siemens - Public Service Commission

111 accordaiice with the Federal Acquisition Rcgulatio~~ sectioli 52.219, please check all that apply to yoiir
coinpauy. Please provide suppoitillg doculnenlatioll or certification to coilfiri~l the status for auy categories
checked iiiider Siiiall/Diverse Vendors.
[ I Certified small business* [ ] IiUBZone, 8(a) or disadvantaged business*
[ ] Veteian-owned bw.iiiess* [ ] Minority-owned busiuess * *
[ ] Service-disabled veteran-owiied busiiiess* [ ] Women-owned sinall busiiiess * *
[XI Not a Siiiall Business
*
* * Ceitified by Piogress Energy and ns defiiied by SBA.
As defiiied by the Sinall Business Atlmiiiistration (SBA): \!\:\\
,.hn.~.i)\
Register oiiline at ~ ~ ~ ! ! ~ ~ i ~ i ~ ~ ~ - ~ i i cr\ili ~ ~ ~ ~ , ~ ~ ~ t i i ' ~ i i ~ ~ ~ ~ l i ~ i ( l i \
By;
. I
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