J.9 HCaTS SB Collection of Task Orders Confirmation Form A01.pdf

Collection of Task Order Confirmation Form Human Capital and Training Solutions Small Business

(HCaTS SB)

Solicitation: GS02Q15CRR0002 Amendment Number: 01 Attachment J.9

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

General: This form is to be sent to the Contracting Officer (or commercial equivalent Authorized Official for a Non-Federal government project) of a collection of task orders to request confirmation the collection of task orders identified herein in fact meets the requirements set forth in the Human Capital and Training Solutions Small Business (HCaTS SB) RFP Section L.5.2. The Government will use this information solely for source selection purposes under the HCaTS SB RFP.

Contracting Officers: You are receiving this form because the Offeror cited in Section I claims the identified collection of tasks orders in Section II meets the definition of a collection of task orders as prescribed in Section III. The HCaTS SB team is asking that you, as the duly warranted Contracting Officer (or commercial equivalent Authorized Official for a Non-Federal government project) for the collection of task orders cited in Section II-A, confirm the collection meets the requirements set forth herein. 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 sbhcats@gsa.gov.

Offeror: Section I and II shall be completed by the Offeror. To fill this form, place the cursor in the highlighted area and begin typing. Enter up to six task orders that make up the collection of task orders as prescribed in Section III. 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. COLLECTION OF TASK ORDER IDENTIFICATION

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

A. Master Contract/Project Number:

B. Task Orders:

1. Award Date: End Date:

2. Award Date: End Date:

3. Award Date: End Date:

4. Award Date: End Date:

5. Award Date: End Date:

6. Award Date: End Date:

Collection of Task Order Confirmation Form Human Capital and Training Solutions Small Business

(HCaTS SB)

Solicitation: GS02Q15CRR0002 Amendment Number: 01 Attachment J.9

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

SECTION III. CERTIFYING OFFICIAL

I, as a duly warranted Contracting Officer (or commercial equivalent Authorized Official for a Non-Federal government project) of the task orders cited in Section II-A, certify that the above listed actions constitute a collection of task orders as follows:

The collection of task orders was placed under a master Single Award or Multiple Award, Indefinite Delivery task order contract or master Single Award or Multiple Award Blanket Purchase Agreement; or, any other master contract vehicle (e.g., Project Number/Title) that the task orders were directly awarded under if the following applies:

(1) The “collection of task orders” shall not exceed six task orders, and

(2) None of the task orders in the collection shall also be used as a stand-alone Relevant Experience Project, and

(3) Each successor task order was a logical follow-on task order to the predecessor task order, with no more than a 30 calendar day gap between the award date of the successor task order and the end date of the predecessor task order, and

(4) Each task order was awarded for the same customer, and

(5) Services provided under each task order had been performed within the past five years prior to the solicitation closing date (or be ongoing), and

(6) Each task order’s scope was inclusive of at least one KSA (Customized Training and Development Services, Customized Human Capital Strategy Services, or Customized Organizational Performance Improvement) and some component of the KSA-related service and/or product customized.

Contracting Office Department/Agency: Contracting Office Division:

Contracting Officer Name: Contacting Officer Email:

Address (City, State, Zip Code, Country):

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

NOTE: A logical follow-on task order is defined as a task order for the same or similar services provided under the predecessor task order.