SBU_Information_Request_Form.pdf
PDF 11 KB Posted
- Attached to
- Replace snow melt ramp Federal contract opportunity
- Solicitation number
- 47PJ0019R0085
About this file
Form required to request drawings.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| response_to_questions.pdf | ||
| Price_Breakdown_template.xls | XLS spreadsheet | |
| solicitation-BismarckRamp.pdf | ||
| SBU_Information_Request_Form.pdf | ||
| ND_12____2_15_19.pdf | ||
| USR_v2.1_6.8.18.pdf | ||
| 100__Final_Submittal_Specs_24-JAN-2019.pdf | ||
| Reference_Form.pdf | ||
| SOW_BMK37_Ramp_Hydronic_Replacement_V2_2018.pdf |
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Text version
Revised 2/7/2014
REQUEST FOR SENSITIVE BUT UNCLASSIFIED BUILDING (SBU) INFORMATION
The requester shall complete the information below and return the entire Request for Sensitive but Unclassified Building (SBU) Information document to the Contracting Officer or Contract Specialist.
By signature below, the requestor of SBU building information acknowledges the requirement to maintain controls, as stated herein, to safeguard the information, and shall return or destroy the SBU building information as required by this Agreement. The undersigned acknowledges that the requester shall abide by this Agreement and shall only disseminate SBU building information to other authorized users under the conditions set forth herein.
Company Name: ______________________________________________
Name of Individual: ____________________________________________
Signature: ___________________________________________________
Title: _______________________________________________________
Date: _________________
(The Offeror shall attach copy of business license or formation document)
DUNS Number:_________________________________________
DUNS Number Verified by Government Representative at:
https://www.sam.gov/portal/public/SAM/#1 Yes: ___ No: ___
Employer ID Number/Federal Tax ID Number ___________________________________
Offeror/bidder/contractor information and DUNS number has been verified and release of SBU building information is approved by:
Contracting Officer's Name Date
Signature https://www.sam.gov/portal/public/SAM/#1
Revised 2/7/2014
DISPOSAL STATEMENT
(Contractor shall return upon completion of project and proper disposal of drawings.)
Solicitation/Contract Number: ___________________________________
I hereby certify that all Sensitive but Unclassified (SBU) building information relative to the referenced solicitation/contract not previously returned to the Government has been destroyed or disposed of by burning or shredding paper copies, physically destroying computer diskettes or permanently deleting/removing/erasing electronic files from computers.
I also certify the no unauthorized physical or electronic copies of such SBU building information were made or are being retained.
Company Name: ______________________________________________
Name of Individual: ____________________________________________
Signature: ___________________________________________________
Title: _______________________________________________________
Date: _________________
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