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Home > Working With CDM > Federal Subcontractor Opportunities > Registration Form

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Registration Form

Fields Marked with an asterick (*) are required.

Registration Information

Date:

Registration:

New
Update

* Firm:

* Phone Number:

Fax Number:

Contact Name:

Contact Title:

Email:

DUNS Number: (xx-xxx-xxxx)

DUNS + 4: (xxxx)

* Street Address:

*City:

*State:

*Zip Code

Solicitation Mailing Address (if different from above)

Street Address:

City:

State:

Zip Code:

Additional Information

1. Primary North American Industry Classification System (NAICS) Code:

2. Other NAICS Code(s):

(Items 3 through 8, check all that apply)

3. Part II of the SF330 is available

4. Health And Safety trained staff

5. Pollution Liability insurance coverage

6. Professional( Errors and Omissions) insurance coverage

7. Indirect rates under Federal agency cognizance.

* 8. Business Classification:

Small	Large
SBA Certified Disadvantaged	SBA Certified HUBZone
SBA 8(a) Participant	Veteran Owned
Women Owned	Service Disabled Veteran Owned

* 9. Profile Codes Listed in Priority Sequence (view the List of Codes)

10. Certifications, Licences, Registrations, Health & Safety Training, etc.:

* 11. State(s) in which firm works.

Listing includes 10 standard Federal regions (check each region that applies or individual states that apply)

NOTE: Puerto Rico (PR), U.S. Virgin islands (VI), Guam (GU)

l CT MA ME NH RI VT	ll NJ NY PR VI	lll DC MD DE PA VA WV	lV AL FL GA KY MS NC SC TN
V IL IN MI MN OH WI	Vl AR LA NM OK TX	Vll IA KS MO NE	Vlll CO MT ND SD UT WY
lX AZ CA GU HI NV	X AK ID OR WA

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