Fillable AAA - Auto Club Vendor Profile Form

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AAA - Auto Club Vendor Profile Form

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The Automobile Club of Southern California (“ACSC”) supports and promotes diversity. Diversity is reflected in
our employees, members, and business partners. We are committed to driving diversity in our growing supplier
base and offering equal access to purchasing opportunities while building value-added business relationships.
ACSC’s Supplier Diversity Program recognizes and supports minority, women-owned and service disabled
veteran owned business enterprises that provide quality, value-driven products and services.
Definitions
The terms below have the following meanings:
“Minority Business Enterprise (MBE) - “Minority business enterprise” means a business enterprise,
physically located in the United States or its trust territories, that is at least 51 percent owned by a
minority group or groups, or, in the case of any publicly owned business, at least 51 percent of the
stock of which is owned by one or more minority groups, and whose management and daily business
operations are controlled by one or more of those individuals. “Minority” includes African Americans,
Hispanic Americans, Native Americans, and Asian Pacific Americans who provide proof of United
States citizenship or legal resident alien status.
Women Business Enterprise (WBE) – “Women business enterprise” means a business enterprise
physically located in the United States or its trust territories, that is at least 51 percent owned by a
woman or women, or, in the case of any publicly owned business at least 51 percent of the stock of
which is owned by one or more women, and whose management and daily business operations are
controlled by one or more of those individuals, who provide proof of United States citizenship or legal
resident alien status.
Disabled Veteran Business Enterprise (DVBE) - The law defines a disabled veteran as a United
States military, naval or air service veteran with a service related disability of at least 10 percent.
DVBE’s is a sole proprietorship or partnership of at least 51 percent owned by; stock owned; and/or at
least in which a joint venture’s management, control and earnings are held by one or more disabled
veterans. Its home office located in the United States and is not a branch or subsidiary of a foreign
corporation, firm or business. Those certified by the California State Department of General Services.
If you meet the qualifications listed above and have a certificate from a public or private agency related to one
of the above categories, please complete the following registration form.
PART 1
Is your business a (please check all that apply):
Women business enterprise (WBE)
Minority business enterprise (MBE)
African American
Asian/Pacific Islander
Latino/Hispanic
Native American
Multi-Ethnic
Other/Unknown
Disabled veteran business enterprise (DVBE)
Do not qualify
Is your business currently certified by any of these organizations? Please check all that apply. If you
check one of the boxes below, please provide a copy of your valid certificate.
Women’s Business Enterprise National Council (WBENC)
Women’s Business Enterprise Council West (WBEC-West)
National Minority Supplier Development Council (NMSDC)
Southern California Minority Supplier Development Council (SCMSDC)
California Department of General Services (DGS)
Other
Are a majority of y
our company’s employees in California?
Yes or No
PART 2
Company
Company:
Division:
Street:
City:
State:
Zip Code:
Phone:
Fax:
Primary Co
ntact
Name:
Title:
Phone:
Fax:
General Information
1. Company Overview
Founding Year:
Employee Count:
Dun and Bradstreet Rating:
What is your Company's D&B rating?
2. Parent Company Affiliations / Subsidiary Company
Affiliations
Parent Company:
Is your Company a subsidiary of a Parent Company?
Yes or No
If yes, what is the name of the Parent Company?
If yes, what is the primary business of the Parent Company?
3. Supplier Diversity
Supplier Diversity Initiative
Does your Company have a Supplier Diversity Initiative?
Yes or No
4. Core Competencies
Describe your Company's core competencies, in terms of product quality, service means, and/or
value-added capabilities.
5. Competitors
List your Company's top three competitors, their strengths and how you d
iffer from them in the
industry/marketplace:
1.
2.
3.
Please email this comple
ted form along with a copy of your certification to supplierdiversity@aaa-calif.com.
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AAA - Auto Club Vendor Profile Form

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Completed 26 May 2020

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