Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone *

(###)

###

####

Business Fax *

(###)

###

####

Cell Phone *

(###)

###

####

Availability

Check this box if your resources are currently available

RPF Emergency Services Experience

Check this box if you have previously worked with RPF Emergency Services.

Business Size and Classification

Disasters are devastating — but you can help. Follow the steps outlined below to register as a federal contractor, certify your small business, and begin the recovery process in your community. Obtain A D-U-N-S Number You will need to obtain a Duns & Bradstreet D-U-N-S number, a unique, 9-digit identification number for EACH PHYSICAL LOCATION of your business. A D-U-N-S number is required to register with the federal government for contracts and grants. Register With SAM You will need to register your business with the federal government’s SAM, or System of Award Management, the primary database of vendors contracted with the federal government. This registration, referred to as “SELF-CERTIFYING” YOUR SMALL BUSINESS, is required by the Federal Acquisitions Regulations (FAR) of all prospective vendors before the award of a contract. By completing this certification, you market your business for further contract opportunities based on your size, location, and experience. Get Your NAICS Code While registering for SAM, you may notice that you need a North American Industry Classification System (NAICS) code for administrative, contracting, and tax purposes. This code classifies the economic sector, industry, and country of your business.

Large Business (LB)

Small Business (SB)

Small Disadvantaged Business (SDB)

HUBZone Small Business

8a Designation

Woman-Owned Small Business (WOSB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Vetern-Owned Small Business (SDVOSB)

Registered with the System of Award Management?

Services Provided

Check all that apply:

Emergency Road Clearance

Debris Collection

Site Management

Debris Reduction

Tree Trimming and Removal

Hauling

Permitted Solid Waste Facility

Stump Removal

Snow Removal

Project Staffing

Marine Debris Removal

Sand Screening

Recycling

Household Hazardous Waste Removal

Conditions *

Disclaimer: By providing the information requested to RPF Emergency Services, you promise that all information you provide will be accurate, current and truthful to the best of your knowledge. You further agree and acknowledge that RPF Emergency Services will be relying on the information, that RPF Emergency Services has no obligation to retain you as a subcontractor and that RPF Emergency Services reserves the sole and exclusive right to retain any subcontractor or no subcontractors at all for a particular project. TO KNOWINGLY INPUT FALSE INFORMATION, INCLUDING, BUT NOT LIMITED TO NAME, PHONE NUMBER, ADDRESS AND COMPANY DATA IS A VERY SERIOUS AND FRAUDULENT MATTER THAT COULD RESULT IN SIGNIFICANT COSTS AND DAMAGES, AS WELL AS LOSS OF TIME, EFFORT AND EXPENSE, AND ACCORDINGLY, IF YOU PROVIDE FALSE INFORMATION YOU WILL FULLY INDEMNIFY ASHBRITT AND BE LIABLE FOR ACTUAL DAMAGES, DIRECT, PUNITIVE AND CONSEQUENTIAL, AND ANY REGULATORY OR JUDICIAL FINES OR PENALTIES THAT MAY ARISE FROM SUCH MISLEADING, HARMFUL AND FRAUDULENT INFORMATION, PLUS REASONABLE LEGAL FEES, COST AND EXPENSES RELATING THERETO.

I agree to the terms and conditions above