Supplier Profile

Submission of this profile does not constitute approval as a supplier, nor does it guarantee a Request for Quote or an award of business.

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SECTION 01: General Information

Unique Entity ID (SAM.gov) * Award CAGE/NCAGE Code * NDA Signatory Name *

Unique Entity ID Expiration Date *
DUNS Number (9 Digits) * NDA Signatory Title *

Forms available at: www.irs.gov website

* Domestic (US) entities Attach Form W-9
* Foreign Corporations Attach Form W-8BEN-E / Form W-8ECI
* Foreign Individuals Attach Form W-8BEN / Form 8233

Upload PDF's ONLY *

Service Type * Organizational Type *

SECTION 02: Company Information

Company Name * Street Address Line 1 * Street Address Line 2 (Non-Mandatory) City * State / Province * Country *
Postal/Zip Code (U.S. Locations use Zip Code + four) Is your remittance address different than the address listed? * — Yes— No

Phone * Fax * Website (include http:// or https://) *
State/Province of Incorporation * (Country of) Ownership * Congressional District (www.house.gov) * Upload a Company Presentation (PDF's ONLY)

SECTION 03: Business Size and Diversity Information

What is the Classification of your Company with
the Small Business Administration (SBA)? * — Large— Small
(based on US SBA NAICS References...www.sba.gov)

Is your company Native American, Native Alaskan,
or Native Hawaiian owned? * — Yes— No

Is your Business Active with the System for
Award Management (SAM)? *(www.sam.gov) * — Yes— No

SECTION 04: Cybersecurity DFAR

Does your company currently comply with all of the requirements in the National Institute of Standards Technology (NIST) Special Publication (SP) 800-171 form the protection of Covered Defense Information (CDI) as required per the Defense Federal Acquisition Regulation Supplement (DFARS) 252.204-7012 "Safeguarding Covered Defense Information and Cyber Incident Reporting"? * — Yes— No

What Level of Cybersecurity Maturity Model Certification (CMMC)
do you expect your company to achieve? *

Per DFARS 252.204-7020 NIST SP 800-171 DoD Assessment Requirements, the Department of Defense (DoD) requires contractors and subcontractors to have a current DoD assessment posted in the Supplier Performance Risk System (SPRS) prior to award of any new DoD contracts unless an exception applies. All suppliers under such DoD awards will also require a DoD assessment posted in SPRS prior to AM General issuance awarding of subcontracts or purchase orders. (SPRS Information) (SPRS Register)

The Seller must either CONFIRM or NOT CONFIRM a DoD assessment is posted in DoD's Supplier Performance Risk System (SPRS) for each covered contractor information system and will not be posted. The Seller understands by NOT confirming they may not be eligible to receive any new subcontracts.

The Seller must represent and certify below. * — The Seller CONFIRMS a DoD assessment is posted— The Seller DOES NOT confirm a DoD assessment is posted, but will be posted by XX_XX_XXX date (Must be posted prior to being awarded a subcontract or purchase order)— The Seller DOES NOT confirm a DoD assessment is posted and will not be posted (Exemptions apply to subcontractors who are providing COTS items, certain indirect materials/services, or will NOT be exchanging/handling CUI.)

SECTION 05: Other Information

Where did you hear about AM General? * Does your Company hold Quality Certifications? * — Yes— No
Does your company have union representation? * — Yes— No
North American Industry Classification System (NAICS) 6-digit code *

Indicate your Primary Commodity * Select Additional Commodities ("control-click" to select multiple) * Enter "Unlisted" Products & Services (Non-Mandatory)

SECTION 06: Person of Contact (POC)

Primary POC for Correspondence (Quoting and Purchase Order Information)

Name * Title *

Direct Phone Number * Direct Email *

I have read and agree to the AM General Terms of Use

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