RSIP I.B. CANDIDATE SUPPLIER CHECKLIST



Prospective Supplier QuestionnaireBusiness Name FORMTEXT ?????Street Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ???Zip Code FORMTEXT ?????Point of Contact FORMTEXT ?????Title FORMTEXT ?????Telephone Number FORMTEXT ?????Fax Number FORMTEXT ?????Email Address FORMTEXT ?????Web Address FORMTEXT ?????Cage Code FORMTEXT ?????DUNS Number FORMTEXT ?????Total Number of Employees FORMTEXT ?????Congressional District FORMTEXT ?????Year Company Established FORMTEXT ?????Is the company foreign owned/controlled FORMCHECKBOX YES FORMCHECKBOX NO Are you a Manufacturer? FORMCHECKBOX YES FORMCHECKBOX NO Are you a Distributor? FORMCHECKBOX YES FORMCHECKBOX NO Are you a Service Provider? FORMCHECKBOX YES FORMCHECKBOX NO Is your company a supplier for any other Defense Industry company? FORMCHECKBOX YES FORMCHECKBOX NO If yes, list companies FORMTEXT ?????List Competitors: FORMTEXT ?????Did your company’s average annual revenue exceed $35.5M for the last three years? FORMCHECKBOX YES FORMCHECKBOX NO Company Ownership Type Based On NAICS CodeList Primary and Secondary code and place an “X” on the category that appliesPrimary NAICS Code: FORMTEXT ?????Secondary NAICS Code: FORMTEXT ????? FORMTEXT ??Large Business FORMTEXT ?? Large Business FORMTEXT ??Small Business FORMTEXT ??Small Business FORMTEXT ??Small Disadvantaged Business FORMTEXT ??Small Disadvantaged Business FORMTEXT ??Small Business - Woman-Owned Business FORMTEXT ??Small Business - Woman-Owned Business FORMTEXT ??Small Business - HUB Zone Representation FORMTEXT ??Small Business - HUB Zone Representation FORMTEXT ??Small Business - Veteran-Owned Small Business FORMTEXT ??Small Business - Veteran-Owned Small Business FORMTEXT ??Small Business - Service Disable Veteran Owned FORMTEXT ??Small Business - Service Disable Veteran OwnedQuality ManagementTo what recognized quality standard is your company certified?APPROVALY/NAUDIT AGENCY /REGISTRYISO 9001:2000 FORMCHECKBOX YES FORMCHECKBOX NO ISO 9002 FORMCHECKBOX YES FORMCHECKBOX NO AS 9000 FORMCHECKBOX YES FORMCHECKBOX NO AS 9100 FORMCHECKBOX YES FORMCHECKBOX NO MIL-I-45208 FORMCHECKBOX YES FORMCHECKBOX NO MIL-Q-9858 A FORMCHECKBOX YES FORMCHECKBOX NO MIL-STD-45208 FORMCHECKBOX YES FORMCHECKBOX NO EB2678 REV. H FORMCHECKBOX YES FORMCHECKBOX NO Other (Specify): FORMCHECKBOX YES FORMCHECKBOX NO Commodity ManagementPlease select all Commodities you provide: FORMCHECKBOX Actuators FORMCHECKBOX Lumber FORMCHECKBOX Adhesives FORMCHECKBOX Medical Equipment FORMCHECKBOX Castings FORMCHECKBOX Motors FORMCHECKBOX Coaming FORMCHECKBOX Oil, Lubricant, Grease FORMCHECKBOX Complex Machinery FORMCHECKBOX Other Plate & Shapes FORMCHECKBOX Condensers FORMCHECKBOX Paint FORMCHECKBOX Electrical Components FORMCHECKBOX Pipe FORMCHECKBOX Elevators FORMCHECKBOX Pipe Fittings FORMCHECKBOX Fabrication FORMCHECKBOX Pumps FORMCHECKBOX Fasteners FORMCHECKBOX Rubber/Gaskets FORMCHECKBOX Filters FORMCHECKBOX Safety FORMCHECKBOX Forgings FORMCHECKBOX Steel Plate & Shapes FORMCHECKBOX Furniture FORMCHECKBOX Strainers FORMCHECKBOX Hardware FORMCHECKBOX Tools FORMCHECKBOX Heating and Cooling FORMCHECKBOX Valves FORMCHECKBOX Hoists FORMCHECKBOX Ventilation FORMCHECKBOX Hose & Hose Fittings FORMCHECKBOX Wire FORMCHECKBOX Insulation FORMCHECKBOX Services (please list)Other: FORMTEXT ????? ................
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