Minority Business Enterprise

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Business Name:
Address:
Contact Person, Title:
Telephone:		Fax:
Primary NAICS Codes:		DUNS:
Ownership Classification (WMBE):
Email:
Website:

Type of work sought

1)
2)
3)

Company Experience and References. Identify and briefly describe work completed recently by category of work sought. Include names, addresses, and telephone numbers of three commercial contacts.

Work Category 1:

Reference 1:

Reference 2:

Work Category 2:

Reference 1:

Reference 2:

Work Category 3:

Reference 1:

Reference 2:

Have you responded to an Alyeska Request for Information (RFI) or Request for Proposal (RFP)? If so, please give the reference number.

Reference Number:

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	Alyeska Pipeline Service Company - 900 E. Benson Blvd, P.O. Box 196660, Anchorage, AK 99519-6660 alyeskamail@alyeska-pipeline.com Copyright 2002 Alyeska Pipeline Service Company. All Rights Reserved.