Electronic Capability Statement

Electronic Capability Statement

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Office of Small and Disadvantaged
Business Utilization
Electronic Capability Statement
* Please note: All fields are required.

1. Company
Name
2. Mailing
Address
3. Point of
Contact
4. E-mail
Address
5. Phone
Number
6. Business Please select
Size
7. Socio(Can be more than one)
Economic
8(a)
Category
HUBZone
SDB
SDVOSB
VOSB
WOSB
Ability One
8. Primary Please select
NAICS
(if not found from list, please refer to NAICS North American Industry Classification System
Main Page and enter code here:

OSDBU
Home
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Business
with
Treasury
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Activities
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Activities
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Treasury
Resources
NonTreasury
Resources

9.
Capabilities
Narrative

(Please limit response to not more than one

http://d01int2p/osdbu/capabilitystatement.html

12/17/2009

Electronic Capability Statement

Page 2 of 3

page or 2000 characters)
Supporting Document:
Browse...

10. Has your company been awarded any Federal contracts
or subcontracts over the last 12 months?
Yes
No
If yes, please provide the contract number(s). (May be more
than one)
11. For each Federal contract or subcontract awarded, please
provide the following contact information:

The page cannot be found
The page you are looking for might have been removed, had its na
changed, or is temporarily unavailable.

12. Was the customer satisfied with the service(s) or product
(s) provided?
Yes
No
13. Was an evaluation completed in the NIH Contractor
Performance System?
Yes
No
or the Past Performance Information Retrieval System?
Yes
No
14. Did you make any value engineering recommendations?
Yes
No
a. If yes, were your recommendations
implemented?
Yes
No
b. If yes, please give examples and explain the
resulting savings.

(Please limit response to not more than one
page or 2000 characters)
c. If no, why not?

(Please limit response to not more than one
page or 2000 characters)
15. Have you received Treasury solicitations and elected to
not respond?
Yes
No
If yes, why?

http://d01int2p/osdbu/capabilitystatement.html

12/17/2009

Electronic Capability Statement

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(Please limit response to not more than one
page or 2000 characters)
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Last Updated June 26, 2009:
OMB control #1505-0220

http://d01int2p/osdbu/capabilitystatement.html

12/17/2009