Bloomberg BNA Supplier Diversity Vendor Application
Supplier Diversity Vendor Application
 


 

Basic Contact Information


In accordance with U.S. Government regulations, we are required to verify the size and classification of our suppliers on a regular basis. Bloomberg BNA is committed to fostering the economic growth within the minority business community and encourages companies to obtain third party certification as a small, minority, disadvantaged or HubZone business. To aid us in validating/maintaining current supplier data records, please complete all required fields.

 

Business Information

BUSINESS TYPE

CHECK ALL THAT APPLY

 Corporation  Individual / Sole Proprieter  Joint Venture
 Partnership  Other

BUSINESS OWNERSHIP

CHECK ALL THAT APPLY

 African American  Asian Indian American  Asian Pacific American
 Hispanic American  Native American

BUSINESS CLASSIFICATION 

CHECK ALL THAT APPLY

 HubZone  Large Business  Minority Owned
 Physically Challenged  Small Business  Small Disadvantaged Business
 Service Disabled Veteran-Owned  Veteran-Owned  Woman-Owned

HAS YOUR COMPANY BEEN CERTIFIED BY A THIRD PARTY ORGANIZATION?

 Yes        No

Is your company listed in a small business directory (for verification purposes)?

 Yes        No


Penalties for Misrepresentation of Size Status: Section 16(d) of the Small Business Act, as amended, prohibits the misrepresentation of size status in connection with procurement programs. Severe criminal penalties will be imposed for knowingly making statements or misrepresentation of size status, including, but not limited to fines, suspension, and debarments.