LIVING IN RACE GENDER M / DISABLED? ACTIVITY NAME RURAL AREA? W/B F YES / NO * Y/N FINANCING DECISIONS Cheque Signing Acquisition of lines of credit Sureties Major Purchase or Acquisitions Signing Contracts BLACK EQUITY OWNERSHIP GENDER DISABLED? I.D. NUMBER % BLACK NAME NATIONALITY M / F YES / NO * OWNERSHIP List the four largest contracts/assignments completed by your firm in the last three years. Please provide projects that are similar to requirement. SAA’s Work performed For whom Contact person and Contract fee/amount telephone number * Payment transactions:
ACTIVITY NAME RACE W/B GENDER M / F DISABLED? YES / NO * LIVING IN RURAL AREA? Y/N FINANCING DECISIONS Cheque Signing Acquisition of lines of credit Sureties Major Purchase or Acquisitions Signing Contracts BLACK EQUITY OWNERSHIP NAME GENDER M / F DISABLED? YES / NO * I.D. NUMBER NATIONALITY % BLACK OWNERSHIP List the four largest contracts/assignments completed by your firm in the last three years. Please provide projects that are similar to SAA’s requirement. Work performed For whom Contact person and telephone number Contract fee/amount * Payment transactions:
GSM_116_14___Request__for__proposal__xRFPx__for__a__Payment_Card_Industry_Data_Standard_Remediation_and_Compliance_Project_FIN.docx