IRS_Information_Sheet.rtf

IRS INFORMATION SHEET

PLEASE COMPLETE THE INFORMATION LISTED BELOW

QUOTE NUMBER:

VENDOR’S NAME:

ADDRESS: _______________________________________________________

CITY/STATE/ZIP: __________________________________________________

* IS YOUR COMPANY REGISTERED IN SYSTEM FOR AWARD MANAGEMENT (SAM)?: YES NO If NO, YOU MUST REGISTER AT http://www.sam.gov PRIOR TO AWARD, IF SELECTED.

FEDERAL TAX ID # (TIN): DUNS #: CAGE CODE:

PLEASE CHECK ALL SIZE STANDARDS THAT APPLY (For Assistance See Definitions – Next Page): SIZE OF BUSINESS: LARGE ______ SMALL ______

SMALL DISADVANTAGED ________ WOMEN-OWNED SMALL ___

HUBZone SMALL

SERVICE DISABLED VETERAN-OWNED SMALL _______

VETERAN-OWNED SMALL 8(a) _______

NO. OF DELIVERY DAYS

PAYMENT TERMS: NET/10 NET/20 NET/30

OPEN MARKET: YES NO ________

IF NO, GSA SCHEDULE NO.: _____________________________

BUSINESS SIZE AS LISTED ON GSA SCHEDULE (IF DIFFERENT FROM ABOVE):

. PROVIDE COPIES OF RELEVANT PAGES OF YOUR GSA SCHEDULE.

ARE PROPOSED PRODUCTS SECTION 508 COMPLIANT? YES NO _____

IF YES, SUBMIT VALID CERTIFICATION WITH QUOTE.

DOES YOUR COMPANY HAVE UNPAID DELINQUENT TAX LIABILITY OR FELONY CONVICTIONS UNDER FEDERAL LAW (FEB 2012):

REMITTANCE ADDRESS:

POC:

PHONE NUMBER:

IPP POC:

PHONE NUMBER:

EMAIL ADDRESS:

CPARS POC:

PHONE NUMBER:

EMAIL:

BUYER POC:

PHONE NUMBER:

EMAIL:

NOTE TO VENDORS:

SYSTEM FOR AWARD MANGEMENT (SAM) If you would like to receive more quotations from federal government agencies, you must be registered in the System for Award Management (SAM). Registration in SAM is required by all federal agencies in order to receive an award. SAM allows the federal agency payment offices to disburse payments electronically directly to your banking account. It also serves as the “official” socioeconomic status for your company in that information detailed in your SAM profile is ported into the Federal Procurement Data system for every award made to your company. In addition, all small businesses (you must check the small business block under Business Type) in the SAM database, are automatically included in the Small Business Administration’s (SBA) Dynamic Small Business Search database, which recently merged with SAM. Please go to http://www.sam.gov and click on Start New Registration. Complete all of the required and optional information listed there. Under Business Type, ensure you list all of the socioeconomic categories in which your company qualifies. All federal government agencies and many prime contractors use the ProNet database to find sources.

INVOICES MUST BE SUBMITTED VIA THE INVOICE PROCESSING PLATFORM AT www.ipp.gov. The Invoice Processing Platform (IPP) is a Web-based system that provides one integrated, secure system to simplify the management of vendor invoices and intra-governmental transactions. It is offered at no charge to federal agencies and their vendors.

CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS) ASSESSES A CONTRACTOR’S PERFORMANCE AND PROVIDES A RECORD ON A CONTRACTOR DURING A SPECIFIC PERIOD OF TIME. The CPAR assesses a contractor’s performance, both positive and negative, and provides a record on a given contract during a specified period of time. Each assessment must be based on objective data (or measurable, subjective data when objective data is not available) supportable by program and contract management data. http://www.cpars.gov/" http://www.cpars.gov/

To receive electronic notification of upcoming procurement opportunities, you should be registered in Federal Business Opportunities (FedBizOpps). Please go to http://www.fedbizopps.gov and click on register. You will then receive notification of any upcoming opportunities that are in your area of expertise.

Definitions of SMALL BUSINESS Types:

Small Business Concern: A concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on government contracts, and qualified as a small business under the criteria and size standards in 13 CFR part 121 (i.e., the North American Industry Classification System (NAICS Codes)).

HUBZone Small Business Concern: A small business concern that appears on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration. See FAR 19.13 and http://www.sba.gov/hubzone for qualification requirements, application, etc.

Small Disadvantaged Business Concern: A small business concern that is at least 51 percent unconditionally owned by one or more individuals who are both socially and economically disadvantaged, or a publicly owned business that has at least 51 percent of its stock unconditionally owned by one or more socially and economically disadvantaged individuals and that has its management and daily business controlled by one or more such individuals.

Women-Owned Small Business Concern: A small business concern that is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more such individuals.

8(a) Business Concern: A small disadvantaged business that has been approved by the Small Business Administration (SBA) and included in the listing of SBA’s approved 8(a) vendors. The 8(a) business participates in a nine-year development program.

Veteran-Owned Small Business Concern: A small business concern which is at least 51 percent owned by one or more veterans; or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more veterans; and whose management and daily business operations are controlled by one or more veterans.

Service Disabled Veteran-Owned Small Business Concern: A veteran-owned small business with a service-connected disability as defined by the Veteran’s Administration.

INTERNAL REVENUE SERVICE

PRICE QUOTATION SHEET

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