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Small Business Development Program
GSA
FIPS 201
Government - Small Business Development Program
Thank you for your interest in this program, which helps small businesses gain access to a wide array of government opportunities. We invite you to share your business qualifications, resources, and past performances with the government. Complete the form below and an ADT representative will contact you shortly.
*
indicates required field
IMPORTANT – PLEASE READ:
By providing your contact information to ADT on this website, you are expressly granting ADT permission to contact you even though you may have previously chosen to have your telephone number added to any Do-Not-Call List including lists maintained by ADT, or any local, state, or federal government agency. In addition, your state may have laws that prevent ADT from calling you on your mobile/cellular telephone. If you use a mobile/cellular telephone as your primary means of communication, please call ADT toll free in the U.S. and Canada at .
There was a problem processing your request.
Some fields may have been left blank or incorrectly filled in. Please review the form to ensure that all fields are properly completed.
Company Information:
*
Company Name
:
*
Tax ID#(TIN/EIN)
:
Tax ID
*
Address 1
:
Address 2
:
*
City:
*
State/Province
:
State/Prov.
*
Zip Code:
*
Country
:
*
Company Web site URL
:
Website
Point of Contact(POC):
*
BD POC First Name
:
BD F Name
*
BD POC Last Name
:
BD L Name
*
BD Email
:
*
BD Phone
:
ext.
(example: 111-222-3333)
*
President/CEO Full Name
:
Pres/CEO Name
*
President/CEO Email
:
Pres/CEO Email
*
President/CEO Phone
:
CEO Phone
ext.
(example: 111-222-3333)
Additional Key Office Locations
:
Office Loc1
Office Loc2
Office Loc3
Small Business Information:
*
Small Business Classification
:
(with certification date if applicable)
8(a)Certified
HBCU/MI - Historically Black College and University/Minority Institution
HUBZone
JWOD - Javits-Wagner-O'Day
Native American - Alaskan Native
Native American - Hawaiian Native
Native American - Individually Owned
Native American - Native Hawaiian Organization
Native American - Tribal-Owned Entity
Service Disabled Veteran Owned
Small Business
Small Disadvantaged Business
State Certified
Veteran Owned
Woman Owned
(Control+Click to select multiple)
SBiz Classification
If 8(a) is selected, please enter the Graduation Date
:
8A Grad. Date
If HUBZONE is selected, please enter the Certification Date
:
HUBZONE Cert. Date
If Small Disadvantaged Business is selected, please enter the Exit date
:
Disadvan. Biz Exit Date
*
Key Capabilities
:
(limit to
10
from drop-down menu provided)
Architecture and Engineering
Base Operations
Building Construction
Building Maintenance
Civil Engineering
Construction Management
Database Design and Maintenance
Desktop Installation and Support
Electrical Contracting
Electrical Engineering
Enterprise Architecture and Planning
Facilities Support
General Contracting
Help Desk
IT Hardware
IT Software
IT Training
Logistics
Network Security
Operations Support
Physical Security
Technology Consulting
Telecommunications
Other (Specify below)
(Control+Click to select multiple)
Key Capabilities
Other
:
*
Key Customers
:
(limit to
6
from drop-down menu provided)
Air Force
Army
Central Command (CENTCOM)
Central Intelligence Agency (CIA)
Commercial - Financial
Commercial - Healthcare
Commercial - Media
Commercial - Oil and Gas
Commercial - Other
Commercial - Public Sector
Commercial - Telecommunications
Commercial - Utilities
Defense Advance Research Project Agency (DARPA)
Defense Finance and Accounting Service (DFAS)
Defense Information Systems Agency (DISA)
Defense Intelligence Agency (DIA)
Defense Logisitics Agency (DLA)
Defense Threat Reduction Agency (DTRA)
Department of Agriculture (USDA)
Department of Commerce (DOC)
Department of Education (Education)
Department of Energy (DOE)
Department of Health and Human Services (DHHS)
Department of Homeland Security (DHS)
Department of Interior (DOI)
Department of Justice (DOJ)
Department of State (DOS)
Department of Transportation (DOT)
Department of Treasury (Treasury)
Department of Veteran Affairs (VA)
Director of National Intelligence (DNI)
Environmental Protection Agency (EPA)
European Command (EUCOM)
Federal Aviation Agency (FAA)
General Services Administration (GSA)
Housing and Urban Development (HUD)
Joint Forces Command (JFCOM)
Marines
Missile Defense Agency (MDA)
National Geospatial-Intelligence Agency (NGA)
National Reconnaissance Office (NRO)
National Security Agency (NSA)
National Security Space Office (NSSO)
Natl Aeronautics and Space Administration (NASA)
Navy
Northern Command (NORTHCOM)
Office of the Secretary of Defense (OSD)
Other Civilian Agency
Pacific Command (PACOM)
Southern Command (SOUTHCOM)
Special Operations Command (SOCOM)
Strategic Command (STRATCOM)
The Joint Staff (TJS)
Transportation Command (TRANSCOM)
US State and Local
USAID
(Control+Click to select multiple)
Key Customers
List Specific Departments/Commands/Bases if applicable
:
Departments/Commands/Bases
Keywords Summarizing Capabilities
:
*
Gross Revenue
:
in US Dollars (3 year average)
----
Under 1 Million
1 - 3.5 Million
3.5 - 6.5 Million
6.5 - 13.5 Million
13.5 - 15 Million
15 - 21 Million
21 - 23.5 Million
Above 23.5 Million
*
Number of Employees
:
Employees
----
Under 20
20 - 50
51 - 99
100 - 199
200 - 499
500 - 749
750 - 999
1000 -1499
Above 1500
Year Founded
:
NAICS Applicable Codes
:
NAICS Codes
Special Certifications
:
Special Cert
----
ISO 9000
ISO 9001
ISO 9002
ISO 14001
SEI - Level 2
SEI - Level 3
SEI - Level 4
SEI - Level 5
*
Levels of Facility Clearances
:
Facility Clearances
----
None
Confidential
DOE
ISA
ISSA
Secret
Top Secret
TSSI
TS/SCI
*
Types of Cleared Employees
:
Cleared Employees
----
None
Confidential
DOE L
DOE Q
ISA
ISSA
Secret
Top Secret
TSSI
TS/SCI
Full Lifestyle Poly
*
Previously Teamed with ADT
:
Teamed with ADT
----
Yes
No
ADT contact name if known
:
ADT contact
Key Past Performance Brief:
*
Customer
:
Office/Agency/Department
:
Dept
*
Description of Work
:
Desc of Work
*
Contract Amount
:
Contract
*
Prime or Subcontractor
:
Prime\Sub
----
Prime
Subcontractor
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