MARKET SURVEY.pdf

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Directorate of Emergency Services Contract
Solicitation number
W9124B22R0001
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Draft Performance Work Statement.pdf PDF

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MARKET SURVEY

FOR

DES Service

Please Provide Company Information:

Company Name:

Address:

Phone Number:

POC:

Email:

A. Select your company’s Socio-Economic category(ies):

____Emerging Small Business Concern ____SBA Certified 8A Program Participant ____SBA Certified HUB Zone Firm ____SBA Certified Small Disadvantaged Business ____Self-Certified Small Disadvantaged Business ____Service Disabled Veteran Owned ____Ability-One Program ____Veteran Owned Small-Business ____Woman Owned Small-Business (WOSB) ____ Economically Disadvantage Woman Owned Small-Business

(EDWOSB)

____Historically Black College University/Minority Institute

A. SAM: Yes ________ or No ______________

B. CAGE Code ________________ Expiration Date ________________

C. NAICS CODE __________________

D. FSC/PSC CODE __________________

C. TAX ID# ________________________

D. Business Size _________________________

E. GSA Schedule # _______________________

Emerging Small Business Concern:
SBA Certified 8A Program Participant:
SBA Certified HUB Zone Firm:
SBA Certified Small Disadvantaged Business:
SelfCertified Small Disadvantaged Business:
Service Disabled Veteran Owned:
AbilityOne Program:
Veteran Owned SmallBusiness:
Woman Owned SmallBusiness WOSB:
Economically Disadvantage Woman Owned SmallBusiness:
Historically Black College UniversityMinority Institute:
or:
No:
B CAGE Code:
Expiration Date:
NAICS CODE:
D FSCPSC CODE:
TAX ID:
D Business Size:
GSA Schedule:
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