Supplier Portal

SUPPLIER PROFILE AND CAPABILITY INFORMATION

ADDRESS
PUBLIC COMPANY
PRIVATE COMPANY
LEGAL STATUS

BUSINESS CLASSIFICATION

BUSINESS CLASSIFICATION 1
BUSINESS CLASSIFICATION 2
CVE VERIFIED:
BUSINESS CLASSIFICATION 3
CVE VERIFIED:
BUSINESS CLASSIFICATION 4

SUPPLIER REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS

Registered in the U.S. Federal Government’s System for Award Management (SAM)?

QUESTION

COMMENTS

1. Does your company have a Quality Management System?
2. If your company has a registered or certified Quality System, identify the registration authority to the right.
Please Check
3. Have you ever been disqualified/disbarred by the federal government?
4. Does your company currently or has in the past 5 years received a cure, show cause or termination notice?
5. Is your company currently under, or has it filed for bankruptcy, or does it have any judgments, liens or orders against it?
6. Does your company have a DISCO facility security clearance?
7. Does your company carry liability insurance that can meet the minimums listed to the right.?
Workers’ Compensation and Employer’s Liability: $100,000;
General Liability: $500,000 per occurrence
Automobile Liability: $200,000 per person; $500,000 per occurrence for bodily injury; $20,000 per occurrence for property

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