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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.

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.

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
Do you have a Taxpayer Identification Number (TIN or EIN)
Yes No
Please write your DUNS Number (Dunn & Bradstreet)
Yes No
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
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
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 SBCA
What percentage of your business is Federal Government?
%
Comments
   Shortcuts to:
SBCA prepares clients for winning Government Contracts

Small Business Consulting Agency
310 N. Indian Hill Blvd., Suite 305
Claremont, CA 91711
Certification Division: 909-418-4452
GSA Schedule Division: 714-222-2847
Info@1SBCA.com


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