Business Clarification & Diversity Information FORM

All vendors (except those choosing “individual” on Page 2 of the Vendor Application Form) must select either “Large Business Concern” (LBC) or “Small Business Concern” (SBC) from the options below. Additionally, all vendors should select any sub-classifications that apply: multiple sub-classifications may be appropriate. Failure to complete this section of the Vendor Application Form may result in payment delays.

Large Business Concern (LBC)

Dominant in field of operations per Federal Acquisitions Circular (FAC 9.201)

OR

Small Business Concern (SBC)

Independently owned and operated, and meets industry size and receipt requirements for small businesses per SBA 13 CFR 121. Section 3 of the Small Business Act.

SUB-CLASSIFICATIONS: (SELECT ALL THAT APPLY)

Minority-Owned Business Enterprise (MBE)

Minimum 51% owned, controlled and operated day-to-day by one or more minority individuals; includes the following categories:
*African American
*Asian-Pacific American
*Asian-Indian American
*Hispanic American
*Native-American (American Indian, Eskimo, Aleut, Native Hawaiia

Woman-Owned Business Enterprise (WBE)

Minimum 51% owned and controlled by one or more women who have active involvement in day-to-day operations.

SUB-CLASSIFICATIONS: (SELECT ALL THAT APPLY)

Small Disadvantaged Business (SDB)

Minimum 51% owned, controlled and operated day-to-day by one or more socially disadvantaged individuals. May be Section 8(a)-certified per 13 CFR 124.1002. Small Disadvantaged Ethnicity Definitions include the following categories:
*African American
*Asian-Pacific American
*Asian-Indian American
*Hispanic American
*Native-American (American Indian, Eskimo, Aleut, Native Hawaiia

Woman-Owned Small Business (WOSB)

Minimum 51% owned, controlled and operated by one or more women.

Historically Black Colleges/Universities & Minority Institutions

An institution determined by the Secretary of Education to meet the requirements of 34 CFR Section 608.2. The term also means any nonprofit research institution that was an integral part of such a college or university before November 14, 1986.

HUBZone Small Business (HUB Zone)

SBA certified; is small and is located in an ‘historically underutilized business zone’ and is owned, controlled and operated at least 51% by U.S. citizens and at least 35% of employees reside in HUB zone.

Veteran-Owned Small Business (VOSB)

Minimum 51% owned, controlled and operated day-to-day by one or more U.S. veterans.

Service-Disabled Veteran-Owned Small Business (SDVOSB)

Minimum 51% owned by one or more service-disabled veterans (if publicly owned, minimum 51% of the stock 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 (if permanently and severely disabled, by their spouse or primary care giver)

Alaskan Native Corporations (ANCs) & Indian Tribes