Form GSA Form 3685 GSA Form 3685 Disaster and Emergency Operations Vendor Profile

OMB Control Number: 3090-0163
Expiration Date:

GSA Office of Small Business Utilization

Disaster and Emergency Operations Vendor Profile (GSA Form 3685)

Denotes required field.
Company Name:
Contact Name:

Address:

City:
State:

Select State/Territory

Zip Code:

Office Phone Number:
Cell Phone Number:
E-mail address:
Company Website:

http://

1. NAICS Code:

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2. NAICS Code:

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3. NAICS Code:

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4. NAICS Code:

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5. NAICS Code:

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6. NAICS Code:

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7. NAICS Code:

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8. NAICS Code:

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9. NAICS Code:

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DUNS Number:

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Can accept Government Purchase Card
payments:

Yes

No

Registered in Central Contractor
Registration (CCR):

Yes

No

Types of products or services offered:

Type

A.

Select desired Type

B.

Select desired Type

C.

Select desired Type

D.

Select desired Type

E.

Select desired Type

F.

Select desired Type

G.

Select desired Type

H.

Select desired Type

Business Class & Certifications
(select all that apply)

Complete as many as necessary.
You must complete at least one before you can continue.
Description

Quantity on hand/ can
deliver today

LARGE BUSINESS
SMALL BUSINESS
8(a) CERTIFIED
SMALL DISADVANTAGED BUS.
HUBZone SB CERTIFIED
WOMAN-OWNED
VETERAN-OWNED
NATIVE AMERICAN-OWNED
SERVICE-DISABLED VETERAN-OWNED

Remarks:

NOTE: This form is for informational purposes and does not imply any contract or promise of business.
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