Oneida Nation | Indian Preference Vendor Application

Any person who knowingly or recklessly omits, falsifies, or otherwise misrepresents any material fact shall be subject to all applicable sanctions, penalties, and any other applicable laws, regulations, or procedures of the Oneida Nation of Wisconsin.

Business Type

Please identify the type of business you would like to apply for certifcation for.

Click to read the SOLE PROPRIETOR certification criteria.

Click to read the PARTNERSHIP certification criteria.

Click to read the LIMITED LIABILITY COMPANY certification criteria.

Click to read the S-CORPORATION certification criteria.

Click to read the CORPORATE certification criteria.

Business Details

Business Name

Business Address Line 1

Business Address Line 2

City

State

ZIP

Business Owner(s) Details


Owner First Name Owner Last Name * Owner Is Tribal Affiliated Yes No

Business Contact Details

Primary Contact First Name

Primary Contact Last Name

Contact Phone

Contact Email

Business Website/URL

Business Phone

This number will be publicly listed and can be the same as the primary contact number

Business Email

This email address will be publicly listed and can be the same as the contact email

Fax

Business Federal ID #

If you do not have a Business Federal ID, enter the Owner's social security number

Oneida Vendor #

If you are applying for the first time and do not yet have an Oneida Vendor number, leave blank

NAICS Code(s)


NAICS Code

If you're not sure of your NAICS code(s), go to http://www.naics.com/search to find your code

Service(s) Offered


Service

Your service(s) offered will be publicly listed. If you provide multiple services your business will appear on the public list under each category.

Company Services Details

Business Metrics

Date Business Established

Principal Business Contact

Business Ownership % Native Owned

Native American Full Time Employees

Minority Full Time Employees

Non-Minority Full Time Employees

Native American Part Time Employees

Minority Part Time Employees

Non-Minority Part Time Employees

Business Certifications


Certification Type Upload Certifcate

Business Locations

* Does the business have multiple locations?

Yes
No

Currently Used Locations


Location Name * Location Type Office Warehouse Private Residence Other Other Business Address Line 1 Business Address Line 2 City State ZIP

Business Names

* Has this business been known by any other name?

Yes
No

Previously Used Business Names


Previous Business Name

Individual Responsibilities


Individual Responsible Name Bonding/Surety Loans Contract/Negotiations Financial Decisions Management Decisions Office Functions Supervision Operations

Business Relationships

* Does this business have relationships that involve shared space, equipment, financing, same owners, or shared employee agreements?

Yes
No

List any current business relationships with different companies that have one or more of the same owners of this business

* Does this firm have any working relationships/agreements (written or oral) with any other business?

Yes
No

Describe these arrangements/agreements

Uploads

Upload Business Plan

If working for the Oneida Nation:

Liability Insurance Coverage of $1,000,000
The Tribe shall be named as an Additional Insured
Shall provide Workers' Compensation insurance if Contractor has employees
Shall provide Auto liability insurance if vehicles are operated on Tribal premises

Upload Certificate of Insurance

Insurance Expire Date

Bank letter establishing Line of Credit
Supplier letter stating Line of Credit established

Upload Credit Reference

Experience
Education/Training
Organizational Chart


Upload Key Personnel Resumes

Uploads

Change of ownership
New address
Additional phone numbers, fax numbers, cell phone, etc

Upload Company Structure Update of Principal Changes

Upload References/Portfolio

Upload Proof of US State LLC

Upload Partnership Agreement

Upload US State Registration

Upload Corporate By-laws

Upload Meeting/Board Action Minutes

Upload Articles of Incorporation

Upload Stock Certificates

Applicant Signature

Applicant Full Name

Applicant Email

The undersigned, _______, swears that the foregoing statements are true and correct and include all material information necessary to identify and explain the operation of the entity, , as well as ownership status thereof.
Further, the undersigned agrees to provide complete and accurate information regarding actual work performed on any project, the payment thereof, and any proposed changes, of the foregoing arrangements and to permit the examination of records, files of the firm or affiliate of said firm in connection with certification procedures. Any misrepresentation will be grounds for decertification.
The undersigned agrees to the following:
“By completing this application I hereby affirm, under penalty of perjury, that the statements I have made herein are true and correct. I understand that if I am granted certification by the Indian Preference Office, my certification may be revoked at any time if it is discovered that any statements I have made on this application are false. I further understand that I may be subject to other sanctions if I commit fraud or misrepresentation in completing this application.”

* Signature

Signature