SBCA GSA Schedule

SBCA helps small businesses develop, build and operate their company to deliver products and services to government agencies and prime contractors.

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SBCA's GSA Schedule Assessment

SBCA has designed this assessment to enable us to determine your chances of being successful with a GSA Schedule. Based on the assessment we will determine which Schedule is best for you and the market size. We will call you if additional information is needed to make that determination.
Our fee for this analysis is $25.00.
Read this paragraph before you start.

If your business is in Construction, Machine shops, Most Raw Materials, Custom Assembly, Automotive Repair and Auto Painting or Individual services!
Currently there are NO GSA Schedules for you at this time.
If you do not complete the credit card information we sill assume that you know that you qualify and only need a list of our GSA Schedule programs and costs.

GSA Schedule Assessment Required Fields in Bold on first half of form
Business Name
Street Address
City
State
Zip
Business Phone
Contact Person
Fax Number
Email
Web Site
Credit Card
Expiration Date
Name on Credit Card
Zip Code of Card
Amount					$25.00

Do you have a Taxpayer Identification Number (TIN or EIN)
Yes No

Please write your DUNS Number
If you do not have a DUNS Number type in "none"

Are you registered on the CCR?
Yes No

Are you a Small Business Concern?
Yes No

Are you registered on ORCA (Online Registrations and Certifications Application)?
Yes No Don't Know

Do you have your prices published on your web site or in a catalog available to your customers?
Yes No

Do you sell Products, Services or Both

If you sell Products, how many products do you plan to sell to the Federal Government

If you sell services do you pay your service employees wages according to the Department of Labor, Service Contract Act (SCA)?
Yes No Do not Know

Do you know your primary NAICS Code (please fill in)
NAICS #1 NAICS #2

NAICS #3 NAICS #4

Describe your business: (must be completed)

How long have you been in business?
Years Months

(Please c heck one of the following in each column) :

Number of Employees	Average Annual Gross Revenues
25 or fewer	$150,000 or less
26-75	$150,001-$500,000
76-100	$500,001-$1 million
101-250	$1,000,001-$2.5 million
251-500	$2,500,001-$5 million
501-750	$5,000,001-$10 million
Over 750	Over $10 million

When you divide your current assets by your current liabilities is the resultant number larger than 1.0? 0 Yes No
(You will find your current assets and liabilities on your most recent balance sheet)

Have you applied for a GSA Schedule previously?
Yes No

Do you have competitors that are on the GSA Schedule Yes No

Has a Federal Agency Requested that you get on the GSA Schedule Yes No

How did you hear about GSA?

How did you hear about SBCA

What percentage of your business is Federal Government?
%

Comments

Shortcuts to:

Certification Assessment

GSA Schedule Assessment

SBCA prepares clients for winning Government Contracts

Small Business Consulting Agency
20539 E. Walnut Drive, Suite E Walnut CA 91789-2947
Voice 909-594-4491 FAX 909-594-4072 Info@1SBCA.com

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