Please take a few moments to read the following information prior to beginning the form:

• The Supplier Engagement form cannot be saved and, as a result, should be completed in single sitting.
• All fields (except where noted) are required. If a question does not apply to your product or service, please select "N/A".
• The form has functionality to 'hide' and 'show' applicable questions depending on your responses. For instance, if you are a Small Business, when you select "Yes" for the Small Business inquiry, the form will automatically display additional small-business specific questions. Please be sure to also answer these questions.
• After completing the questions and submitting the form, you will have the opportunity to attach a 1 page value statement that should include a problem statement, your proposed solution, and expected benefits. Additionally, any corporate or offering-specific marketing materials can be attached. Please have these materials ready to upload as you will not have an opportunity to attachment them at a later time.
• Once you have submitted the form, if any changes need to be made, please contact the Supplier Engagement Mailbox instead of submitting another form. Multiple submissions will delay the process.

Which category does your product/service qualify? Client Solutions and Services Delivery Enhancement Contract Labor/Reseller	Client Solutions and Services (sell through the NMCI Contract to the DoN) Delivery Enhancement (sell to EDS to improve delivery capabilities to the DoN) Contract Labor/Reseller Required Field
What is your value-added proposition to NMCI?	Required Field
Supplier Company Name	Required Field
Business Address	Required Field
Address 2 (Optional)	Required Field
City	Required Field
State	Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Iowa Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusets Michigan Minnesota Mississippi Missouri Montana Nebraska New Hampshire New Jersey New Mexico New York Nevada North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Wisconsin West Virginia Wyoming International Other Required Field
Zip	Required Field
Phone	Required Field
Company Web Site (format as 'http://www.example.com')	Required Field
Contact Name	Required Field
Phone	Required Field
Fax	Required Field
Email Address	Required Field
Brief company background – when founded, name changes, mergers, etc	Required Field
How many total employees?	1-49  50-99  100-499  500-999  1000+ Required Field
Are you a Small Business?	Yes No Required Field

Please list your most commonly used North American Industrial Classification (NAICS) Code under which you qualify as a small business. For a complete list of SIC/NAICS codes and descriptions click here.	Required Field
Is your company a small disadvantaged (SDB) business certified by the SBA? See the SBA SDB Program site for more information.	Yes No Required Field
Indicate the category of ownership. (See FAR Part 19.)	Black American Hispanic American Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians) Asian-Pacific American Subcontinent Asian American Other Required Field
Is your company a woman-owned business?	Yes No Required Field
Is your organization a Historically Black College/University or Minority Institution?	Yes No Required Field
Is your company a SBA certified HUBZone Small Business? For further definition see the SBA Web Site for the HUBZone Program.	Yes No Required Field
Is your company a veteran owned business?	Yes No Required Field
Is your company owned by a service disabled individual(s)?	Yes No Required Field
Is your company an Indian (Native American)/Indian tribe owned business or Indian (Native American) organization/Indian owned economic enterprise?	Yes No Required Field

Are you a Privately owned or Public corporation?	Private Public Required Field
What is your Stock Symbol / Exchange?	Required Field
What is your D-U-N-S number?	Required Field
What is your current annual revenue?	Less than $1M  $1M - $5M  $5M - $10M  $10M - $20M  $20M - $50M  $50M - $100M  $100M + Required Field
What is the highest clearance level held by employees?	Secret  Top Secret  TS/SCI  N/A Required Field
Who is the associated granting agency?	Dod  Other  N/A Required Field
Are you supplying a product or service?	Product Service Required Field
What is the classification of your product/service?	HardwareSoftware TelecommunicationsAdministrative Services Contract LaborBrokering Required Field
What kind of maintenance do you offer? (i.e. is it onsite or offsite)	Required Field
Do you have patent and data rights sufficient to provide licenses to EDS?	Yes No Required Field
What is the market share of your product/service?	Required Field
What is your product/service’s major competitive advantage?	Required Field
How many staff support the product?	1-9  10-24  25-49  50-99  100-499  500+ Required Field
Product Status – Beta, Release 1.0, etc. When did product initially ship General Availability revenue generating release?	Required Field
Current Generally Available (GA) release level.	Required Field
List the Industry, National and International “standards” bodies that you are currently a voting member?	Required Field
Approval/Certification/Accreditation (i.e., FAM, NAIP, SEICMM, ISO..)	Required Field
List any other government approvals your product has.	Required Field
If software/application, has your product already been approved by the Department of the Navy’s NMCI Product Evaluation Center (NPEC)? Certification Information Link	Yes  No  N/A Required Field
Are you currently doing business with EDS?	Yes No Required Field
Please provide the EDS Contact Name, Account/Organization and Number	Required Field
Who is your largest customer (site name) of the solution you are presenting to NMCI and when did they purchase the solution?	Required Field
Are you currently doing work with the DoN?	Yes No Required Field
Which claimant(s) are you performing the majority of your work for? (Hold [Ctrl] to select multple entries)	CFFC  CPF  SECGRU  RESFOR  NETC  MSC  ONI  ONR  SSP  PACOM  HQMC  MARFORLANT  MARFORPAC  MARFORRES  MARCORSYSCOM  MCLC (LOGCOM)  MCCDC  MCCS  MCRC  TECOM  NAVSEA  NAVAIR  NAVSUP  BUMED  BUPERS  SPAWAR  CNI  AAUSN  CNO  NAVFAC Required Field
What is the Contract Number?	Required Field
Are you currently registered with Dunn and Bradstreet?	Yes No Required Field
What is your sales strategy?	Direct to Client  Sell thru Integrators and VARS  Resellers  Other  N/A Required Field
Target Market	Federal Government  DOD  State and Local Government  Consumer Industries and Retail  Manufacturing  Financial Services  Transportation  Healthcare  Communications  Energy  Other Required Field
Primary Competitors	Required Field

Is your product or service available on government contracts such as GSA or other GWACs?	Yes No Required Field
Does the Navy use another product or solution today that performs similar or like functions?	Required Field
Where is your solution inside the DoD today? (Please provide Name, Claimant, and Number)	Required Field
Who have you discussed this proposition with in the Navy? (Please provide Name, Claimant, and Number)	Required Field
What is the dollar value of this sales opportunity to the DoN?	Required Field
Have you sold this solution to the DoN?	Yes No Required Field
If yes, claimant and contact info.	Required Field
Describe how you see your product contributing to the Navy’s goals for NMCI?	Required Field
What is your estimate of the market size in the Navy for your product/service and your value proposition?	Required Field

What area of the Service Oriented Architecture does your product/service address? (SOA diagram on Delivery Enhancement Page)	Application Domain  Client Domain  Server Domain  Storage Domain  Network Domain  Security Domain  Management Domain  Support Domain Required Field
Does your product/service have enterprise reach/scope? Explain.	Required Field
How does your product contribute to consistent service/performance?	Required Field

What support areas apply to your labor offering? (Check all that apply)	Break/FixCable Plant Desktop SupportInformation Assurance LogisticsNetwork Services TrainingVoice End User Required Field
What product areas apply to your offering? (Check all that apply)	CablingPrinters PeripheralsPDAs ScannersVideo Teleconferencing Other Required Field
Please specify other product area	Required Field
Are you registered in the Central Contractor Registration?	Yes No Required Field
Please identify your highest level facility security clearance.	TS/SCI Top Secret Secret Non-classified Required Field
What is your Federal Commercial and Government Entity (CAGE) Code? (For information on CAGE codes)	Required Field

After submitting this form, you will have the ability to upload any other supporting corporate or product marketing literature