EDS NASA I³P Small Business Registration

General Information
Company
Street
Other
City
State	Select State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana N/A North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming    ZIP
Web Site
Total Employees
Annual Revenue	(Previous year's annual revenue)
Year Established
Type of Company	Incorporated LLC Partnership Other
Please list the city and state where you have a corporate facility:
Please list any other U.S. or International locations where you have personnel/resources:
Please list U.S. locations near NASA Centers:
Contact Person
Name
Title
Phone	Ext.
Cell
Fax
eMail

Business Classifications

Is your company 8(a) certified? Yes No
Grad Date (MM/DD/YYYY) - Month: Day: Year:

Is your company a veteran owned business? Yes No

Is your company owned by a service-disabled individual(s)? Yes No

Is your company a Native American Indian owned business or Native American Indian organization/Native American Indian owned economic enterprise? Yes No

Is your company a women-owned small business? Yes No

Is your organization a Historically Black College/University or Minority Institution? Yes No

Is your company an SBA-certified HUBZone Small Business?
For further definition see the SBA Web Site for the HUBZone Program.
Yes No
Certification Date (MM/DD/YYYY) Month: Day: Year:

Does your company have a corporate facility
clearance? Yes No    If yes, level:  

Available NAICS Codes
Please identify the NAICS Codes under which you qualify for this contract.
541512  Computer Systems Design Services 541519  Other Computer Related Services 541330  Engineering Services 541430  Graphic Design Services 541490  Other Specialized Design Services 541511  Custom Computer Programming Services 541513  Computer Facilities Management Services 541611  Administrative Management and General Management Consulting Services 541612  Human Resources Consulting Services 541614  Process, Physical Distribution and Logistics Consulting Services 541618  Other Management Consulting Services 611420  Computer Training 811212  Computer and Office Machine Repair and Maintenance 811213  Communication Equipment Repair and Maintenance 532420  Office Machinery and Equipment Rental and Leasing 517911  Telecommunications Resellers 423430  Computer and Computer Peripheral Equipment and Software Merchant Wholesalers 517210  Wireless Telecommunications Carriers (except Satellite) 541712  Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) (Click on a code to add it.)
Vendor's NAICS Codes
Highlight a code (use CTRL key for multiple) and click "Remove" to delete.

Capabilities, Experience and Past Performance

NASA I3P Acquisition Requirement
In what functional areas can your firm support NASA I3P?	Communications Services Data Voice Video LAN WAN Data Center Services Applications/Data Hosting & Housing End User Services Desktop Cell Phone PDA Email Calendaring Web Services Public Website Hosting Agency Web Applications
Under the functional areas that you can support, please list you core capabilities?
Federal Agencies Supported
Please select federal agencies that your firm has supported. Agency for International Development Dept. of Agriculture Dept. of Commerce Dept. of Defense Dept. of Defense - Air Force Dept. of Defense - Army Dept. of Defense - Ballistic Missile Defense Organization Dept. of Defense - Defense Information Systems Agency Dept. of Defense - Defense Logistics Agency Dept. of Defense - Navy Dept. of Defense - Marine Corps Dept. of Education Dept. of Energy Dept. of Health and Human Services Dept. of Housing and Urban Development Dept. of the Interior Dept. of Justice Dept. of Labor Dept. of State Dept. of Transportation Dept. of the Treasury Dept. of Veteran Affairs Environmental Protection Agency General Services Administration National Aeronautics and Space Administration Nuclear Regulatory Commission Office of Personnel Management Small Business Administration Smithsonian Institution Social Security Administration Unites States Postal Service Dept. of Homeland Security Federal Bureau of Investigation Central Intelligence Agency National Security Agency (Hold the Ctrl key to select multiple agencies) Highlight an agency (use CTRL key for multiple) and click "Remove" to delete.
Core Capabilities
Please list your top four core capabilities: Core Capability #1 Name: Core Capability #1 Description: characters remaining Core Capability #2: Core Capability #2 Description: characters remaining Core Capability #3: Core Capability #3 Description: characters remaining Core Capability #4: Core Capability #4 Description: characters remaining
EDS Experience
Have you ever done business with EDS? Yes No
If so, please enter dollar amount.
Dates of Services
Please list the EDS representative you worked with.
Name
Account
Phone
GSA Contract?   Yes No
NASA Experience
Contract Names/Numbers
Type of Work
Please specify the NASA Centers where you have experience:	Ames Research Center Dryden Flight Research Center Glenn Research Center Goddard Space Flight Center Jet Propulsion Laboratory Johnson Space Center Kennedy Space Center Langley Research Center Marshall Space Flight Center NASA Headquarters Stennis Space Center Vandenberg Air Force Base (KSC) White Sands Test Facility (JSC) Michoud Assembly Facility (MAFC) NASA Shared Services Center Wallops Flight Facility (GSFC) Goddard Institute for Space Studies Glenn Research Center Plum Brook Station Software Independent Verification and Validation (IV&V) Facility (GSFC)

Additional Comments
Comments:	characters remaining

 

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