SIM

1 Contact Details
2 Service Offering

fields indicated with * are required

General Company Information

Supplier Legal Entity Name

Doing Business As (DBA)

Company Corporate Address

Street Address

City

State/Province

ZIP/Postal Code

Country

Federal Tax ID/EIN/Foreign TIN/Business Number

Quebec Business Number (if applicable)

DUNS Number

Company Website

Company Primary Contact

First Name

Last Name

Primary Contact's Principal Area of Responsibility

Email Address

Contact Phone

Mobile/Cell Phone

Primary Product/Service

No selected Primary Product/Service

Additional Product/Service

Category	Cluster	Service Area	Actions

Screening

*Please answer this question

1. Is your company currently under an agreement with a Professional Employment Organization (PEO) such as TriNet or Insperity? If so, does your company maintain Workers' Compensation/Employer's Liability insurance whereby your company is the Named Insured on the insurance policies? If not, does your company obtain insurance via the PEO whereby your company is included as an alternate employer on the insurance? A PEO is an outsourcing firm that enters into a contractual co-employment agreement with its clientele and may provide services include human resource consulting, payroll processing, workers' compensation insurance, employers' practice and liability insurance (EPLI), etc.

Yes

No

*Please answer this question

2. What is the date the company started? If you are unable to provide three years of financial history, please state the reason.

Year

*Company W-9 or W-8 File is required

3. Company W-9 or W-8 File (If your Company legal address is Canada and you are not doing business with Ericsson US please add your Provincial Tax Certificate of Registration in Q4 below. If you are/will be doing business with Ericsson US you must upload a W8)

Type

W-8

W-9

*Please upload at least one file

4. All suppliers incorporated in Canada or foreign entities who have business registration in Canada are required to provide the following information (Registration Certificate/Letter from Tax Authorities and/or Registration Number) if they charge Ericsson Canada, Inc. with indirect taxes:

Not Applicable

A. Goods and Services Tax (GST) / Harmonized Sales Tax (HST) Registration Certificate / Number

B. Provincial Sales Tax (PST) and / or Quebec Sales Tax (QST) Registration Certificate / Number

There may be an exemption for the following, and if so, please provide the exemption certificate below:

Purchase of software/hardware is subject to the tax mentioned in A/B
Purchase of software to maintain or operate a machine or hardware is not subject to the tax mentioned in A/B
Any service or services to software to run the equipment is not subject to tax (for commercial purpose) but services to hardware (i.e. testing, installation / integration) is subject to tax mentioned in A/B
Services are taxable

Exemption Certificate(s)

*Please answer at least one

5. Provide Holding Company Legal Name and DBA if any other names (List subsidiary/partners/DBA)

Not Applicable

Legal Name

DBA

Subsidiary(ies) (Max Char: 500)

Partner(s) (Max Char: 500)

6. Within the last 3 years, what are your company's top 3 projects relevant to service-related competencies, on-boarding to perform?

Please fill all the fields

Customer (Max Char: 50)

Project Name (Max Char: 50)

Services Provided

Customer	Project Name	Services Provided	Action

7. List your company's core businesses, including length of time and description of each.

Please fill all the fields Please limit the characters in the Details field to less than 500 characters

Core Business

Duration

Details

Core Business	Duration	Details	Action

8. Provide a high level Organization Chart for your Management, HR, Quality & Safety Organization that would support Ericsson programs

Please Upload a file

*Please answer this question

9. List the telecommunications carriers you have worked with (Sprint, Verizon, AT&T, TMo, Bell, Rogers, Telus etc.) and if it was Direct or Indirect (worked with them through another company).

Please fill all the fields

Not Applicable

Carrier

Direct

Indirect

Carrier	Direct/Indirect	Action

*Please answer this question

10. Do you have contracts or projects in progress that would prevent your working for Ericsson? If so please list each

Yes

No

*Please answer this question

11. Please indicate your total number of employees and provide percentage breakdown between in-house resources and contract resources. Ericsson requires at least 80% W-2 (full-time/salaried) to 20% 1099 (contract workers) contractors.

No of Employees

In-house (%)

Contract (%)

*Please answer this question

12. List Active General Contractor Licenses held and where and upload a copy.

Please fill all the fields

Not Applicable

State/Province

Active General Contractor License

Valid To Date

Add

State/Province	File Name	Valid To Date	Action

*Please answer this question

13. List the Tower Owners or MLA's you are currently working for or have worked for and provide authorization number for each

Please fill all the fields

Not Applicable

Tower Owners or MLA

Authorization Number

Tower Owners or MLA	Authorization Number	Action

Upload User Guide

General Company Information

Company Corporate Address

Company Primary Contact

No selected Primary Product/Service

2. What is the date the company started? If you are unable to provide three years of financial history, please state the reason.

3. Company W-9 or W-8 File (If your Company legal address is Canada and you are not doing business with Ericsson US please add your Provincial Tax Certificate of Registration in Q4 below. If you are/will be doing business with Ericsson US you must upload a W8)

Company W-9 or W-8 File

4. All suppliers incorporated in Canada or foreign entities who have business registration in Canada are required to provide the following information (Registration Certificate/Letter from Tax Authorities and/or Registration Number) if they charge Ericsson Canada, Inc. with indirect taxes:

5. Provide Holding Company Legal Name and DBA if any other names (List subsidiary/partners/DBA)

6. Within the last 3 years, what are your company's top 3 projects relevant to service-related competencies, on-boarding to perform?

7. List your company's core businesses, including length of time and description of each.

8. Provide a high level Organization Chart for your Management, HR, Quality & Safety Organization that would support Ericsson programs

9. List the telecommunications carriers you have worked with (Sprint, Verizon, AT&T, TMo, Bell, Rogers, Telus etc.) and if it was Direct or Indirect (worked with them through another company).

10. Do you have contracts or projects in progress that would prevent your working for Ericsson? If so please list each

11. Please indicate your total number of employees and provide percentage breakdown between in-house resources and contract resources. Ericsson requires at least 80% W-2 (full-time/salaried) to 20% 1099 (contract workers) contractors.

12. List Active General Contractor Licenses held and where and upload a copy.

13. List the Tower Owners or MLA's you are currently working for or have worked for and provide authorization number for each

Notification