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The purpose of this form is to provide Harris Small Business Office basic information about your business. It does not put your firm on a bidder's list, but it will assist you in promoting your firm.

Answer all questions or enter NA (Not Applicable).

Company Name:
Mailing Address
Address 1:
Address 2:
City:
State / Province:
Zip / Postal Code:
Country:
Email Address:
Internet Address:
Telephone Number:
Fax Number:
NAICS Code:
Category:
Capabilities: List products, services, and special capabilities
Standard Business Classifications Per FAR 52.219-1:

Small Business Classification (supplier type):

Is this an SBA Certified Business?
	Yes No
NOTICE: Misrepresentations of business classification for the purpose of securing a contract or subcontract shall be punished by imposition of a fine, imprisonment, or both. Reference FAR 52-219-1(d)2. This information is certified to be true to the best of my knowledge.

STANDARD BUSINESS CLASSIFICATION DEFINITIONS
(PER FAR 52.219-1, 19.001)

SMALL BUSINESS CONCERN:

A concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts and meets the criteria of 13 CFR Port 121. Manufacturing and distributing firms: total employees do not exceed 500, 750, or 1,000 as defined in FAR 19.102 and 13 CFR 121.201.
(NOTE: If firm total employment is between 500 and 1,000, contact Small Business Administration for assistance for determining proper NAICS code size standard.)

SMALL DISADVANTAGED BUSINESS CONCERN:

A firm which meets the above criteria as a Small Business, and which is at least 51 percent owned by one or more socially or economically disadvantaged individuals; and whose management and daily business operations are controlled by one or more of such individuals; as defined in 13 CFR 124.1002.

Socially and economically disadvantaged individuals include:

Black Americans, Hispanic American, Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians), Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, U.S. Trust Territory of the Pacific Islands (Republic of Palau), Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru), Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, The Maldives Islands, or Nepal).
Historically Black Colleges-Universities and Minority Institutions (HBCU/MIs) are classified as Small Disadvantaged concerns.

WOMEN-OWNED SMALL BUSINESS CONCERN:

A firm which meets the above criteria as a Small Business and which is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

HUBZONE SMALL BUSINESS CONCERN:

A small business concern that appears on the List of Qualified HUBZone Small Business Concerns maintained by the SBA.

VETERAN-OWNED SMALL BUSINESS CONCERN:

The term "veteran-owned small business concern" means a small business concern:

Not less than 51 percent of which is owned by one or more veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and
The management and daily business operations of which are controlled by one or more veterans.

VETERAN—The term "veteran" has the meaning defined in 38 U.S.C. 101 (2).

SERVICE-DISABLED, VETERAN-OWNED SMALL BUSINESS CONCERN:

The term "service-disabled small business concern owned" means a small business concern:

Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and
The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a veteran with permanent and severe disability, the spouse or permanent caregiver of such a veteran.

SERVICE-DISABLED VETERAN—The term "service-disabled veteran" means a veteran with a disability that is service connected (as defined in section 101 (16) of title 38, United States Code).

NAICS CODE—North American Industry Classification System code. The Small Business Administration's small business size standard for all Federal Government programs. For more information, see: https://eweb1.sba.gov/naics/dsp_naicssearch2.cfm.