| Small Business Contact Information |
Company Name: (required)
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Tax Id# (TIN/EIN): (required)
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Street Address:
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City: (required)
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State/Province: (required)
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Postal (Zip) Code:
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Country:
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Company Web Site: (required)
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BD Point of Contact: (required)
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BD Point of Contact Phone: (required)
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BD Point of Contact Email: (required)
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President/CEO Name: (required)
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President/CEO Phone #: (required)
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Other Key Locations (City, State):
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| Small Business Information |
Type of Small Business: (required)
Note: For multiple selections, press Control+Click.
If 8(a) is selected, please enter the Graduation date.
(i.e. mm/dd/yyyy)
If HUBZone is selected, please enter the Certification date.
(i.e. mm/dd/yyyy)
If Small Disadvantaged is selected, please enter the Exit date.
(i.e. mm/dd/yyyy)
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Key Capabilities/Skills:
(required) Note: Limit to 10
Note: For multiple selections, press Control+Click. |
Key Customer / Agencies (End User): (required) Note: Limit to 6
Note: For multiple selections, press Control+Click. |
Specify What Departments/Commands/Bases: (required) Note: Limit to 12
Note: For multiple selections, press Control+Click. |
Keywords/Buzzwords Summarizing Capabilities: Note: Limit of 2500 characters
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Gross Revenues (3 Year Avg): (required)
in US Dollars |
Number of Employees: (required)
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Year Founded:
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NAICS Codes: (About Codes)
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Special Certifications:
Note: For multiple selections, press Control+Click. |
Levels of Facility Clearances: (required)
Note: For multiple selections, press Control+Click. |
Types of Cleared Employees: (required)
Note: For multiple selections, press Control+Click. |
Previously Teamed w/ SAIC: (required)
Yes
No |
SAIC POC / Business Unit:
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Are you a current/previous SAIC Protégé?:
Yes
No |
Agency with Mentor Protégé Agreement:
Mentor Protégé POC:
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| Key Past Performances/Customers (Government Experience Preferred) |
Case 1 - Customer: (required)
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Office/Agency:
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Brief Description of Work: (required)
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Contract Amount:
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Role: (required)
Prime
Subcontractor |
Did You Team With SAIC?: (required)
Yes
No |
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Case 2 - Customer: (required)
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Office/Agency:
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Brief Description of Work: (required)
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Contract Amount:
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Role: (required)
Prime
Subcontractor |
Did You Team With SAIC?:(required)
Yes
No |
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Case 3 - Customer:
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Office/Agency:
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Brief Description of Work:
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Contract Amount:
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Role:
Prime
Subcontractor |
Did You Team With SAIC?:
Yes
No |
| Add an Attachment |
Corporate Capabilities Document:
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Other Documents:
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