Team with BES Company Name*: Cage Code: DUNS#*: Tax ID #: Address Line 1: Address Line 2: City: State: ZIP: Primary POC Point of Contact Name*: Phone*: Email*: Supplier certifies that it is (check all that apply): A Small BusinessA SBA 8(a) Certified Small BusinessA Mid Sized BusinessA Large Sized Business If yes, the company is owned and controlled by: Hispanic AmericanNative AmericanBlack AmericanSubcontinent Asian AmericanAsian Pacific American Lines of Business: For teaming purposes, please select all of the following lines of business that apply to your company's offerings: Management ConsultingTelecommunicationsEngineering & LogisticsgInformation TechnologyHealth Care Services A Hub-Zone Small Business Service-Disable Veteran Owned A Veteran-Owned Small A Women-Owned Small Business Historically Black Colleges & Universities/Minority Institutions Other: What are your three major/core lines of business? Primary NAICS Code(s): You may enter multiple NAICS Codes, separated by a comma. Company website:
