NATO International Competitive Bidding

BIS-4023P INSTRUCTIONS
To participate
in NATO International
Competitive
Bidding
(ICB) ,
u.s. firms must be approved by the u.s. Department
of Commerce.
Firms should submit an application
for each facility
(i.e., main
office, branch, subsidiary,
etc.) to be considered
for NATO ICB.
If there is a change in corporate
status of an approved
firm,
(e.g., merger, acquisition
or reorganization),
a new application
should be submitted.
The following instructions
the BIS-4023P:

~""'\\ \e_~",\ (\~
1.

eomplete

correspond

format

Only ~

of facility.

?c.c~ys

fr_()'\..II...('t~C(\ ~~

~~

£nh~

3. Indicate the Defense Investi~aEive
Service
(DIS) clearance
level or N/A. The lack of a DIS clearance
does not disqualify
company from bidding on unclassified
NATO contracts.
4. Complete
5. Attach
technical
~nd

of

<1\~T

~

name andAaddress

2. For COffiffiorce
Use

to the numbered

if parent

company

is located

outside

a

the u.S.

a company resume that includes a description
of recent
contracts,
with reference
to work performed
for U.S.,
loeal 90vernmoBts
as well a~'tforeign governments.

~-T-C:+

~'n~nc\b.\ c:&OLU.~
6. Attach a current annual report/finsnoial
report indicating
audit, review, or compilation
by an independent
CPA. If an annual
report is not prepared by a subsidiary,
the annual report for the
parent company may be submitted
instead.

S ~

-+-~

.
i
. Y(sNAI~(,,),5
7. I d entl. f y 'tl51ngNort h Amerlcan
In d ustry Cl'aSSl f lcatlonA
CO~'3Anumbers
all goods/ services.J\t;obe-- cOJ,:],sieored
for NNW reB. Solect
NArc Ilombers are provided at the end of this form. If othe~I\N:AlC.-=:'
Ct-,~~
~
gooGs/services
apply
please makebrefereBoGe-~o
the NAIC}websi te:
http://www.census.gov/epcd/www/naics.html
bl·k~c~;~.

-¥

I

.-h-e.C\~t-\_, ~

N A \ c.S

I\r~

c.o&u

I

8. signatbre

of point of contact for NATO oQt:ltracts
.J\ ('ClCY\P cN\'I ~pre~
Submit applications/questiohs
to Elsie Carroll at Email:
~carroll@bis.doG.~ov
Phone: 202-482-8228
Fax: 202-482-5650
Q

,\ e.. \ S~e_~C'Ct\\c\\

e_ 6~s, ~o(:...'j0...J

S~

,e..o..._o.

~

,,~

r€.'S

a.

~

1. Facility: FuU"t:laR'li, ilddre~~i telel'liolle,
and fa*
Rttffieer ef €ompally~facility
for which approval is
desired. One form must be completed for each facility.
(Copies may be made of this form or extra copies
requested from the Bureau of Industry and Security.)

0

ComOcif\""-{

Form BIS-40;3P
Expires:~

I >--

OMB No. 0694-0128

U.S. DEPARTMENT OF COMMERCE
BUREAU OF INDUSTRY AND SECURITY

Name:

NATO
International Competitive Bidding (ICB)
Application

Street:
City/State/Zip:

2. liig~ e9MMEReE

tlSE 6Nt"r.

No approval may be granted
application form is received.
U.S.c. 171 et seq.)

fe\.c~\:iyC~GE~~·

unless a complete
(15 U.S.c. 1512 et

U.S. Department
of Commerce
Bureau of Industry and Security
HCHB Room 3878
14th Street & Constitution
Avenue,
Washington
DC 20230
-0

'"

3. Facility Security clearance/?~~\...\.O.~~e-..J
EiapalJilit'l: A Facility Security
prerequisite

Clearance

Top Secret

~~
Agency issuing security clearance:

.

~

Agency

Name:

City and State:

5~~~1e~:~
-'\

D

Top Secret

D

Confidential

Secret

D

0

Date clearance

issued (mm/dd/yyyy):

D

Confidential

LI

I, as the Security Officer for the facility listed in Item 1, am cognizant that certain NATO requests
NATO classified information
and am aware of that section of the Department
of Defense Industrial
that applies to handling and storage:
Printed

Name of Security

Signature

NW

I

Is not a

~

~..M

Clearance:

Secret

15

for NATO ICB.

Feeili~.,. ~AGe ~QEle'
Facility

seq.;

of Security

for bid will involve
Security Manual

Officer:

Officer:

I

I

Date:

Public reporting for this collection of information is estimated to be 1 hour per response, including the time for reviewing Instructions
and completing and reviewing the collection of information. All responses to this collection of information are voluntary and will be
provided confidentially to the extent allowed under the Freedom of Information Act. Notwithstanding any other provision of the law,
no person Is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB
Control Number. Send comments regarding this burden to the Reports Clearance Officer, Bureau of Industry and Security, US
Department of Commerce, Room 6622, 14th Street and Constitution Avenue, NW, Washington DC 20230.

4. If the facility listed in Item 1 has a parent company outside the U.S., please provide the following information:
Name:
Address:
Phone:
Fax:

.?

\k ("'e~v.tr'<2--

~ i

cC)~r~&

5. Resume: Attach a resume 0 ~ m's re ent-jee-experlence, with reference to work performed for
U.S.fstatE!/IOC~~d
foreign government~~
will assist in establishing t~e firm's professional
eefllpeteAce. ",b \.~
t.~rn,~')c.~e_
\oOO(\<._rt'\u.~~\,c:{"~c..'F'~ 1'(\ N~O
~'cno.\
(;"n\_o.>>- -~ Q, ~~.

+c

df

\

~

~~.~,.-h~~c~ k~

6. Financial documents: Attach a current annual report/PinaAeiel report~ndicating
audl , review, or
compilation by an independent CPA. If a separate annual report or financial statement is not prepared by
a subsidiary entity, an annual report for the parent company may be submitted.

p,~
•...•••.

S J::~.,~~c:.,r\lir
l..~Y\~~

7. NAIC'

~FF~

J.Adt:lst~la5~~;a~i;~(NAIE}

~

s ~

('{"'ss~~.~~
+-h •..•

1- •..•..•,

,i....
.,•........
-:f';"

+-.

£~P\\cf)
~S~
.:~~ ~
I~UI LII

+:~I"::::ott~'~h ',.j

AtlFRQ8F=5
ana enteF=tl:le QUl+lbel=s-aA6e011espofl6in§

:~~i~~fuez
NA'lC

~~,
(h

••...••••

\

~d!:l~r~~~~

I

'

8. Certification: If the undersigned/ certify that the information on this form and the accompanying
data are true and correct to the best of my knowledge and belief.

Signature:

I

I

Date (mm/dd/yyyy):

Name:

Phone:

Title:

Fax:
E-mail:

11...01 1

\?e\ ~

~:aI~tat~~:~~~Aj~~S~~

Description'

<..,)

.M111t:1

ae56F=iptionl:lelovlI. If

,.

Form BIS-4023P

~

NPI\CS Co\,:£S
FREQUENTLY USED ~AIC ~HJMiER-S AND THEIR DESCRIPTIONS
NPr\C~
NAIe#

DESCRIPTION OF PRODUCT OR SERVICE
DESIGN/CONSTRUCTION
Industrial Building Construction
Commercial & Institutional
Building Construction
Water & Sewer Line & Related Structures Construction
Oil & Gas Pipeline & Related Structures Construction
Power/Communication
Line & Related Structures Construction
Highway, Street & Bridge Construction
Other Heavy & Civil Engineering Construction

236210
236220
237110
237120
237130
237310
237990
?238910

Site Preparation Contractors
.-R
E.\~1"n~\ ~S
~O\kr
W~(\~ ).{\~\\.dn~
Architectural
Services
_.)
Engineering Services
Drafting Services
Geophysical Surveying & Mapping Services
Surveying & Mapping (except Geophysical) Services
Testing Laboratories
Industrial Design Services
Graphic Design Services
Other Specialized Design Services

~~3g~\O
541310
541330
541340
541360
541370
541380
541420
541430
541490

C-.-\--.-....-\-,rc

q\,''''''-'''''>

COMMUNCATION/INFORMATION
Electronic Computer Manufacturing
Computer Storage Device Manufacturing
C;;;ompyter T@rminal Many~eturing

334111
334112

':::z,~

C 33'-\\\~
423430

423440
423610
423690

5\1;1...\0
{s17110

'-7 51,],2!2
.a17310

n.

G.tnp~-( CC{ffi~
Wired Telecommunicatio
Carriers
~

(ai-~-T~\~

+

TeleC6f1lnlunications Resel~~

517410
Satellite Telecommunications
ti 1']'9
----------tOjl:t:Rh@.er:-r T+-€l€llII@€lGco~m:orrmu.LJl1Jnw;ic&;lallJtilQQnnS-S518110
Internet Ser ••••
ice Providel S
518210
Data Processing, Hosting & Related Services
541511
Custom Computer Programming
Services
541512
Computer Systems Design Services
541513
Computer Facilities Management Services
541519
Other Computer Related Services

ro

611420

.

Er,~~

Computer

Training

M
I'~~~

r.~_

_.J

MANAGERIAL/TECHNICAL

541614
541618
541620
541690
541710
541720
541870
541910
541930
541990
561110
561612
561613
561621

Administrative Management & General Management Consulting
Services
Process, Physical Distribution & Logistics Consulting Services
Other Management Consulting Services
Environmental Consulting Services
...,....,
\
Other Scientific and "Consulting Services
A \~()\ ,0,;\
R&D in the Physicar, Engineering and Life Sciences
R&D in the Social Sciences & Humanities
Advertising Material Distribution Services
Marketing Research & Public Opinion Polling
Translation and Interpretation Services
All Other Professional, Scientific & Technical Services
Office Administrative Services
Security Guards and Patrol Services
Armored Car Services
Security Systems Services (except Locksm iths)

611430

Professional & Management Development Training

722310

Food Service Contractors

541611

S
If other goods/services apply, please refer to the NAI~website:
http://www.census.gov/epcd/www/naics.html