Company Name:
Company Web Site:
Street Address:
City:
State:—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInternational
Postal (Zip) Code:
Country:
Point of Contact:
Point of Contact Phone:
Point of Contact Email:
Other Key Locations:
Select State:—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInternational—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInternational—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInternational
Type of Small Business:8(a)HBCU—Historically Black College and UniversityHUB ZoneMI–Minority InstitutionNative American—Alaskan NativeNative American—Hawaiian NativeNative American—Individually OwnedNative American—Native Hawaiian OrganizationNative American—Tribal-Owned EntityService-Disabled Veteran-OwnedSmallSmall DisadvantagedState-CertifiedVeteran-OwnedWoman-Owned
If 8(a) is selected, please enter the Graduation date:
If HUB Zone is selected, please enter the Certification date:
If Small Disadvantaged is selected, please enter the Exit date:
Corporate Capabilities/Skills:Acquisition and Program Management SupportAsset/Seat Management and NetworkBase OperationsBusiness Process Re-engineering (BPR)C4I/C4ISRConference SupportData Warehousing and MiningDatabase Design and OperationDecision Support SystemsDesktop Installation and SupportDisaster ManagementDocument and Records ManagementERP/CRMGIS - Geographic Information SystemsHazardous Materials and RemediationHelp Desk/Call CenterImagery and MappingIntelligence and CounterintelligenceLinguistics, Translation, InterpretationLogisticsModeling and SimulationNetwork SecurityPhysical Security/Force ProtectionPolicy, Strategy and GamingProgram Management and SupportQuality AssuranceSoftware Application DevelopmentStrategic Human Capital ManagementSystems EngineeringTesting and EvaluationTrainingVisualizationWeapons of Mass Destruction/Bio-Terror
Prior Experience:Air ForceArmyCIA - Central Intelligence AgencyCommercialDARPADepartment of CommerceDepartment of Energy (DOE)Department of Health and Human Services (DHHS)Department of Homeland SecurityDepartment of JusticeDepartment of Transportation (DOT)Department of TreasuryDISADOD - Other AgenciesDTRA - Defense Threat Reduction AgencyEPA - Environmental Protection AgencyLocal GovernmentsNASANavyNSA - National Security AgencyOther Federal Civilian Agencies and OfficesState Governments
Brief Description of Company:
Annual Gross Revenues:—Please choose an option—Under 1 Million1 - 6 Million6 - 12 Million12 -15 Million15 - 21 Million21 - 23 MillionAbove 23 Million
Number of Employees:—Please choose an option—Under 2020 - 5051 - 99100 - 199200 - 499500 - 749750 - 9991000 -1499Above 1500
Year Founded:
NAICS Codes:
Tax ID# (TIN/EIN):
Special Certifications:ISO 9000ISO 9001ISO 9002ISO 14001SEI - Level 2SEI - Level 3SEI - Level 4SEI - Level 5
Levels of Facility Clearances:ConfidentialDOE LDOE QISSASecretSBITop SecretTSSITS/SBITS/SCI
Types of Cleared Employees:ConfidentialDOE LDOE QISSASecretSBITop SecretTSSITS/SBITS/SCI
Previously Teamed w/ C²:YesNo
Buyers (Business Units):
Current/Previous C² Protégé:YesNo
Agency with Mentor Protégé Agreement:—Please choose an option—Department of DefenseDepartment of EnergyDepartment of Homeland SecurityDepartment of TreasuryEPA - Environmental Protection AgencyFAA - Federal Aviation AdministrationNASA
Mentor Group (POC):
Past Performance Case 1:—Please choose an option—Air ForceArmyCIA - Central Intelligence AgencyCommercialDARPADepartment of CommerceDepartment of Energy (DOE)Department of Health and Human Services (DHHS)Department of Homeland SecurityDepartment of JusticeDepartment of Transportation (DOT)Department of TreasuryDISADOD - Other AgenciesDTRA - Defense Threat Reduction AgencyEPA - Environmental Protection AgencyLocal GovernmentsNASANavyNSA - National Security AgencyOther Federal Civilian Agencies and OfficesState Governments
Office/Agency:
Brief Description of Work:
Contract Amount:
Role:YesNo
Did You Team With C²?:YesNo
Corporate Capabilities Document:
Other Documents:
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