Albet Enterprises, Inc.

2601 Perliter Street

North Las Vegas, NV. 89030
702-399-6896

September 22, 2017

Dear Mr. Yarborough:

Thank you for your interest in becoming a teaming partner with ALBET Enterprises.
We are excited about the opportunities an alliance can create for businesses such as yours, as
well as the prospects of improving the overall self-sufficiency of Native Americans.
Attached is the Statement of Qualifications (SOQ) the first step on the road to inclusion in
our teaming partner arrangement. All information you provide is confidential and will not be
disclosed to anyone except ALBET Enterprises and its licensed agent to determine your status as
a teaming partner. We will process all completed SOQs within 10 business days of receipt so that
you may know quickly whether you have been accepted into the program. After we review your
SOQ, a fee will be assessed by ALBET Enterprises for evaluation of qualifications and a
site visit to your company headquarters or other designated office location.

Please complete all questions on the SOQ and return the completed form via email to me at
cmiller@albetenterprises.net. It is important that your information be truthful and complete to
speed the process along, and that you represent your company accurately. Thus, you may be
required to provide additional documentation to substantiate any part of the SOQ at any time
during the application process or during your tenure as a teaming partner.
Thank you again for your interest. We look forward to receiving your SOQ for evaluation. If you
have any questions about the form or any part of the program, please feel free to contact me at
702.399.6896.
Sincerely,

Cindy Miller

Alcinda L. Miller
Sr. Vice President
Albet Enterprises, Inc.
 Instructions for Statement of
Qualifications Form

Attached is a Statement of Qualifications (SOQ) Form to be completed by your company.

The SOQ will be used to assess your eligibility and qualifications for becoming a teaming
partner with our Tribal 8(a) partner in order to obtain government and private contracts.

The information provided is considered confidential (per the Non-disclosure, Non-

circumvention (NDNC) Agreement executed with your company and ALBET Enterprises.
If accepted as a teaming a partner, portions of the SOQ form may be used as a basis for
creating an overall Statement of Qualifications for the team for a specific NAICS Code
addressing government and private contracts. Completion of the SOQ does not guarantee
that your company will be chosen as a teaming partner.

Please read the entire document before responding to each question. Not every question
will apply to your company. If a question does not apply, enter N/A. If the answer to the
question is pending, enter PE.

There are a limited number of available slots.

We encourage you to complete the form within ten (10) business days.

You may e-mail the completed form back to cmiller@albetenterprises.net or mail the form
to the address below.

If you have questions, please contact our office at 702.399.6896 and we will get back to you
within 24 hours.

Alcinda L. Miller
Albet Enterprises, Inc.
2601 Perliter Street
North Las Vegas, NV. 89030
E-mail cmiller@albetenterprises.net

Statement of Qualifications Form

Form AESOQ904 2
This information is confidential and proprietary per the ALBET Enterprises NDNC.
 INSTRUCTIONS ENTER INFORMATION INTO GREY BOXES
Please read the entire document before responding to each question.
If you have a question please contact Albet Enterprises at 702.399.6896.
If the question being asked does not apply, enter N/A. If the answer to the question is pending, enter PE.
NOTE: This form and all responses are considered confidential and proprietary per the Non-disclosure, Non-
circumvention Agreement executed by all parties.

Confidential Statement of Qualifications (SOQ)

FILL IN THE GREY AREAS ONLY USING YOUR TAB OR BACKSPACE KEY
DO NOT USE THE ENTER KEY

Date of SOQ Application: September 5, 2006

1. Legal Business Name:
2. Doing Business As (DBA): N/A:
3. Division Name: N/A:
4. Physical Street Address:
5. City:
6. State:
7. Zip/Postal Code + 4:
8. MAILING LOCATION Name:
9. MAILING Address:
10. MAILING Address # 2:
11. MAILING City:
12. MAILING State:
13. MAILING Zip Code + 4:
14. Date Business Started:
15. Date Business Incorporated:
16. Company Telephone:
17. Company Fax:
18. Company Cell:
19. Company EIN #:
20. Company Email Address:
21. Company Website:

Form AESOQ904 3
This information is confidential and proprietary per the ALBET Enterprises NDNC.
22. Company DUNS #:
23. Company CAGE Code #: N/A: PE:
(CAGE code is obtained when registered at www.ccr.gov)

Company Principal

24. First name:

25. Middle Name:
26. Last Name:
27. Title:
28. Social Security # (if a sole proprietor): N/A:
29. Office Telephone:
30. Office Fax:
31. Personal Cell (Confidential):
(If more than one principal, electronically list additional names and information
separately, at the end of this document and label it Additional Principals of the
Company.

Business Type
31. Company Business License #: County: State:
Sole Proprietor, Doing Business As - DBA, Partnership,
Corporation, ( S or C, Private, or Public please check one)
LLC, Other, please state:
32. If company has more than one location, list other locations at the end of this document
labeled Additional Company Locations.
One location Additional locations

33. Contractor license # or other specialized license allowing company to operate under
primary NAICS code. License #:, State ,
If no specialized license is required, please provide your state sales tax.
State Sales Tax
34. List additional licenses and state of origin if applicable. N/A:
License # , State .
License # , State .

35. Certification (To verify certification standard or size please review:

http://www.sba.gov/size/indexguide.html)
a.) Small Business (SB) (Self representation)
b.) Small Disadvantaged Business (SDB) (Formal certification by SBA)
Form AESOQ904 4
This information is confidential and proprietary per the ALBET Enterprises NDNC.
 c.) HUBZone (Historically Underutilized Business Zone, Formal certification by SBA)
d.) Small Business Administration 8(a), (Formal certification by SBA)
e.) Veteran-Owned Small Business (VOSB)
f.) Service-Disabled Veteran-Owned Small Business (SDVOSB) (Self-certification)
g.) Women-Owned Small Business (WOSB)- (Self-certification)
h.) Minority Business Enterprise (MBE) (Formal certification)
i.) Native American Owned Small Business (NASB) (Self-certification)
j.) Tribal or ANC owned 8(a), (Formal certification by SBA)
k.) Other not listed,
If you are a Native American, is your status accepted by a federally recognized or State
recognized Tribe? Federal State N/A PE
Are you an enrolled member of the Tribe? Yes No N/A PE
What is your enrollment number? N/A PE
What Tribe are you enrolled with? N/A PE

36. Please state special training, certifications, or policies of company or selected staff,
(Safety, Drug Free Work Place, OSHA (Hazmat Compliance), Red Cross CPR, or other.
(Please state name of selected staff member.)

37. NAICS Code Capabilities Please list by NAICS code all services, equipment, or products
your company provides or bills for. Additional NAICS codes can be added separately at the
end of this document and labeled Additional NAICS Codes.

NAICS Code web site http://www.census.gov/epcd/www/naics.html

Examples: Commercial Construction NAICS Code 236220

Plumbing Contractor NAICS Code 238220
Bookkeeping Services NAICS Code 541219

Primary NAICS code: Description:

NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
Form AESOQ904 5
This information is confidential and proprietary per the ALBET Enterprises NDNC.
 NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:
NAICS code: Description:

Capacity & Contract Experience

38. Number of Full Time Employees:

39. Number of Part Time Employees:
40. Number of Project Managers:
41. Number of Accounting Personnel:
42. Number of Representatives (or Marketing):
43. Number of Agents:
44. Number of Distributors:
45. Percent of work done for Government Agencies , Private
46. Percentage of work performed by staff:
47. Percent of work subcontracted or outsourced:
48. Bonding required for subcontractors or outsourced work? Yes No
49. Supplies, Products, or Services subcontracted by NAICS code:
50. Largest amount of uncompleted work on hand at one time in the past:
Amount $ , Year
51. Largest single job to date: $ and year
52. Gross income
a. Last calendar year (Amount) $
b. To date for this year (Amount) $
53. Net profit for last year? Amount $
54. Working capital? Amount $
55. If needed, line of credit available? Yes No If yes, Amount $

Form AESOQ904 6
This information is confidential and proprietary per the ALBET Enterprises NDNC.
56. List previous contracts and/or completed jobs for last two years. This portion is
designed to demonstrate past performance and current capability to perform work. Use
an electronic spread sheet or the table below labeled Company Contracts. Include
verifiable contact information. List government contracts first, followed by private
contracts.

EXAMPLE
Brief Description Invoice or Contract Contract Person or
Location Contract Value Period Contracting
Number Officer
1. (Private) Invoice 2394 $137,000 Jan. 2005 Feb. 2005 Jane Watson, (203)
Remodel kitchen 555-1212, Ext. 134
Los Angeles, California
2. Computer Installation A33429 $1,344,000 Feb. 2004 Sept. 2004 David Marcus,
Hospital, (202) 333-2456
Glendale, New Mexico
Air Force Plant F33567-334 $137,000 Jan. 2005 Feb. 2005 Capt. Diana Swartz,
3. # 78, Los Angeles, California (203) 555-1212, Ext.
134

COMPANY CONTRACTS

Brief Description of Job Invoice or Contract Contract Person / Contracting

Location (City, State) Contract Value Period Officer To Contact
Number $ Include: Name, Phone
and Email address

1

2

3

4

5

6

7

9

10

11

12

13

Form AESOQ904 7
This information is confidential and proprietary per the ALBET Enterprises NDNC.
Communication
57. How do you communicate with employees in-house or off site?
58. In person meetings: Daily Weekly Monthly
59. E-mail notices: Daily Weekly Monthly As needed
60. Cell phone: Yes No
61. Is there a cell phone contact list for: Employees Vendors Subcontractors to
help facilitate just-in-time response or inquiry? Yes No
62. Does your company use a web site to communicate with employees, vendors, or
subcontractors in-house or off site? Yes No
63. Does your company have a web master? Yes No
64. Does your company have an onsite IT expert? Yes No
65. What software and computer operating systems does your company use?
a. Word processing:
b. Accounting:
c. Graphics (or desktop publishing):
d. Computer operating system:

Travel
66. Name of Travel Agency:
67. Travel Agent Name:
68. Telephone:
69. Fax:
70. Email:
71. Name of preferred airline or airline for company travel to accrue travel bonus option:

72. Name of preferred hotel or hotel chain to accrue occupancy bonus option:

Bonding (May Not Apply)

73. Bonding capability: Single $ Aggregate $
74. Type of Bonding: Individual Surety Treasury Listed.
75. Insurance/Bonding Agent Name:

Form AESOQ904 8
This information is confidential and proprietary per the ALBET Enterprises NDNC.
76. Address:
77. Phone:
78. Fax:
79. Email:

Attorney, CPA, Litigation or Bankruptcy

80. Company Name:
81. Name of Attorney:
82. Address:
83. Telephone:
84. Fax:
85. E-mail:
86. Does your company use a law firm experienced in federal government contracting law?
Yes No If yes, please state the law firm name:
87. Please check the accounting agent your company uses: Certified Public Accountant
Enrolled Agent, or Bookkeeper
Is the service In-house or Outsourced
88. Name of Firm:
89. Name of Contact Person:
90. Address:
91. Telephone:
92. Fax:
93. E-mail:
94. Is the accounting staff in-house or outsourced, and experienced in DCAA
government audit procedures? Yes No (FAR 30 and 31)

Third Party Funds Control

95. Has your company received payment for services by a bonded third party funds
control company? Yes No
If yes, please state the name of the company with contact information:
Company Name:
Company Contact Person:
Company Telephone:

Form AESOQ904 9
This information is confidential and proprietary per the ALBET Enterprises NDNC.
Hurricane Region
96. Does your company wish to work in the post hurricane regions? Yes No
97. If yes, when would your team be ready to deploy?
98. What cell phone service do you use?

Personnel & Company Policies

99. Does your company have a person or department experienced in procurement of
government agency contracts? Yes No / Number of experienced employees
in government contracting?
100. Is your company GSA Schedule listed? Yes No / If yes, please state the
schedule listing:
101. Does your company have a written plan to market and procure government
contracts? Yes No / If yes, is it electronically available? Yes No
102. Does your company have a budget to procure government contracts? Yes No
If yes, please state your budget for this year $ .
103. What dollar amount or percentage of your companys total revenue does the company
expect to procure from government contracting in what period of time?
104. Does the company have an electronic organizational chart of its Board of Directors,
Department Heads, Deputy Department Directors, and/or Assistants? Yes No
105. Is a minority person or disabled person represented on the Board of Directors,
Advisory Board, and/or Department Head of the company? Yes No
106. Does your company have a training and/or employment outreach program for?
GED, high school, trade school, or college graduates
Minorities
Women
Disabled
Residents of a half-way house, formerly incarcerated
HUBZone
107. Does your company sponsor a charity or non-profit organization in the community?
Yes No, not at this time. If yes, please state the name(s) of the charity or non-
profit:
108. Does your company have an employee of Native American decent of a federally or
State recognized Tribe? Yes No

Form AESOQ904 10
This information is confidential and proprietary per the ALBET Enterprises NDNC.
109. Is a state or federally recognized Tribe located in your state?
Yes No Not Sure
If yes, please state the name of the Tribe and the contact phone number for the Tribe:
Name: Phone:
110. Does your company have a child care center on site? Yes No
111. Does your company reimburse for child care? Yes No
112. Does your company have an education cost reimbursement program? Yes No
113. Does your company have a training or promotion advancement program?
Yes No / If yes, please describe the program:
114. Has your company teamed or joint ventured with another company? Yes No
If yes, please state the company:
115. Has your company been a mentor of another company? Yes No
If yes, please state the name of the company:
116. Has your company been a protg of another company? Yes No
If yes, please state the name of the company:
117. Has your company been sued? Yes No
If yes, what was the alleged claim against your company?
Did your company lose or win the lawsuit? Lost Won Settled Pending.
118. Has your company been sued by the federal government? Yes No
119. Has your company been debarred from the federal contracting program?
Yes No / If yes, please state when and why?
120. Has anyone in your company been debarred from the federal contracting program?
Yes No / If yes, please state when and why?
121. Are there any pending lawsuits against the company currently? Yes No
122. Has any of the Board Directors, Advisory Board Members, or Department Heads
been convicted of a felony? Yes No
123. Has your company ever filed for bankruptcy or reorganization under bankruptcy
law? Yes No
124. Please state what your company expects to achieve from teaming, joint venturing with
a Tribal owned 8(a) company and within what period of time. Please indicate here or
at the end of the document with a label of Corporate Expectations.

Form AESOQ904 11
This information is confidential and proprietary per the ALBET Enterprises NDNC.
If you have any questions, comments, or suggestions, please state them here.

Completed By:

Date Completed:

Approved By: (company principal)

Date Approved:

Thank you for your time!

A representative will review your SOQ and get back to you within 10 business days
to set up an appointment to discuss further.

Form AESOQ904 12
This information is confidential and proprietary per the ALBET Enterprises NDNC.