Phase 1 - Solicitation Attachment 01 - CUI Building Information Request Form.docx
DOCX document 20 KB Posted
- Attached to
- Design-Build Services for Modernization of the Alcan Land Port of Entry (LPOE), Tok, Alaska
- Solicitation number
- 47PJ0025R0058
About this file
This document is a Controlled Unclassified Information (CUI) Building Information Request Form for the Alcan Land Port of Entry (LPOE) modernization project in Tok, Alaska. The form requires potential offerors to complete company details, acknowledge CUI information handling requirements, and confirm site visit attendance for a mandatory visit scheduled on August 27, 2025, at 8:00 AM. The form includes sections for verifying company information, UEI number verification, and a disposal statement for CUI building information.
The associated federal contract opportunity is a GSA Design-Build Project for full replacement and modernization of the Alcan LPOE, involving demolition of existing structures and construction of approximately 20 new buildings, including main inspection facilities, officer quarters, and support structures. The project will involve phased construction to maintain port operations, installation of advanced security and communication systems, comprehensive utility and civil site redevelopment, and considers local workforce and supply chain challenges due to the remote location. This is a Phase 1 Request for Qualifications (RFQ) solicitation, with the contract being managed by the General Services Administration Public Buildings Service Region 8.
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Text version
REQUEST FOR CONTROLLED UNCLASSIFIED INFORMATION (CUI) BUILDING INFORMATION
Solicitation Number: 47PJ0025R0058
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.)
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 DUNS number has been verified and release of CUI building information is approved by:
| ________________________________________ | _____________________ | |
| Brian J. Turk | Date |
Contracting Officer
SITE VISIT ATTENDANCE CONFIRMATION
A site visit will be held on August 27, 2025, at 8:00 AM at the Alcan Land Port of Entry (LPOE).
Offerors shall indicate below whether they will attend the site visit and provide the names, company, and phone numbers of all attendees. Please submit this completed form along with your CUI request.
Will you attend the site visit? Yes: ___ No: ___
Name, Company and Phone # of attendees:
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 the 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: _________________
Revised 2/15/2022
File details come from the government source that posted it. Updated .