRACTOR' S OFFICIAL WHO ADMINISTERS SUBCONTRACTING PROGRAM

 

 

 

 

 

 

 

a. NAME

 

b. TITLE

c. TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

AREA CODE

NUMBER

 

 

 

 

 

 

 

19. CHIEF EXECUTIVE OFFICER

 

 

 

 

 

 

 

a. NAME

 

c. SIGNATURE

 

 

b. TITLE

d. DATE

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 2 9 5 (REV. 10-2001)

Previous edit ion is not usable

Prescribed by GSA - FAR (48 CFR) 53.219(b)

GENERAL INSTRUCTIONS

 

 

1.

This report is not required f rom small businesses.

 

 

2 .

This f orm collect s subcont ract aw ard

dat a

f rom prime

cont ract ors/subcont ract ors t hat : (a) hold one or more cont ract s over $500,000 (over $1,000,000 f or const ruct ion of a public f acilit y); and (b) are required t o report subcont ract s aw arded t o Small Business (SB), Small Disadvant aged Business (SDB), Women-Ow ned Small Business (WOSB), Vet eran-Ow ned Small Business (VOSB), Service-Disabled Vet eran-Ow ned Small Business, and HUBZone Small Business (HUBZone SB) concerns under a subcont ract ing plan. For t he Depart ment of Def ense (DOD), t he Nat ional Aeronaut ics and Space Administ rat ion (NASA), and t he Coast Guard, t his f orm also collect s subcont ract aw ard dat a f or Hist orically Black Colleges and Universit ies (HBCUs) and Minorit y Inst it ut ions (MIs).

3. This report must be submit t ed semi-annually (f or t he six mont hs ended March 31st and t he t w elve mont hs ended Sept ember 30t h) f or cont ract s w it h t he Depart ment of Def ense (DOD) and annually (f or t he t w elve mont hs ended Sept ember 30t h) f or cont ract s w it h civilian agencies, except f or cont ract s covered by an approved Commercial Plan (see special inst ruct ions in right -hand column).

Report s are due 30 days af t er t he close of each report ing period.

4 . This report may be submit t ed on a corporat e, company, or subdivision (e.g., plant or division operat ing on a separat e prof it cent er) basis, unless ot herw ise direct ed by t he agency aw arding t he cont ract .

5. If a prime cont ract or/subcont ract or is perf orming w ork f or more t han one Federal agency, a separate report shall be submitted to each agency covering only that agency' s contracts, provided at least one of t hat agency' s cont ract s is over $500,000 (over $1,000,000 f or const ruct ion of a public f acilit y) and cont ains a subcont ract ing plan. (Not e t hat DOD is considered t o be a single agency; see next inst ruct ion.)

6. For DOD, a consolidated report should be submitted for all contracts aw arded by military departments/agencies and/or subcontracts aw arded by DOD prime

contractors. How ever, DOD cont ract ors involved in const ruct ion and relat ed maint enance and repair must submit a separat e report f or each DOD component .

7 . Only subcont ract s involving perf ormance in t he U.S. or it s out lying areas should be included in t his report .

8 . Purchases from a corporation, company, or subdivision that is an affiliate of the prime/subcontractor are not included in this report.

9 . Subcont ract aw ard dat a report ed on t his f orm by prime cont ract ors/subcon-

t ract ors shall be limit ed t o aw ards made t o t heir immediat e subcont ract ors. Credit cannot be taken for aw ards made to low er tier subcontractors.

10. See special inst ruct ions in right -hand column f or Commercial Plans.

SPECIFIC INSTRUCTIONS

BLOCK 2 : For t he Cont ract or Ident if icat ion Number, ent er t he nine-digit Dat a Universal Numbering Syst em (DUNS) number t hat ident if ies t he specif ic cont ract or est ablishment . If t here is no DUNS number available t hat ident if ies t he exact name and address ent ered in Block 1, cont act Dun and Bradst reet Inf ormat ion Services at 1-800-333-0505 t o get one f ree of charge over t he t elephone. Be prepared t o provide t he f ollow ing inf ormat ion: (1) Company name; (2) Company address; (3) Company t elephone number; (4) Line of business; (5) Chief execut ive of f icer/key manager; (6) Dat e t he company w as st art ed; (7) Number of people employed by t he company; and (8) Company af f iliat ion.

BLOCK 4 : Check only one. Not e t hat March 31 represent s t he six mont hs f rom Oct ober 1st and t hat Sept ember 30t h represent s t he t w elve mont hs f rom Oct ober 1st . Ent er t he year of t he report ing period.

BLOCK 5 : Check w het her t his report is a " Regular," " Final," and/or " Revised" report . A "Final" report should be checked only if the contractor has completed all the contracts containing subcontracting plans aw arded by the agency to w hich it is reporting. A " Revised" report is a change t o a report previously submit t ed f or t he same period.

BLOCK 6 : Ident if y t he depart ment or agency administ ering t he majorit y of subcont ract ing plans.

BLOCK 7 : This report encompasses all cont ract s w it h t he Federal Government f or t he agency t o w hich it is submit t ed, including subcont ract s received f rom ot her

large businesses t hat have cont ract s w it h t he same agency.

Indicat e in t his block

w het her t he cont ract or is a prime cont ract or, subcont ract or,

or bot h (check only

one).

 

BLOCK 8 : Check only one. Check " Commercial Plan" only if t his report is under an approved Commercial Plan. For a Commercial Plan, t he cont ract or must specif y t he percent age of dollars in Blocks 10a t hrough 15b at t ribut able t o t he agency t o w hich t his report is being submit t ed.

BLOCK 9 : Ident if y t he major product or service lines of t he report ing organizat ion.

BLOCKS 1 0 a through 1 6 : These ent ries must include all subcont ract aw ards result ing f rom cont ract s or subcont ract s, regardless of dollar amount , received f rom t he agency t o w hich t his report is submit t ed. If report ing as a subcont ract or,

report all subcont ract s aw arded under prime cont ract s.

Amount s

must include

bot h direct aw ards and an appropriat e prorat ed port ion of

indirect

aw ards. (The

indirect port ion is based on t he percent age of w ork being perf ormed

 

f or t he organizat ion t o w hich t hereport is being submit t ed in relat ion t o ot her w ork being perf ormed by t he prime cont ract or/subcont ract or.) Do not include aw ards made in support of commercial business unless " Commerical" is checked in Block 8 (see Special Inst ruct ions f or Commercial Plans in right hand column). Report only t hose dollars subcont ract ed t his f iscal year f or t he period indicat ed in Block 4.

BLOCK 1 0 a: Report all subcont ract s aw arded t o SBs including subcont ract s t o SDBs, WOSBs, VOSBs, Service-Disabled VOSBs, and HUBZone SBs. For DOD, NASA, and Coast Guard cont ract s, include subcont ract ing aw ards t o HBCUs and MIs.

BLOCK 1 0 b: Report all subcont ract s aw arded t o large businesses (LBs).

BLOCK 1 0 c: Report on t his line t he grand t ot al of all subcont ract s (t he sum of lines 10a and 10b).

BLOCKS 1 1 through 1 6 : Each of t hese it ems is a subcat egory of Block 10a. Not e t hat in some cases t he same dollars may be report ed in more t han one block (e.g., SDBs ow ned by w omen); likew ise subcont ract s t o HBCUs or MIs should be report ed on bot h Block 11 and 13.

BLOCK 1 1 : Report all subcont ract s aw arded t o SDBs (including w omen-ow ned,

vet eran-ow ned, service-disabled VOSBs, and HUBZone SB SDBs). For DOD, NASA, and Coast Guard cont ract s, include subcont ract aw ards t o HBCUs and MIs.

BLOCK 1 2 : Report all subcont ract s aw arded t o WOSB f irms (including SDBs, VOSBs, service-disabled VOSBs, and HUBZone SBs ow ned by w omen).

BLOCK 1 3 : (For cont ract s w it h DOD, NASA, and Coast Guard): Ent er t he dollar value of all subcont ract s w it h HBCUs/MIs.

BLOCK 1 4 : Report all subcont ract s aw arded t o HUBZone SBs (including w omen-ow ned, vet eran-ow ned, service-disabled VOSBs, and SDB HUBZone SBs).

BLOCK1 5 : Report all subcont ract s aw arded t o VOSBs (including w omen-ow ned, SDB, and HUBZone SB VOSBs).

BLOCK 1 6 : Report all subcont ract s aw arded t o service disabled VOSBs (including Service-Disabled Vet eran Ow ned Small Business Concerns t hat are SDBs, WOSBs, and HUBZone SBs). These subcont ract s should also be report ed in Block 15.

SPECIAL INSTRUCTIONS FOR COM M ERCIAL PLANS

1 . This report is due on Oct ober 30t h each year f or t he previous f iscal year ended Sept ember 30t h.

2 . The annual report submit t ed by report ing organizat ions t hat have an approved company-w ide annual subcont ract ing plan f or commercial it ems shall include all subcont ract ing act ivit y under commercial plans in ef f ect during t he year and shall be submitted in addition to the required reports for other-than-commercial items, if any.

3. Ent er in Blocks 10a t hrough 15b t he t ot al of all subcont ract aw ards under t he cont ract or' s Commercial Plan. Show in Block 8 the percentage of this total that is attributable to the agency to w hich this report is being submitted. This report must be submit t ed t o each agency f rom w hich cont ract s f or commercial it ems covered by an approved Commercial Plan w ere received.

DEFINITIONS

1 . Direct Subcont ract Aw ards are t hose t hat are ident if ied w it h t he perf ormance of one or more specif ic Government cont ract (s).

2 . Indirect Subcont ract Aw ards are t hose w hich, because of incurrence f or common or joint purposes, are not ident if ied w it h specif ic Government cont ract s; t hese aw ards are relat ed t o Government cont ract perf ormance but remain f or allocat ion af t er direct aw ards have been det ermined and ident if ied t o specif ic Government cont ract s.

SUBM ITTAL ADDRESSES FOR ORIGINAL REPORT

For DOD Cont ract ors, send report s t o t he cognizant cont ract administ rat ion of f ice as st at ed in t he cont ract .

For Civilian Agency Cont ract ors, send report s t o aw arding agency:

1. NASA: Forw ard report s t o NASA, Of f ice of Procurement (HS), Washingt on, DC 20546

2. OTHER FEDERAL DEPARTMENTS OR AGENCIES: Forw ard report t o t he OSDBU Direct or unless ot herw ise provided f or in inst ruct ions by t he Depart ment or Agency.

FOR ALL CONTRACTORS:

SMALL BUSINESS ADMINISTRATION (SBA): Send " inf o copy" t o t he cognizant Commercial Market Represent at ive (CMR) at t he address provided by SBA . Call SBA Headquart ers in Washingt on, DC at (202) 205-6475 f or correct address if unknow n.

STANDARD FORM 2 9 5 (REV. 10-2001) BACK

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Be mindful when filling in this pdf. Ensure that all necessary blank fields are done accurately.

1. Fill out the VOSBs with a group of essential blank fields. Collect all of the information you need and make sure there's nothing neglected!

Writing segment 1 of SUBCONTRACTING

2. When the previous array of blanks is completed, go on to enter the applicable details in these - including ServiceDisabled VOSB, b LARGE BUSINESS CONCERNS Dollar, c TOTAL Sum of a and b, SMALL DISADVANTAGED BUSINESS SDB, WOMENOWNED SMALL BUSINESS WOSB, Dollar Amount and Percent of c, HISTORICALLY BLACK COLLEGES AND, HUBZONE SMALL BUSINESS HUBZone SB, VETERANOWNED SMALL BUSINESS VOSB, SERVICEDISABLED VETERANOWNED SMALL, REMARKS, a NAME, a NAME, b TITLE, and CONTRACTOR S OFFICIAL WHO.

Part no. 2 for completing SUBCONTRACTING

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