25R0199 Port Vila OGS_RestrictedAccessForm.docx
DOCX document 34 KB Posted
- Solicitation number
- 19AQMM25R0199
About this file
This document is a Restricted Access Request Form for the U.S. Mission Port Vila Overseas Guard Services contract (Solicitation Number 19AQMM25R0199). The Department of State is seeking a qualified contractor to provide guard services for the U.S. Mission in Port Vila, Vanuatu, with a primary objective of ensuring a secure environment for mission personnel and assets. The contract's anticipated performance period includes one base year with four potential one-year option periods, to be exercised at the government's discretion.
To access the solicitation documents, interested offerors must complete the attached request form and email it to the Contracting Officer (Jenel A. Charles at CharlesJA6@state.gov), followed by submitting an access request in SAM.gov. The contractor will be responsible for providing organizational management and qualified staff to prevent loss, injury, unauthorized access, and potential terrorist attacks. The form includes strict confidentiality requirements, mandating that documents cannot be duplicated, distributed secondarily, or posted online, with physical and electronic documents to be securely stored and ultimately destroyed upon contract completion.
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Text version
U.S. MISSION PORT VILA – Overseas Guard Services Restricted Access Request
RESTRICTED ACCESS REQUEST – OVERSEAS GUARD SERVICES
U.S. MISSION PORT VILA, VANUATU
19AQMM25R0199
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. Point of Contact _____________________________________________________
e. Telephone No _______________________________________________________
f. 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 shall be e-mailed to Jenel A. Charles at CharlesJA6@state.gov then request access in sam.gov.
Restricted Access Request Page 1
SBU - CONTRACTING AND ACQUISITIONS
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