Form BIS-4023P Application for 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 the corporate status of an approved firm,
(e.g., merger, acquisition, reorganization), a new application
should be submitted.
The following instructions correspond to the numbered format of
the BIS-4023P:
1. Full legal name and street address of facility.
2. Facility's Commercial and Government Entity (CAGE) Code.
3. Indicate the Defense Investigative Service (DIS) clearance
level or N/A. The lack of a DIS clearance does not disqualify a
company from bidding on unclassified NATO contracts.
4. Complete if parent company is located outside the U.S.
5. Attach a company resume that includes a description of recent
technical contracts, with reference to work performed for U.S.
and foreign governments.
6. Attach a current annual report/set of financial documents
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.
7. Identify the North American Industry Classification System
(NAICS) codes for the goods/services provided by the facility.
Some frequently used NAICS codes are provided at the end of this
form. If other NAICS codes apply, refer to the NAICS website:
http://www.census.gov/epcd/www/naics.html
8. Signature of company representative.
Submit applications/questions to Lee Ann Carpenter:
[email protected] Phone: 202-482-2583 Fax: 202-482-5650

1. Facility: Full legal name and street address of
Form BIS-4023P
OMB No. 0694-0128
company facility for which approval is desired. One form
Expires: 01/31/2020
must be completed for each facility. (Copies may be made
of this form or extra copies requested from the Bureau of
U.S. DEPARTMENT OF COMMERCE
Industry and Security.)
BUREAU OF INDUSTRY AND SECURITY
Name: ____________________________________
Street: ____________________________________

NATO
International Competitive Bidding (ICB)
Application

City/State/Zip: _____________________________
2. Facility CAGE Code: __________

No approval may be granted unless a complete
application form is received. (15 U.S.C. 1512 et seq.;
15 U.S.C. 171 et seq.)
U.S. Department of Commerce
Bureau of Industry and Security
HCHB Room 3878
14th Street & Constitution Avenue, NW
Washington DC 20230

3. Facility Security Clearance/Safeguarding Levels:
A Facility Security Clearance is not a prerequisite for
participation in NATO ICB.

Facility Clearance Level:

Safeguarding Level:

Top Secret

Top Secret

Secret

Secret

Confidential

Confidential

Agency issuing security clearance:
Agency Name: __________________________
City and State: __________________________
Date clearance issued (mm/dd/yyyy): ________

I, as the Security Officer for the facility listed in Item 1, am cognizant that certain NATO requests for bid will involve
NATO classified information and am aware of that section of the Department of Defense Industrial Security Manual
that applies to handling and storage:
Printed Name of Security Officer: ______________________________________________
Signature of Security Officer: _________________________________________________
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: _______________________________

5. Resume: Attach a resume of the firm’s recent contract experience, with reference to work performed
for U.S. and foreign governments. The resume will assist in establishing the firm’s ability to perform
the scope of work required for participation in NATO International Competitive Bidding.
6. Financial documents: Attach a current annual report/set of financial documents indicating audit,
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.
7. NAICS: List the North American Industry Classification System (NAICS) codes and corresponding
description for the goods and services provided by the facility in the space below:

NAICS

Description

8. Certification: I, 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: ___________________________

Date (mm/dd/yyyy): ______________

Name: ______________________________

Phone: ______________________

Title:

Fax: ________________________

______________________________

E-mail: ______________________

Form BIS-4023P
FREQUENTLY USED NAICS CODES AND THEIR DESCRIPTIONS
NAICS

DESCRIPTION OF PRODUCT OR SERVICE
DESIGN/CONSTRUCTION

236210
236220
237110
237120
237130
237310
237990
238210
238910

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
Electrical Contractors and Other Wiring Installation Contractors
Site Preparation Contractors

541310
541330
541340
541360
541370
541380
541420
541430
541490

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
COMMUNCATION/INFORMATION

334111
334112
334118
423430

Electronic Computer Manufacturing
Computer Storage Device Manufacturing
Computer Terminal and other Computer Peripheral Equipment Manufacturing

423690

Computer & Computer Peripheral Equipment and Software
Merchant Wholesalers
Other Commercial Equipment Merchant Wholesalers
Electrical Apparatus & Equipment, Wiring Supplies and Related
Equipment Merchant Wholesalers
Other Electronic Parts and Equipment Merchant Wholesalers

517110
517210
517410
517911
518210
541511
541512
541513
541519

Wired Telecommunications Carriers
Wireless Telecommunications Carriers (except Satellite)
Satellite Telecommunications
Telecommunications Resellers
Data Processing, Hosting & Related Services
Custom Computer Programming Services
Computer Systems Design Services
Computer Facilities Management Services
Other Computer Related Services

611420

Computer Training

423440
423610

MANAGERIAL/TECHNICAL
541611
541614
541618
541620
541690
541712
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 Technical Consulting Services
R&D in the Physical, Engineering and Life Sciences (excepty Biotechnology)
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 Locksmiths)

611430

Professional & Management Development Training

722310

Food Service Contractors

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