47PJ0025R0049 - CUI Building Information Request Form.pdf

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Attached to
Building 50 Office Renovation Design-Build Project Federal contract opportunity
Solicitation number
47PJ0025R0049
Issued by
General Services Administration Public Buildings Service Region 8

About this file

This document is a Request for Controlled Unclassified Information (CUI) Building Information form for the Building 50 Office Renovation Design-Build Project (Solicitation Number 47PJ0025R0049). The form requires potential offerors to complete and submit documentation to request access to sensitive building information, including verifying their SAM UEI Number, providing business license documents, and agreeing to maintain strict controls over the received information.

The associated federal contract opportunity is a small business set-aside procurement by the General Services Administration Public Buildings Service Region 8 for designing and constructing office space at the Denver Federal Center campus in Lakewood, Colorado. The project will use a two-phase selection process, with a maximum of 3 firms selected to submit Phase 2 proposals. The estimated project price range is between $5,000,000 and $10,000,000, with key dates including a pre-proposal conference on May 7, 2025, a question submission deadline of May 14, 2025, and a qualifications proposal receipt deadline of May 28, 2025 at 2:00 pm MT.

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Text version

REQUEST FOR CONTROLLED UNCLASSIFIED INFORMATION (CUI) BUILDING

INFORMATION

Solicitation/Contract Number ________________________________________

The requester shall complete the information below and return the entire Request for CUI Building Information document to the Contracting Officer or Contract Specialist. By signature below, the requestor of CUI building information acknowledges the requirement to maintain controls, as stated herein, to safeguard the information, and shall return or destroy the CUI building information as required by this Agreement. The undersigned acknowledges that the requester shall abide by this Agreement and shall only disseminate CUI building information to other authorized users under the conditions set forth herein.

Company Name: _____________________________________________________

Name of Individual and Title: ____________________________________________

Signature: ___________________________________________________

Date: _______________________________________________________

(The Offeror shall attach copy of business license or formation document.)

SAM UEI Number: _________________________________________

UEI 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 UEI number has been verified and release of CUI building information is approved by:

Joseph Dorsey Date Contracting Officer https://www.sam.gov/portal/public/SAM/#1

DISPOSAL STATEMENT FOR CUI BUILDING INFORMATION

Solicitation/Contract Number ________________________________________

I hereby certify that all CUI 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 that no unauthorized physical or electronic copies of such CUI building information were made or are being retained.

Company Name: ______________________________________________

Name of Individual: ____________________________________________

Signature: ___________________________________________________

Title: _______________________________________________________

Date: _________________

File details come from the government source that posted it. Updated .