Primary North American Industry Classification System (NAICS) Code
System for Award Management (SAM) Status
SAM Expiration Date
Department of Defense Registration Numbers
Commercial and Government Entity (CAGE) Code
Contractor Establishment Code (CEC)
Department of Education Registration Numbers
Office of Postsecondary Education (OPE) ID Number (formerly known as FICE code)
Integrated Postsecondary Education Data System (IPEDS) Number
Comments for this Tab
Form W-9 provided upon request
Conflict of Interest
Conflict of Interest certification
Entity is registered in the FDP FCOI Clearinghouse certifying that it has an active and enforced Conflict of Interest Policy that is consistent with the provision of 42 CFR part 50, Subpart F “Responsibility of Applicants for Promoting Objectivity in Research and 42 CFR part 94.”
Written affirmative action program developed and on file
Is entity exempt from reporting compensation?
Debarment and Suspension
Entity is presently debarred, suspended, proposed for debarment, or declared ineligible for award of federal contracts.
Within three (3) previous years, entity has had one or more contracts terminated for default by any federal agency.
Presently indicted for, or otherwise criminally or civilly charged by a government entity.
Within three (3) previous years, entity has been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) contract of subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements or receiving stolen property.
Entity hereby certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress on its behalf in connection with the awarding of any contract.
Comments for this Tab
Is entity subject to the Single Audit requirements in 2 CFR part 200?
Most recent fiscal year with completed Single Audit
Is entity qualified as low-risk entity by Auditor or as defined in 2 CFR 200?
Did the entity's most recent Single Audit contain any findings?
Did the entity's most recent Single Audit contain any Significant Deficiencies?
Did the entity's most recent Single Audit contain any Material Weaknesses?
Were any of the findings related specifically to any pass-through federal funding to the entity?