Small Business Contact Information |
Company Name:
(required)
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Company Web Site:
(required)
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Street Address:
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City:
(required)
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State:
(required)
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Postal (Zip) Code:
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Country:
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Point of Contact:
(required)
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Point of Contact Phone:
(required)
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Point of Contact E-mail: (required)
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Other Key Locations:
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Small Business Information
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Type of Small Business: (required)
Note: For multiple selections, press Control+Click.
If 8(a) is selected, please enter the Graduation date.
(i.e., mm/dd/yyyy)
If HUBZone is selected, please enter the Certification date.
(i.e., mm/dd/yyyy)
If Small Disadvantaged is selected, please enter the Exit date.
(i.e., mm/dd/yyyy)
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Corporate Capabilities/Skills:
(required)
Note: For multiple selections, press Control+Click.
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Prior Experience:
(required)
Note: For multiple selections, press Control+Click.
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Brief Description of Company:
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Annual Gross Revenues:
(required)
in
U.S. Dollars |
Number of Employees:
(required)
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Year Founded:
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NAICS Codes:
(About Codes)
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Tax ID# (TIN/EIN):
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Special Certifications:
Note: For multiple selections, press Control+Click. |
Levels of Facility Clearances:
(required)
Note: For multiple selections, press Control+Click. |
Types of Cleared Employees:
(required)
Note: For multiple selections, press Control+Click. |
Previously Teamed
w/ C²: (required)
Yes
No |
Buyers (Business
Units):
(required)
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Current/Previous C²
Protégé:
(required)
Yes
No |
Agency with
Mentor
Protégé
Agreement:
(required)
Mentor Group (POC):
(required)
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Key Past Performances/Clients
(Government Experience Preferred)
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Past Performance Case 1:
(required
)
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Office/Agency:
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Brief Description of Work: (required)
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Contract Amount:
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Role:
(required)
Prime
Subcontractor |
Did You Team With C²?:
(required)
Yes
No |
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Past Performance Case 2:
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Office/Agency:
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Brief Description of Work:
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Contract Amount:
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Role:
Prime
Subcontractor |
Did You Team With C²?:
Yes
No |
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Past Performance Case 3:
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Office/Agency:
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Brief Description of Work:
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Contract Amount:
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Role:
Prime
Subcontractor |
Did You Team With C²?:
Yes
No |
Add an Attachment
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Corporate Capabilities Document:
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Other Documents:
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