Client and PTAC Agreement

Office Use Only  / Client Account Number: / Date:
Business Name:
Point of Contact Name & Title:
Work Phone: / Ext: / Fax: / Cell/Mobile:
URL/Website: / Email:
Physical Address: / Zip Code:
City: / State: / County:
Mailing Address: / Zip Code:
City: / State: / County:
Dun & Bradstreet #: / CAGE Code: / Federal Id #:
Size of Business* (Check ONE): / Small / Other:
Is your company woman-owned? / Yes / No
Is your company located or certified as a HUBZone? / Yes / No
Is your company socially and economically disadvantaged?
(Read more about it: / Yes / No
Is your company Veteran-Owned? / Yes / No
Is your company Service-Disabled Veteran-Owned? / Yes / No

Type of Business (Check all those appropriate):

Service Establishment / Retail / Distributor
Construction Concern / Research & Development
Manufacturer/Producer / Non-Profit
Areyour company'sactions, policies,and products or services sustainable for
green business practices and products? / Yes / No
Business Start Date (MM/DD/YYYY): / Average Sales for the Last 3 Years:
Current # of Employees:

Geographic Area of Interest (List specific states, if less than continental United States):

Organization Type:

Sole Proprietorship / Partnership / Corporation / S-Corporation
Limited Liability / Non-Profit / Individual

Describe your Products and/or Services (Brief description):

List the top words or phrases to find your company on the internet:

NAICS: (NAICS -

Service Commitment

MISSION:Help Southwest Michigan businesses market their goods and services to federal, state, and local government agencies and prime contractors.

GOALS:Increase client business revenues resulting in job creation/retention and improvement in the state’s economy. Increase competition resulting in better quality products and services at lower costs for tax-payer dollar purchases.

What to expect from PTAC / What we expect from You
  • Individualized business counseling
  • Provide understanding of solicitation and contract language
  • Support with bid proposals and contracts
  • Assist with post-award contract administration
  • Information on contracting with federal, state, and local government agencies
  • Subcontracting guidance
  • Identify bid opportunities thru Bid Match Report
  • Federal Acquisition Regulation guidance
  • Help with registrations and certifications
  • Government and competitor marketing research
  • Training events
  • Networking / matchmaking events
  • Procurement award history reports
  • PTAC will not share your company information without your express consent, with the exception of our funding sources
/
  • Return the Quarterly Survey
○Answer questions about the service
○Include allfederal, state, and local contract or subcontract award Information, including GSA
○Returned surveys ensure continued service
  • Attend the Government ContractingOrientationtraining
  • Meet to set up bid match and determine codes and capabilities
  • Ongoing communication during contract phases
○Registrations
○Solicitation review
○Proposal preparation
○Contract review
○Contract administration
○Contract closeout
  • Update PTAC with changes in your business
○Company point of contact, email, phone, and address
○Business socio-economic status
○Capabilities
PTAC is prohibited from the following:
  • Marketing individual client products and/or services
  • Assisting firms intending to duplicate PTAC services for profit

Acknowledgement

I accept the above service commitment and am interested in receiving general guidance on government contracting from the Southwest Michigan PTAC.

Name: / Date:
Title:

Page 1 of 2Modified: January 12, 2015