Manhattan Maintenance Co. - sc questionair (Page 3)

SUPPLIER PROFILE QUESTIONNAIRE

MMC CONFIDENTIAL

(PLEASE PRINT)

Federal / State / Municipal / Other Certifications: Complete the applicable information for the government agencies, which have

certified the size and ownership of your company. Such agencies include the Small Business Administration. State Department of

Transportation. Port Authorities. City Transit Agencies, etc. If you are not registered, MMC recommends registering through the

SBA at

www.pro-net.sba.gov

.

Agency

Number

Date of Expiration

Federal

State

Municipal

Other

Company Office MMC reserves the right to request verification of the information contained in this questionnaire. Please have an
Signature officer of the company sign the completed questionnaire.
Company

Officer

(print

name)

_________________________________________________________________________________________________

Title:

_________________________________________________________________________________________________

Phone:

_________________________________________________________________________________________________

Signature: Date: / /