DD Form 2051-1 Request for Information/Verification of Commercial and G

REQUEST FOR INFORMATION/VERIFICATION OF
COMMERCIAL AND GOVERNMENT ENTITY (CAGE) CODE

OMB No. 0704-0225
OMB approval expires
Oct 31, 2007

The public reporting burden for this collection of information is estimated to average 7 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0225). Respondents should be aware that notwithstanding any other provision of
law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO:
DEFENSE LOGISTICS SERVICE CENTER, ATTN: DLSC-SBB, FEDERAL CENTER, 74 NORTH WASHINGTON, BATTLE CREEK, MICHIGAN
49017-3084.
INSTRUCTIONS
The CAGE Code listed below is assigned to your company to ensure that your production items are properly cataloged and contracting
services are administered correctly. This verification of contractor status is forwarded periodically for any necessary changes to your name,
address, etc. Please complete the following to assist us:
2. If any affiliated companies have been sold, indicate in Item 8, Remarks,
to whom and to what extent (include design control, patents, drawings,
product line, etc.) as this could affect the code assigned.

1. Please review the above address and annotate
any changes. If unchanged, X this box
3. If any of the facilities have been merged to form
another division, indicate here which CAGE Codes
are involved.

4. If any operation has been discontinued and its items now manufactured
elsewhere, include this information in Item 8, Remarks, as well as the
name of the current manufacturer.

5. SOURCE DEVELOPMENT PROFILE DATA. In the following four categories, if there is a letter printed in the space next to the category title,
verify the data against the tables immediately following each category. If a change is required, circle the appropriate letter in each
category. If the space is blank, circle one letter in each category that best describes your firm.
a. SIZE OF BUSINESS

b. PRIMARY BUSINESS
CATEGORY

A - Under 500 employees

F - Construction Firm

B - 501 to 750 employees

G - Service Company

C - 701 to 1000 employees

J - Manufacturer

D - 1001 to 1500 employees

K - Regular Dealer/Distributor

E - Over 1500 employees

L - Sales Office

d. WOMENOWNED**
BUSINESS

c. SMALL DISADVANTAGED
BUSINESS STATUS*
H - Approved by Small Business Administration
(SBA) for Section 8(a) Program
I - Other Small Disadvantaged Business Concern
X - Not Small Disadvantaged Business Concern

Y - Women-Owned
Business Concern
N - Not Women-Owned
Business Concern

*Small Disadvantaged Business Concern is defined in Section 19.001 of the Federal Acquisition Regulation.
**Women-Owned Business Concern is defined in Section 52.204-5 of the Federal Acquisition Regulation.
6. NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) CODE.
The NAICS Code is a government index used to identify business activity and indicates the
function (manufacturer, wholesaler, retailer, or service) and the line of business in which
the company is engaged. If your business has multiple NAICS Codes, indicate primary
NAICS Code first, next important, etc.
NAICS CODES

7. TELEPHONE NUMBER. Enter the telephone
number of the office designated to answer
queries from the Federal Government with
regard to contracting and/or procurement
actions.

8. REMARKS

9. CAGE CODE (Federal Supply Code
Manufacturer/Non-Manufacturer)

(For DLSC Use Only)

10. PERSON AUTHORIZED TO SIGN
a. TYPED OR PRINTED NAME (Last, First, Middle
Initial)

b. SIGNATURE

e. TELEPHONE NUMBER (Include Area Code)

d. TITLE

DD FORM 2051-1, FEB 2005

c. DATE SIGNED
(YYYYMMDD)

PREVIOUS EDITION IS OBSOLETE.

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