BPA F 4220.04e Subcontracting Report for Individual Contracts

BPA F 4220.04e
(09-2023)
Page 1 of 3

U.S. DEPARTMENT OF ENERGY - BONNEVILLE POWER ADMINISTRATION (BPA)

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

1. CORPORATION, COMPANY, OR SUBDIVISION COVERED
a. Prime Contractor Name

b. Street Address

c. City

d. State

e. Zip Code

2. Contractor Identification Number (D-U-N-S)

4. Reporting Period from Inception of Contract thru
MAR 31

OMB Control Number
1910-5190
Expires: XX/XX/XXXX

3. Date Submitted

Year

5. Type of Report

SEPT 30

Regular

6. Report Submitted as (check and provide appropriate number)
Prime Contract Number
Prime Contractor
Subcontract Number
8. Dollars and Percentages in the following blocks:

Final

Revised

7. Name of Contracting Officer:
Bonneville Power administration-NSS
P.O. Box 3621
Portland, OR 97208
Do Include Indirect Costs

Do Not Include Indirect Costs

SUBCONTRACT AWARDS
For each type of award specific instructions are provided on page 2. Please enter both the dollar amount and the percentage.
TYPE

CURRENT GOAL
Whole Dollars
Percent

ACTUAL CUMULATIVE
Whole Dollars
Percent

9. Small Businesses (SB)

0%

0%

10. Disadvantaged Small Businesses (DSB) Concerns

0%

0%

11. Women-Owned Small Businesses (WOSB)

0%

0%

12. Veteran-Owned Small Businesses (VOSB)

0%

0%

13. Service-Disabled Veteran-Owned Small Businesses (SDVOSB)

0%

0%

14. Large Businesses

0%

0%

15. Indian Tribes (TR)

0%

0%

16. Comments (attach additional sheets if more room is needed)

a. Name of Contractor Individual Administering Subcontracting Plan

b. Work Phone Number

c. Work E-mail Address

File Code: PB-1205; Retention: Destroy 6 years after final payment or cancellation, but longer retention is authorized if required
for business use.

BPA F 4220.04e
(09-2023)
Page 2 of 3

U.S. DEPARTMENT OF ENERGY - BONNEVILLE POWER ADMINISTRATION (BPA)

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

GENERAL INFORMATION
1. This report is not required from small businesses.
2. This form collects subcontract award data from prime
contractors that: (a) hold one or more contracts over $700,000
(over $1,500,000 for construction); and (b) are required to
report subcontracts awarded to Small Business (SB),
Disadvantaged Small Businesses (DSB), Women-Owned Small
Businesses (WOSB), Veteran-Owned Small Businesses (VOSB)
and Service-Disabled Veteran-Owned Small Businesses under a
subcontracting plan.
3. This report is required for each contract containing a
subcontracting plan and must be submitted to the contracting
officer (CO) semi-annually, during contract performance for the
periods ended March 31st and September 30th. A separate
report is required for each contract at contract completion.
Reports are due no later than 25 days after the close of each
reporting period unless otherwise directed by the contracting
officer. Reports are required when due, regardless of whether
there has been any subcontracting activity since the inception
of the contract or since the previous report.
4. Only subcontracts involving performance in the U.S., or its
outlying areas should be included in this report.
5. Purchases from a corporation, company, or subdivision that
is an affiliate of the prime/subcontractor are not included in
this report.
6. Subcontract award data reported on this form by prime
contractors shall be limited to awards made to their immediate
subcontractors.
7. BPI Part 8.3 sets forth the eligibility requirements for
participating in the subcontracting program.
8. Actual achievements must be reported on the same basis as
the goals set forth in the contract. For example, if goals in the
plan do not include indirect and overhead items, the
achievements shown on this report should not include them
either.
SPECIFIC INSTRUCTIONS
BLOCK 2: For the Contractor Identification Number, enter the
nine-digit Data Universal Numbering System (DUNS) number
that identifies the specific contractor establishment. If there is
no DUNS number available that identifies the exact name and
address entered in Block 1, contact Dun and Bradstreet
Information Services at 1-866-705-5711 or via the Internet at
http://www.dnb.com. The contractor should be prepared to
provide the following information: (i) Company legal business
name. (ii) Tradestyle, doing business, or other name by which
your entity is commonly recognized. (iii) Company physical
street address, city, state, and ZIP Code. (iv) Company mailing
address, city, state, and ZIP Code (if separate from physical). (v)
Company telephone number. (vi) Date the company was
started. (vii) Number of employees at your location.

OMB Control Number
1910-5190
Expires: XX/XX/XXXX

(viii) Chief executive officer/key manager. (ix) Line of business
(industry). (x) Company Headquarters name and address
(reporting relationship within your entity).
BLOCK 4: Check only one. Note that all subcontract award data
reported on this form represents activity since the inception of
the contract through the date indicated on this block.
BLOCK 5: Check whether this report is a "Regular," "Final,"
and/or "Revised" report. A "Final" report should be checked
only if the contractor has completed the contract or
subcontract reported in Block 6. A "Revised" report is a change
to a report previously submitted for the same period.
BLOCK 6: Indicate that the reporting contractor is submitting
this information as a prime contractor and the prime contract
number.
BLOCK 7: Return completed form to BPA Contracting Officer.
BLOCK 8: Check the appropriate block to indicate whether
indirect costs are included in the dollar amounts in blocks 9
through 14. 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.
BLOCKS 9 thru 14: Under "Current Goal," enter the dollar and
percent goals in each category (SB, DSB, WOSB, VOSB, SDVOSB,
Indian Tribe) from the subcontracting plan approved for this
contract. (The amounts entered in Blocks 9 through 15 should
reflect any revised goals.). Under "Actual Cumulative," enter
actual subcontract achievements (dollars and percent) from the
inception of the contract through the date of the report shown
in Block 4. In cases where indirect costs are included, the
amounts should include both direct awards and an appropriate
prorated portion of indirect awards. However, the dollar
amounts reported under "Actual Cumulative" must be for the
same period of time as the dollar amounts shown under
"Current Goal" For a contract with options, the current goal
should represent the aggregate goal since the inception of the
contract. For example, if the contractor is submitting the report
during Option 2 of a multiple year contract, the current goal
would be the cumulative goal for the base period plus the goal
for Option 1 and the goal for Option 2.
BLOCK 9: Report all subcontracts awarded to Small Businesses
(SBs). This category includes awards to small businesses that
do not belong in another category on this list.
BLOCK 10: Report all subcontracts awarded to Disadvantaged
Small Businesses (DSB’s). This category includes Native
American Small Businesses, 8-A Certified Small Businesses, and
Hub-Zone Disadvantaged Small Businesses.
BLOCK 11: Report all subcontracts awarded to Women-Owned
Small Businesses (WOSB’s).

File Code: PB-1205; Retention: Destroy 6 years after final payment or cancellation, but longer retention is authorized if required
for business use.

BPA F 4220.04e
(09-2023)
Page 3 of 3

U.S. DEPARTMENT OF ENERGY - BONNEVILLE POWER ADMINISTRATION (BPA)

SUBCONTRACTING REPORT FOR INDIVIDUAL CONTRACTS

BLOCK 12: Report all subcontracts awarded to Veteran-Owned
Small Businesses (VOSBs).
BLOCK 13: Report all subcontracts awarded to Service-Disabled
Veteran-Owned Small Businesses (SDVOSB’s).
BLOCK 14: Report all subcontracts awarded to large businesses
and any other-than-small businesses.
BLOCK 15: Report all subcontracts awarded to Indian Tribes
(TR).

OMB Control Number
1910-5190
Expires: XX/XX/XXXX

BLOCK 16: Enter a short narrative explanation if (a) SB, DSB,
WOSB, VOSB, SDVOSB, and TR accomplishments fall below that
which would be expected using a straight-line projection of
goals through the period of contract performance, or (b) if this
a final report, any one of the six goals were not met.

DEFINITIONS
Indirect Costs – those costs which because of incurrence for common or joint purposes, are not identified with specific BPA
contracts.
DISTRIBUTION OF THIS REPORT
For the Awarding Agency or Contractor, the original copy of this report should be provided to the contracting officer at the agency
identified in Block 7.
Paperwork Reduction Act Burden Statement
This data is being collected pursuant to Bonneville Purchasing Instructions § 8.3 in order to ensure equitable purchasing. The
information you supply will be used for reporting. Public reporting burden for this collection of information is estimated to
average 30 minutes (.5 hours) per response, including the time for reviewing instructions, searching existing data sources,
gathering, and maintaining that data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to Office of the Chief Information Officer, Enterprise Policy Development & Implementation Office, IM-22,
Paperwork Reduction Project (OMB control number 1910-5190), U.S. Department of Energy, 1000 Independence Ave SW,
Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (OMB
control number 1910-5190), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty
for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that
collection of information displays a currently valid OMB control number.
The Paperwork Reduction Act (PRA) of 1995 requires each Federal agency to seek and obtain approval from the Office of
Management and Budget (OMB) before undertaking a collection of information directed to 10 or more persons of the general
public, including persons involved in or supporting the operations of Government-owned, contractor-operated facilities.
Submission of this data is required.
File Code: PB-1205; Retention: Destroy 6 years after final payment or cancellation, but longer retention is authorized if required
for business use.