Att J.5.1 NAICS Code Confirmation Form.pdf

Attachment J.5.1: NAICS Code Confirmation Form Human Capital and Training Solutions 8(a)

Company Name DUNS Number

The Government will use the information on this form for source selection purposes.

* The Offeror must send this form to the customer for past performance evaluation purposes. After completing this form, the customer returns it to the Offeror (Contractor/Requestor).

This form is to be sent to the Contracting Officer of a previously awarded contract or task order to request confirmation of the NAICS Code. The Contracting Officer is requested to confirm that the work performed in the contract or task order falls under one of the HCaTS NAICS Codes. The Government will use this information solely for source selection purposes under the Human Capital and Training Solutions (HCaTS) RFP and in no way challenges the original NAICS Code determination or reporting for the contract/task order.

Contracting Officers: You are receiving this form because the Offeror claims that the majority of the work performed in the contract/task order falls under one of the Pool's NAICS Codes. The HCaTS team is asking that you, as the duly warranted Contracting Officer, confirm that the scope of the contract, task order, or purchase order performed by the Offeror falls within one of the HCaTS NAICS Codes. By completing this form, you are not required to make changes to any existing documents or systems related to the contract, task order, or purchase order. If you have any questions about this document, please email hcatspmo@gsa.gov. The Government may contact you to verify or clarify the information provided on this form.

Offeror: After completion, you must save this document in the "Volume 3" folder of the proposal under the corresponding REP sub-folder.

a. Contract/Task Order/Purchase Order Number: b. Award Date:

c. Check one that best describes the service(s) performed under this project:

611430 (Professional and Management Development Training)

611699 (All Other Miscellaneous Schools and Instruction)

624310 (Vocational Rehabilitation Services)

541611 (Administrative Management & General Management Consulting Services)

541612 (Human Resources Consulting Services)

541613 (Marketing Consulting Services)

541618 (Other Management Consulting Services)

611710 (Educational Support Services)

None of the above

Phone:

Date:

I, as a duly warranted Contracting Officer of the contract/task order cited in Block a, certify that the NAICS Code selected in Block c can qualifies as the predominate NAICS Code.

Contracting Office Department/Agency/Division:

Contracting Officer Name:

Are you a warranted Contracting Officer?

Signature:

Email (must be Gov't issued email address):

GailMSchneider Line

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