Kaiser-Hill Vendor Database Application

To be added to the Kaiser-Hill Vendor Database and be eligible for opportunities to offer supplies and/or services to Rocky Flats, complete the form below and click the Submit button. Definitions and instructions for completing this form can be found by clicking Download Kaiser-Hill Vendor Database application

Name of Applicant
Address of Applicant
Point of Contact
Email Address
Phone Number	FAX Number
Size of Business
Large Business Small Business Small Woman-owned Business Small Disadvantaged Business Small Disadvantaged Woman-owned Business 8(a) Other
Government Experience by Location
Rocky Flats Environmental Technology Site Department of Defense Department of Energy Other Facility Specify Location(s) (Required for previous experience): No Previous Government Experience
Avg No of Employees (last 12 months)	Avg Annual Revenues (last 3 fiscal years)
North American Industry Classification System (NAICS) Find NAICS codes
Identify Equipment, Supplies, Services, Decontamination & Demolition, Construction, and/or Keywords
Name/Title of Person Authorized to Sign

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