Company Name: / CAGE Code:
POC’s Name: / Title:
Address:
/ Office Phone:
City, State, Zip:
Email : / Website:
Are you registered in the DLA Internet Bid Board System (DIBBS)? / YES / NO
SMALL BUSINESS SOCIO-ECONOMIC PROGRAM CLASSIFICATIONS
Small Business / HUBZone Certified / Economically Disadvantaged Women Owned
Small Disadvantaged Business / Service Disabled Veteran Owned / Other:
Women Owned Small Business / 8(a) Certified
Review the Federal Supply Classes (FSC) by supply chain here:
DLA FSC List: http://www.dla.mil/SmallBusiness/Pages/WhatDLABuys.aspx
FSCs of Interest:
*Do you have reverse engineering capability? / YES / NO
COMMODITY FOCUS: (Mark type of commodities you manufacture, list any additional)
Aircraft Structural Components / Spill Containment / Aerial Delivery Equipment
Aircraft Landing Gear / Aircraft Braking Systems / Bearings
Cable Assembly/Wiring Harnesses / Industrial Machinery / Lighting
Instrumentation / Chemicals/Packaged Petroleum / Chain and Wire Rope
Kitting / Engines / Electrical Tape
Bushing, Rings, Shims, Spacers / Misc. Aircraft Components / Other Commodities:
PROCESS CAPABILITIES: (Mark all that apply and note any additional capabilities)
Casting / Sewing / List Other Processes:
Forging / Extrusions
Stamping / Packaging
Grinding / Plating
Screw Threads / Electronic / Electrical Assembly
Machining / Tooling / Pattern Making
Welding / Surface Treatment
Assembly / Painting
MATERIAL CAPABILITIES (Mark all that apply and note any additional capabilities)
Steel (Carbon) / Precious Metals / List Other Material Capabilities:
Stainless Steel / Hastelloy
Tool Steel / Iconel
Armor Plate / Monel
Cast Iron / Powdered Metals
Aluminum / Fabric
Copper / Rubber
Bronze / Plastic
Brass / Ceramic
Titanium / Composite
Nickel / Glass
MANUFACTURING CAPABILITIES OR LIMITATIONS (i.e. Dimensions, Tolerances, etc…)
1 / 4
2 / 5
3 / 6
EQUIPMENT LIST [Major machinery (Number, Make / Model, # of Axis, Type, Press & Crane Tonnage, etc)]
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2 / 7
3 / 8
4 / 9
5 / 10
MILITARY or INDUSTRY CERTIFICATIONS / QUALITY SYSTEMS IN PLACE: (ISO, Welding Certs)
1 / 4
2 / 5
3 / 6
Submitt completed form electronically to or mail it toDLA Aviation, Attn: DLA AVN-DU, 8000 Jefferson Davis Highway, Richmond, Va. 23297-5100
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