Procurement

Register as a Vendor

Please provide us with the following information so we may complete your supplier profile. When we receive your profile we will notify you by e-mail.

* denotes required field


Owner Information





Contact Information











(Ex. TX) -

(Ex. Harris County)

Mailing Address




(Ex. TX) -

(Ex. Harris County)

( )- - ext.

( )- -

Business Information



Please fill in the category that best describes your business.





If you have entered both a commodity and a service, please specify your 'Primary' category.


Please use the following link to find your appropriate NAICS code.


Based on your primary NAICS code and the Small Business Administration Standards (SBA) (www.sba.gov/size/indextableofsize.html), the company is:
(Contact SBA at 1-800-8ASK-SBA)




    (Year only)




Certification Information

Please include your certification information in the following fields:

1
 



2
 



3


4
 


Terms and Agreement

We must receive a copy of your certification within 30 days in order to complete your profile. Please forward your information to fax number 414.482.2151 or mail to Veolia Water Milwaukee, Attn: Barbara Brown, 700 E. Jones St., Milwaukee, WI 53207.

Information prepared by: *
Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small or small disadvantaged business concern in order to obtain a contract to be awarded under the preference programs established pursuant to section 8(a), 8(d), 9, or 15 of the Small Business Act or any other provision of Federal law that specifically references 8(d) for a definition of program eligibility, shall (i) Be punished by imposition of fine, imprisonment, or both; (ii) Be subject to administrative remedies, including suspension and debarment; and (iii) Be ineligible for participation in programs conducted under the authority of the Act.