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  • Company Information

  • Format: (000) 000-0000.
  • Is the mailing address the same as the physical address?
  • Are you bonded?*
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  • Are you affiliated with any unions?*
  • Geographic Coverage
  • Diverse Business Classification*
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  • Federal Contracting Information

  • Please identify any federal small business classifications your company self-certifies under.

    A small business is a business that self-certifies as small under the size standards established by the U.S. Small Business Administration (SBA). Business size is determined by the applicable NAICS code and is generally based on either the number of employees or average annual receipts. For more information, please refer to www.sba.gov/size.

  • Please check all that apply.
  • Please indicate your organization’s current CMMC level and assessment status. Select the option that best applies.
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  • Other

  • Have you been involved in a Mentor Protégé (MPP) relationship?*
  • Have you been involved in a Joint Venture (JV) relationship?*
  • Have you worked with Michels previously?*
  • Ability to prime federal contracts?*
  • Is your entity or any of its principals currently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any federal agency?*
  • Has your company failed to complete a project?*
  • Has your company received any OSHA citations in the last three years?*

  • Acknowledgement

    The undersigned declares the above statements are true and correct.

    IMPORTANT NOTICE: Under 15 U.S.C. 645(d), any person who misrepresents a firm's size or disadvantaged status in order to obtain a federal contract or subcontract 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 Small Business Act.

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  • Date*
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