Small Business Self-Certiication Form
SMITH SECKMAN REID, INC. / SSRCx
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DUNS Number: |
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Business Size: (Please check all that apply) |
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Small Business


Certiied by SBA as Small Disadvantaged Business


Certiied by SBA as HUBZone Small Business


Women Owned Small Business


Veteran Owned Small Business


Service Disabled Veteran Owned Small Business
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Minority Owned Small Business (Please specify Minority |
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Large Business
You may wish to review the deinitions for the above categories in the Federal Acquisition Regulation 19.7 or 52.219- 8 (https://www.acquisition.gov/far/). If you have dificulty ascertaining your size status, please call 1-800-U-ASK-SBA or refer to the SBA’s website at www.sba.gov.
Under 15 U.S.C. 645(d), any person who misrepresents company size status shall (1) be punished by a ine, imprisonment, or both; (2) be subject to administrative remedies; and (3) be ineligible for participation in programs conducted under the authority of the Small Business Act.
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This self-certiication is good for one year. It is your responsibility to notify us if your size or ownership status changes during that period. After one year, you are required to re-certify with us. Please e-mail this completed document to workwithus@ssr-inc.com.
2995 Sidco Drive, Nashville, Tennessee 37204 P: 615.383.1113 F: 615.386.8469