Definition - Entergy | We Power Life



Diverse Supplier – Self CertificationImportant!As an active Entergy supplier and in order to enable the company to meet its federal government reporting requirements, you are required (if qualified) to self-certify your company’s ownership status.To self-certify, you must meet ANY of the following criteria:1.You are a Sole Proprietor AND a Minority Business Enterprise (MBE)2.You are a Sole Proprietor AND a Woman Business Enterprise (WBE)3.You are a Veteran Owned Business4.You are a Service Disabled Veteran Owned BusinessInstructions:Diverse suppliers that qualify to self-certify please complete all sections below. Please upload to Power Advocate during registration. Any questions related to this form please contact us via email at support@. Company’s Legal Name?????NAICS Code ?????DBA/AKA Name?????D&B Number?????Current Address?????Phone Number?????City ?????State?????Zip code?????Fax Number????? Remit To Address?????Web Site?????City ?????State?????Zip code?????Email Address?????Business Owner Name(s)????????????????????# of EmployeesAnnual Sales??????????Principal Email Address?????Business ClassificationEthnicity: Sole Proprietorship Minority Business Enterprise (MBE) or Women Business Enterprise (WBE).Definition: For a business to be classified as a sole proprietorship, the business must be unincorporated and have only one owner. .African American Aleuts Asian Asian Pacific American Hispanic American Native (Indian) AmericanCaucasian Veteran Owned Business Service Disabled Veteran Owned BusinessDefinition: 51% or greater owned, managed and controlled by one or more veterans.Gender Male Female ?Business Size ???Small ???Large Definition: A small business is a business that is classified as “small” under the guidelines set forth by the Small Business Administration. Business size is dependent on the NAICS code, the number of employees, and the annual sales of a given company. Please refer to for more details.IMPORTANT NOTICE - Under 15 U.S.C. 645(d), any person who misrepresents a firm’s status as a small business in order to obtain a subcontract that is to be included as part or all of a goal contained in a subcontracting plan required pursuant to Section 8(d) of the Small Business Act, shall (1) be punished by imposition of a fine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the ActThe undersigned declares the foregoing statements are true and correct.Executive Officer Name:?????Executive Officer Signature:___________________________________________Title:?????Date:?????Notes:????? ................
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