Contractor Registration Complete the form below to start your Fed Listing registration process. UEI Name(Required) First Last Phone(Required)Email(Required) Phone(Required)Website Date of Incorporation Date on which your company’s fiscal year ends State of Incorporation (Entities outside the U.S. may need to provide alternate information) National Provider Identifier (NPI) (Non-U.S. entities only) Organization’s division name and number (optional) Business Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Physical Address (A post office box may not be used as your physical address)Mailing address (You can copy your physical address or enter a different address.) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Organization’s website URL (optional) Marketing Partner Identification Number (MPIN) (You will create this when you register.) Contract Type(Required)I have products I wish to sell to the GovernmentI offer services I wish to sell to the GovernmentI offer products & services I wish to sell to the GovermentDescribe Your Business(Required)Taxpayer Identification Number (TIN) (U.S. entities only)(Required) Credit Score Rating(Required) 590-640 641-720 721-800 Do You Needs Funding For Your Business?(Required) Yes No IRS Consent Form (taxpayer name and address) (U.S. entities only) CAGE or NCAGE Code CAGE Code (U.S. entities only) (If you do not have a CAGE code, select “No” and one will be assigned to your entity after you submit your registration.)NCAGE Code (Non-U.S. entities) (If your entity is based outside of the U.S., you must go to the NCAGE Request Tool and request an NCAGE code before starting a SAM.gov registration.) Ownership DetailsIs your entity owned or controlled by another entity? (yes or no) Yes No If yes, is your immediate owner located outside the U.S. and its territories? (yes or no) Yes No If yes, enter your immediate owner’s NCAGE Code. (Required for non-U.S. entities to start a registration) Predecessor Details First Choice Second Choice Third Choice Predecessor DetailsIs your entity a successor to a predecessor entity that held a federal contract or grant within the last three years? (yes or no) Yes No If yes, provide your three most recent predecessors in reverse chronological order (newest to oldest). Start by entering your most recent predecessor’s CAGE or NCAGE Code.General InformationCompany Security Clearance (optional) Highest Employee Security Clearance Level (optional) Institution Type (e.g., foundation, hospital, educational, if applicable) Disadvantaged Business Enterprise (must be certified by a federal agency) Native American Entity Type (if applicable) Organization Factors (e.g., S corporation, LLC, foreign-owned) Entity Structure (e.g., Corporate Entity-Not Tax Exempt, Corporate Entity-Tax Exempt, Sole Proprietorship) Profit Structure (e.g., for-profit, non-profit) For-Profit Non-Profit Socioeconomic Categories (e.g., veteran-owned, minority-owned) Financial InformationAccept credit cards as a method of payment (yes or no) Yes No Electronic Funds Transfer (optional for non-U.S. entities)Account type Account Holder Routing number Account number Remittance AddressName First Last Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Executive Compensation Questions80% or more of your organization’s revenue come from federal sources (e.g., contracts, grants, loans, etc.); Yes No your total revenue from federal sources exceeded $25 million. Yes No Does the public have access to information about the compensation of the senior executives in your business or organization? (yes or no) Yes No If yes to the first two questions and no to the third question:Provide names, titles, and total compensation values of your top five executive compensated employeesProceedings QuestionsIs your organization responding to a federal procurement opportunity that contains the provision at FAR 52.209-7? Yes No Is your organization subject to the clause in FAR 52.209-9 in any current federal contracts? Yes No Is your organization applying for a federal grant opportunity that contains the award term and condition described in C.F.R. 200 Appendix XII? Yes No If yes to all of the previous questions, answer the following questions:If yes to all of the previous questions, answer the following questions: Yes No Does your organization have current federal contracts or grants with a total value (including any exercised or unexercised options) greater than $10 million? Yes No Within the last five years, has the organization or any of its principals, in connection with the award to or performance by the business or organization of a federal contract or grant, been subject of a federal or state: Yes No Criminal proceeding resulting in a conviction or other acknowledgment of fault Yes No Civil proceeding resulting in a finding of fault with a monetary fine, penalty, reimbursement, restitution, and/or damages greater than $5,000, or other acknowledgment of fault, and/or Yes No Administrative proceedings resulting in a finding of fault with either a monetary fine or penalty greater than $5,000 or reimbursement, restitution, or damages greater than $100,000, or other acknowledgment or fault? Yes No If you answer yes to all three above questions, you must provide the following detailed information about each current proceeding against your entity:Instrument State Instrument Number Type of Proceeding Disposition Description of the Proceeding AssertionsAssertions include the following information:Goods and ServicesNorth American Industry Classification System (NAICS) codes Product Service Codes (PSCs) (optional) Size MetricsWorldwide (organizational size information according to 13 CFR 121) Annual receipts Number of employees Locations (optional) Annual receipts Number of employees Electronic Data Interchange (EDI)Do you wish to enter EDI Information for your non-government entity? (yes or no) Yes No Disaster Response InformationDo you wish to be included in the Disaster Response Registry? (yes or no) Yes No If yes, does your company require bonding to bid on contracts? (yes or no) Yes No If yes, does your company require bonding to bid on contracts? (yes or no) Yes No If yes, provide in whole dollars:Construction bonding level, per contract Construction bonding level, aggregate Service bonding level, per contract Service bonding level, aggregate Geographical area served (any state, one state, or multiple states) Representations and CertificationsRepresentations and Certifications include the following information:FAR Response 1(1) Name and title of person(s) responsible for determining prices offered in bids and proposals for your entity (2) Does your entity have other plants or facilities at different addresses routinely used to perform on contracts? (yes or no) Yes No If yes, enter the place of performance address, owner name, and owner address for each facility(3) TIN is on file (This is usually entered as a part of Core Data. If not, you can enter it here.) (4) Is your entity following the guidelines established by the Environmental Protection Agency (EPA) for recovered material? (yes, no, or vendor will provide information with specific offers to the government) Yes No FAR Response 2(5) Is your entity a small business concern and qualifies as a labor surplus area (LSA) concern? (yes or no) (If your entity is not a small business based on the size metrics data provided in the Assertions section, you will not be able to answer this question.) Yes No If yes, indicate the LSA in which the manufacturing or production costs amount to more than 50% of contract price. (6) Is your entity owned or controlled by a common parent that files its Federal Income Tax returns on a consolidated basis? (yes or no) Yes No If yes, provide the company name and tax identification number. (7) Is your entity or any of its principals currently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any federal agency? (yes or no) Yes No (8) (part 1) In the past three years, has your entity, or any of its principals, been convicted or had a civil judgment rendered against it for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) contract or subcontract; violation of federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating federal criminal tax laws, or receiving stolen property? (yes or no) Yes No (9) Is your entity, or any of its principals, presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in either part of Question 8? (yes or no) Yes No (10) Within the past three years, has your entity been terminated for cause? (yes or no) Yes No (11) List the name of any HUBZone small businesses participating in a HUBZone Joint Venture with your entity. If your entity is not participating in a HUBZone Joint Venture, select “None.” (12) Reserved (no answer required) (13) If you indicated that you are a Joint Venture Women Owned Small Business on the General Information page in the Core Data section, provide the name of the company participating in the Joint Venture with your entity. (14) If you indicated that you are a Joint Venture Economically Disadvantaged Women Owned Small Business on the General Information page in the Core Data section, provide the name of the company participating in the Joint Venture with your entity. (15) Does your entity provide any data to the government that qualifies as limited rights data or restricted computer software? (yes, no, or vendor will provide information with specific offers to the government) Yes No If yes, please list limited rights data or restricted computer software. FAR Response 3(16) Your structure type and how your business or organization is defined by the IRS will be pre-filled based on your answers on the General Information page of the Core Data section. If you selected “Other” as your type, you will be provided with a box to enter more information. (17) Is your entity a small disadvantaged business concern? (yes or no) (If your entity is not a small disadvantaged business based on the size metrics data provided in the Assertions section, you will not be able to answer this question.) Yes No (18) Reserved (no answer required) (19) Does your entity deliver any end products (from the corresponding country of origin) that are listed on the List of Products Requiring Federal Contractor Certification as to Forced or Indentured Child Labor under Executive Order No. 13126? (yes or no) Yes No (20) Has your entity held previous contracts/subcontracts subject to Federal Acquisition Regulation (FAR) 52.222-26 (Equal Opportunity)? (yes or no) Yes No (21) Are any end products delivered to the Government by your entity foreign (non-domestic) end products? (yes, no, or vendor will provide this information with specific offers to the government) Yes No (20) Has your entity held previous contracts/subcontracts subject to Federal Acquisition Regulation (FAR) 52.222-26 (Equal Opportunity)? (yes or no) Yes No If yes, list the products and their corresponding country of origin. (22) Has your entity filed all required Equal Employment Opportunity compliance reports? (yes or no) Yes No (23) Choose the statement that best applies to your entity’s affirmative action programs. The statements you may choose from are:(23) Choose the statement that best applies to your entity’s affirmative action programs. The statements you may choose from are: Your entity has developed and has on file affirmative action programs required by Secretary of Labor Regulations Your entity does not have developed and does not have on file affirmative action programs required by Secretary of Labor Regulations Your entity has not had previous contracts subject to written affirmative action program requirements from Secretary of Labor Regulations (24) Does your entity provide maintenance, calibration, and/or repair of information technology, scientific and medical and/or office and business equipment? (yes, no, or vendor will provide information with specific offers to the government.) Yes No Third Choice If yes, you need to answer additional questions about who services your equipment, if your equipment is used regularly outside of government purposes, if it is sold or traded to the general public, if your service prices are based on an established catalog or on market prices, and if your entity uses wage and fringe benefits plans for all service employees performing work under government contracts as it uses for equivalent employees servicing the same equipment for commercial customers.FAR Response 4(25) Does your entity provide services as described in FAR 22.1003-4(d) (1) (Service Contract Labor Standards), FAR 52.212-3 (Commercial Products and Commercial Services), and FAR 52.222-52 (Service Contract Labor Standards to Contracts for Certain Services-Certification)? (yes, no, or vendor will provide information with specific offers to the government.) Yes No If yes, you need to answer additional questions about whether your services are offered and sold regularly to non-government customers in substantial quantities in the course of normal business operations, if your service prices are based on an established catalog or on market prices, whether you can ensure each service employee will spend less than 20% of their time servicing the government contract, and if your entity uses wage and fringe benefits plans for all service employees performing work under government contracts as it uses for equivalent employees servicing the same equipment for commercial customers.(26) If any of the PSCs you entered in the Goods and Services page in the Assertions section are Federal Supply Codes (FSC), you need to provide whether the place of manufacture for each FSC code is in the U.S. or outside the U.S.(27) Is your entity an inverted domestic corporation? (yes or no) Yes No (28) Is your entity a subsidiary of an inverted domestic corporation? (yes or no) Yes No (29) Reserved (no answer required) (30) Is your entity a corporation with a delinquent tax liability? (yes or no) Yes No (31) In the last 24 months, has your entity been convicted of a felony criminal violation under a federal law? (yes or no) Yes No (32) Did your entity receive $7.5 million or more in federal contracts during the previous federal fiscal year, requiring it to publicly disclose greenhouse gas emissions and reduction goals, or did your entity receive less than $7.5 million federal contracts during the previous federal fiscal year and still want to publicly disclose greenhouse gas emissions and reduction goals? (yes or no) Yes No If yes, add a URL to a publicly accessible website to access the results of a greenhouse gas inventory. (29) Reserved (no answer required) Yes No If yes, add a URL to a publicly accessible website to access the target to reduce absolute emissions or emissions intensity by a specific quantity or percentage. (33) (part 1) Does your entity provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument? (yes or no) Yes No (33) (part 2) Does your entity use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services? (yes or no) Yes No PhoneThis field is for validation purposes and should be left unchanged.
