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Supplier Diversity Questionnaire

Granite Partner: Thank you for providing Granite with your company’s supplier diversity qualifications. Please respond to ALL required questions in the below Supplier Diversity Questionnaire & SUBMIT when completed.

You, Supplier, represent, warrant and certify that the information provided in this questionnaire is true and accurate to the best of your knowledge and belief.(Required)
Your Name(Required)
Title(Required)
MM slash DD slash YYYY
NAICS Codes can be found on www.census.gov/eos/www/naics(Required)
SBA SMALL Business Classification – check all areas that apply to your business:
Since you chose Small, complete this section. Pick any additional socio-economic status that applies to your business.(Required)
MM slash DD slash YYYY
You, Supplier, represent, warrant and certify that the information provided is true and accurate to the best of your knowledge and belief and you agree to maintain and update your business status within thirty (30) days of a change in status.(Required)
YOU, SUPPLIER, UNDERSTAND AND ACKNOWLEDGE, PURSUANT TO 15 U.S.C. 645(D), ANY PERSON WHO MISREPRESENTS ITS SIZE AND/OR STATUS MAY BE SUBJECT TO FINE, IMPRISONMENT, ADMINISTRATIVE REMEDIES AND/OR INELIGIBILITY FROM PARTICIPATION IN PROGRAMS CONDUCTED UNDER AUTHORITY OF THE SMALL BUSINESS ACT.(Required)
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