RESTRICTED ACCESS REQUEST.pdf

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U. S. Mission Italy
Solicitation number
19AQMM26R0022
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This is a Restricted Access Request form for the U.S. Mission Italy Overseas Guard Services contract opportunity. The form is required to be completed in its entirety by any firm interested in viewing restricted bidding documents related to this procurement. Prospective bidders must provide complete requester information including company name, services offered, company address, UEID or CAGE code, point of contact details, telephone number, and email address. The form requires bidders to identify their role in the project by selecting whether they are a prime contractor, joint venture participant, or other entity type.

By signing this form, bidders agree to comply with a Restricted Distribution Agreement that limits access to legitimate bidders only and prohibits duplication or secondary distribution of documents. All restricted access documents must be kept in locked storage when not in use and destroyed by shredding or formatting upon termination of use. Bidders are explicitly prohibited from copying, scanning, or posting any part of the bidding documents on the internet. Completed forms must be emailed to Contracting Officer Kerryn Finik at finikk@state.gov and Paige Goeke at GoekePA@state.gov for government approval before access to documents is granted. This document is marked as SBU (Sensitive But Unclassified) for contracting and acquisitions purposes.

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US Mission Italy - Overseas Guard Services Restricted Access Request

Restricted Access Request Page 1

SBU - CONTRACTING AND ACQUISITIONS

RESTRICTED ACCESS REQUEST – OVERSEAS GUARD SERVICES

U.S. MISSION ITALY

THIS FORM MUST BE FILLED OUT IN ITS ENTIRETY*. ANY INFORMATION NOT SUPPLIED WILL

RENDER THIS REQUEST INVALID.

1. Requester Information

a. Company Name:

b. Services:

c. Company Address:

d. UEID or CAGE CODE:

e. Point of Contact:

f. Telephone No:

g. E-mail Address:

2. My interest in this project is as a (please check one):

a. a. [ ] Prime Contractor

b. b. [ ] Joint Venture Participant

c. c. [ ] Other (please specify) ___________________________________________

3. I, the undersigned, agree that I will safeguard this information in accordance with the following distribution restriction statement:

RESTRICTED DISTRIBUTION AGREEMENT

Distribution authorized to legitimate bidders only contains technical or operation information.

THESE RESTRICTED ACCESS DOCUMENTS MAY NOT BE DUPLICATED NOR IS ANY SECONDARY

DISTRIBUTION OF DOCUMENTS AUTHORIZED. ANY AND ALL FIRMS WISHING TO VIEW ANY PART OF THESE DOCUMENTS MUST REGISTER WITH FEDBIZOPS, COMPLETE AND SIGN THIS FORM, AND HAVE THEIR REQUEST APPROVED BY THE GOVERNMENT. DATA SHALL BE KEPT IN A LOCKED DESK, LOCKED FILING CABINET, OR LOCKED ROOM WHEN NOT IN USE. UPON TERMINATION OF USE, THE HARDCOPY

PRINTS AND ANY ELECTRONIC MEDIA SHALL BE DESTROYED BY SHREDDING THE PRINTS AND

FORMATTING THE ELECTRONIC MEDIA. UPON TERMINATION OF USE, ALL MEDIA SHALL BE REMOVED

FROM ANY COMPUTERS.

DO NOT COPY, SCAN OR POST ANY PART OF THESE BIDDING DOCUMENTS ON THE INTERNET.

Printed Name: Signature:

*Completed form may be e-mailed to Contracting Officer Kerryn Finik at finikk@state.gov and Paige Goeke at GoekePA@state.gov mailto:finikk@state.gov

Other please specify:
Text1:
Check Box13: Off
Check Box14: Off
Check Box15: Off
Signature16_es_:signer:signature:
Text18:

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