Att 5 AFRICOM Foreign Vendor Info Sheet.pdf

CUI

ACI 4800.07A

4 September 2020

FOREIGN VENDOR INFORMATION SHEET

1. Legal Business Name:

Also known as:

Incorporated in (Country):

Incorporated on (Date):

Performing contract/services in (Country/Countries):

2. ID Numbers

DUNS:

CAGE/NCAGE:

3. Mailing Address Street Address:

City, State/Province, Zip/Postal Code:

Country:

4. Physical Business Address (if different from mailing address):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

5. Number of Employees:

6. Annual Revenue:

7. Electronic Funds Transfer (EFT) or Cash:

Account Number:

Routing Number:

Bank Name:

Bank Address:

8. Company Contact Information Phone:

Email:

Website:

9. Owner(s) name:

Phone:

Email:

Figure C-2: Foreign Vendor Information Sheet – Page 1

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ACI 4800.07A

4 September 2020

10. Parent Company (if applicable):

DUNS:

Street Address:

City, State/Province, Zip/Postal Code:

Country:

11. Subsidiaries (if applicable):

DUNS:

Street Address:

City, State/Province, Zip/Postal Code:

Country:

12. Formerly Operated as (if applicable):

DUNS:

Street Address:

City, State/Province, Zip/Postal Code:

Country:

13. Manager’s Name:

Phone:

Email:

14. Other Primary Point(s) of Contact:

Phone:

Email:

15. Subcontractor(s)

CAGE/NCAGE:

DUNS:

Street Address:

City, State/Province, Zip/Postal Code:

Country:

Phone:

Email:

Estimated value of subcontract:

Please attach copies of the contract proposal, licenses, certificates, registrations, and forms of identification if possible.

Figure C-2: Foreign Vendor Information Sheet – Page 2

C-8