Company name Street Address
City State Zip Code
Country Company Website Address
POC Name
Phone Fax
E-mail
Company Type
Corporation
Partnership
Sole Proprietorship
Other
Primary Business Activity
Analytical
Construction
Consulting
Engineering
General Contracting
Professional Services
State Certifications
WBE in state(s) Federal Certifications
MBE in state(s) Federal Certifications
HUB in state(s) Federal Certifications
Business Class
Large Business Non Profit/Educational Small Business
If small business check all that are applicable.
8(a) Certified
Small Disadvantaged
Woman Owned
Hub Zone Certified
Minority
Veteran Owned
Disabled Veteran
Handicapped/Disabled
Native American
Year established
Yrs. w/ Present Co. Name
Former Co. Name (if any)
CCR Registered?
Y N
CAGE Code
Primary NAICS code
Other NAICS codes(s)
Does you company maintain its Reps & Certs on the government's Online Representations and Certifications Applications (ORCA) website?
Y N
If yes, what is your DUNS number?
Indian Tribe/ANC
Native Hawaiian
Hawaiian Native Org.

SSL Certificates