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Navajo AUM- Interested Vendors List2
*
1.
Company Name
(Required.)
*
2.
Primary Point of Contact
(Required.)
*
3.
Phone Number
(Required.)
*
4.
Email Address
(Required.)
5.
Primary NAICS
6.
Other relevant NAICS codes
1
2
3
4
5
7.
Brief description of services provided
8.
Business Type (check all that apply)
Small Business
Woman- Owned Small Business
8(a) Business
HUBZone Business
Service-Disabled Veteran-Owned Small Business
Small Disadvantaged Business
Navajo Priority 1
Navajo Priority 2
Indian Organization or Indian-Owned Economic Enterprise
Large Business
9.
Are you registered in the System For Awards Management (SAM)?
Yes
No
*
10.
May we share the information you provided above with other interested parties? Please note that this information will be posted on a USEPA public website.
(Required.)
Yes
No
