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RFP #26-1342-1403 Drone as First Responder Program
Name of Business, City, County, or Agency
Street Address
City and State
Contract Dates
Contact Name
Contact Title
Contact Telephone
Contact Email
Description of Work Performed
Contract Amount in Dollars
10.19.1. Reference #1*
Please provide the requested information for the first reference:
*Response required
10.19.2. Reference #2*
Please provide the requested information for the second reference:
*Response required
10.19.3. Reference #3*
Please provide the requested information for the third reference:
*Response required
10.20. Small, Women-Owned, Minority-Owned (SWaM) and Service Disabled
Veteran-Owned Business
10.20.1. SWaM Status *
Please review the City's SWaM program. This document is provided for informational purposes
only.
A certified SWaM Business is one that holds a current certification from the Virginia
Department of Small Business and Supplier Diversity (SBSD), the U.S. Small Business
Association (SBA), the Women’s Business Enterprise National Council (WBENC), National
Minority Supplier Development Council (NMSDC) or from other U.S. State and some Local
Government Supplier Diversity Programs.
Is your company a certified Small, Woman or Minority Owned (SWaM) Business or
Disadvantaged Business Enterprise?
☐ Yes
☐ No
*Response required
10.20.2. Certification Type
If applicable, what is your company’s certification type?
Select all that apply
☐ Small Business
☐ Woman-owned Business
☐ Minority-owned Business
☐ Service Disabled Veteran (SDV)
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