J.10_NAICS_Code_Confirmation_Form_HCaTS_Un-Editable_12_May.pdf

NAICS Code Confirmation Form Human Capital and Training Solutions (HCaTS)

Solicitation Number: GS02Q15CRR0001 Amendment Number: 00 Section J.10

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 identified under the contract/task order. Section I is to be filled out by the Offeror. In Section II, 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 cited in Section I claims that the majority of the work preformed in the contract or task order cited in Section II-A is under one of the NAICS Codes listed in Section II-D. For example, the task order's NAICS Code defaulted to the predominate IDIQ's NAICS Code or no NAICS Code was ever selected. The Human Capital and Training Solutions (HCaTS) team is asking that you, as the duly warranted Contracting Officer of the contract or task order cited in Section II-A, confirm that the scope of the contract or task order performed by the Offeror cited in Section I falls within one of the HCaTS NAICS Codes in Section II-D. By completing this form, you are not required to make changes to any existing documents or systems related to the contract/task order. If you have any questions about this document, please email hcats@gsa.gov.

Offeror: To fill this form, place the cursor in the highlighted area and begin typing. After completion, you must save this document to your computer. After completing this form, you must save this document to your computer as a pdf file and name this file in accordance with Section L.4.1.

SECTION I. COMPANY INFORMATION

Type your answer for this section regarding the contractor:

Company Name Division Name DUNS Number

Street Address, City, State, Zip Code, Country

SECTION II. CONTRACT NAICS CODE CERTIFICATION

Type your answer for this section regarding the contract/task order:

A. Contract/Task Order Number B. Award Date C. NAICS Code

D. I, as a duly warranted Contracting Officer of the contract/task order cited in Section II-A, certify that the NAICS Code listed in Section II-C was the reported NAICS Code of the contract or task order, but the below NAICS Code (select one) can qualify as the predominate NAICS Code:

541611 (Administrative Management and General Management Consulting Services)

541612 (Human Resources Consulting Services)

541613 (Marketing Consulting Services)

541618 (Other Management Consulting Services)

611430 (Professional and Management Development Training)

611699 (All Other Miscellaneous Schools and Instruction)

611710 (Educational Support Services)

624310 (Vocational Rehabilitation Services)

NAICS Code Confirmation Form Human Capital and Training Solutions (HCaTS)

Solicitation Number: GS02Q15CRR0001 Amendment Number: 00 Section J.10

SECTION III. CERTIFYING OFFICIAL (CONTRACTING OFFICER)

Contracting Office Department/Agency Contracting Office Division

Contracting Officer Name: Contracting Officer Email:

Address (City, State, Zip Code, Country)

Signature (This form shall be signed with a valid certified digital-signature or ink-signature.): Date(mm/dd/yy)

The Government may contact you to verify or clarify the information provided on this form.