OASIS Small Business eForm



Supplier Information Form

* Indicates required field.

Indicate whether you are a potential or current Northrop Grumman Corporation (NGC) supplier *:

Potential supplier
  Current or former supplier

Select Area of Interest:

(Hold down Ctrl key to multiple select)


Enter company information:

Company Name *:

Company Street Address *

Mailstop (if applicable):

City *:

State/Region *:

(Non-US companies should select "N/A")

ZIP *:

Congressional District *

Business Start Date *

(mm/dd/yy)

Identify company contact:

Name *:

Title:

Phone Number *:

ext.

Fax Number *:

Email *:

Website:


Specify company details below:

Citizenship:

Company is:

Independent       Legal Structure*

 

division of:

 

affiliate of:

 

subsidiary of:

Type of business *:

Manufacturer

Distributor

Service

Research and Development

Other       

Name of Principal Owner *:

DUNS Number *:

Need a DUNS number? Click Here

CAGE Code:

Primary NAICS Code:

Secondary NAICS code(s): (up to 10)


Average number of employees *:

Average Annual Gross Revenue:

Commodities/Capabilities *:
(Please include as many keywords as possible for search purposes. Separate keywords with comma and space).

 

Government Agency Customers:

(Hold down Ctrl key to multiple select)

Other Government Agency Customers:

Small Business Innovation Research Program (SBIR):

DoD

Phase I

Phase II

Phase III

N/A

Small Business Technology Transfer Program (STTR):

NASA

Phase I

Phase II

Phase III

N/A

Aerospace and Other Customers:

Level of Government Security:

Approved Accounting System (U.S. Gov't Approved) *:

Yes  No

EVMS (Earned Value Management System) *:

Yes  No

EFT (Electronic Funds Transfer) *:

Yes  No

Quality System Certifications *:

None

AS 9100:2000

ISO 9001:2000

CMMI

Other       


Specify business classification. Please check all of the following business categories that apply:

 

Large Business Concern

Women-Owned Large Business

Verteran-Owned Large Business

Minority-Owned Business

Small Business Concern

SBA-Certified Small Disadvantaged Business Concern (Dates mandatory if selected)

 

SDB Entrance Date: (mm/dd/yy)   SDB Exit Date: (mm/dd/yy)

SBA Certified 8(a) Program (Dates mandatory if selected)

 

8(a) Entrance Date: (mm/dd/yy)   8(a) Exit Date: (mm/dd/yy)

Self-Certified Small Disadvantaged Business Concern

Women-Owned Small Business Concern

Historically Black College or University

Minority Institution

SBA-Certified HUBZone Small Business Concern (Dates mandatory if selected)

 

HUBZone Entrance Date: (mm/dd/yy)  HUBZone Exit Date:

Veteran-Owned Small Business Concern

Service-Disabled Veteran-Owned Small Business Concern

Native American Owned

Indian Tribe Owned

Ability One

ANC

Foreign Owned

Foreign Owned & Located

Lesbian, Gay, Bisexual and Transgender individual(s)


Certification:

The undernamed certifies that the above named company maintains a business classification as indicated above and that such classification is in accordance with all regulatory requirements related thereto. Further, it is understood and agreed that misrepresentation of the business classification is subject to penalties as prescribed in FAR 52.219-1.

Name of Certifying Official *:


Registered in CCR *:

Yes     No
   Registration Date      Renewal Date   (mm/dd/yy)

Registered in Dynamic Small Business Search *:

Yes     No


If certified by the SBA as a Small Disadvantaged Business and/or HUBZone Small Business Concern, please email of Fax a copy of your SBA certification(s) to sebp.is@ngc.com or (330) 335-4251.


Awards and Recognitions: