Contractor Info Sheet - Bujumbura

Contractor/Vendor Information Sheet

Please fill in all information below, type or print information clearly. Please complete the following questions and return to Brian Averhart ([email protected]) by 27 November 2026 @12:00pm EST.

Legal Business Name:
Tax ID No: DUNS No:

Mailing Address:
City, State, Zip Code:
Country:

Toll Free Number: Website Address:

Point of Contact:
Phone Number: Fax:
E-mail Address:

Country of Origin
U.S. Firm ___
Foreign Vendor ___

Size of Business:
Large ___
Small ___

Corporate Status:
Corporation ___
S-Corporation ___
Sole Proprietorship ___
Partnership ___

Type of Ownership:
Woman ___
Minority___
None of the Above ___

Socio-Economic Status:
8(a) Status ___
HUBZone___
None of the Above ___

Registered in SAM:Yes No_

DCAA-approved accounting practices: Yes No_