25R0024_RestrictedAccessForm.docx
DOCX document 34 KB Posted
- Attached to
- Local Guard Services for Belgium Federal contract opportunity
- Solicitation number
- 19AQMM25R0024
About this file
This is a Restricted Access Request Form for solicitation 19AQMM25R0024, which potential bidders must complete to gain access to the Local Guard Services solicitation for the U.S. Mission in Brussels, Belgium.
The form requires companies to provide their basic information (company name, address, UEID, CAGE code, point of contact details) and specify their role as either prime contractor, joint venture participant, or other. Recipients must agree to safeguard the restricted information by keeping documents secured, preventing unauthorized distribution or duplication, and destroying all materials after use. The completed form must be emailed to the specified State Department contacts prior to submitting an access request in SAM.gov. The underlying requirement is for local guard services over a one base year plus four option years period, with the contractor responsible for providing security services to prevent loss, injury, unauthorized access, and potential terrorist attacks at the U.S. Mission in Brussels.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A004 Addl Questions- BRUSSELS_25R0024.xlsx | XLSX spreadsheet | |
| A0002_19AQMM25R0024_Local Guard Services for Belgium.pdf | ||
| Solicitation Questions - BRUSSELS_19AQMM25R0024.xlsx | XLSX spreadsheet |
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Text version
US Mission BRUSSELS - Local Guard Program Restricted Access Request
RESTRICTED ACCESS REQUEST - LOCAL GUARD PROGRAM
U.S. MISSION BRUSSELS, BELGIUM
19AQMM25R0024
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. Company Address ________________________________________________
c. UEID _____________________________________________________________
d. 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 Chantal Guetat at GuetatCA@state.gov and Jenel A. Charles at CharlesJA6@state.gov.
Restricted Access Request Page 1
SBU - CONTRACTING AND ACQUISITIONS
File details come from the government source that posted it. Updated .