5 - Phase 1 - SBU Information Request Form.doc

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Attached to
Building 40 and 1A Consolidation Project Federal contract opportunity
Solicitation number
47PJ0020R0043
Issued by
General Services Administration Public Buildings Service Region 8

About this file

This document provides details for a two-phase design-build solicitation for the Building 40 and 1A Consolidation Project. The General Services Administration seeks to award a firm-fixed price contract to design and construct approximately 55,294 gross square feet of office and related space at the Denver Federal Center campus for the Bureau of Land Management Colorado State Office consolidation. Phase 1 is a request for qualifications to shortlist the most highly qualified offerors, with three firms to be selected to submit proposals in Phase 2. Phase 2 will use FAR Part 15 procedures for separately evaluating technical and price proposals. A stipend will be provided for unsuccessful Phase 2 proposals that meet submission requirements. The solicitation targets small businesses and estimates the project cost to be between $10-20 million, with occupancy planned for 2022. Interested parties must attend a February 18th pre-solicitation conference and the Phase 1 response is due by May 14, 2020.

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Text version

{This form is for the offeror’s/contractor’s use if drawings or other sensitive but unclassified building information will be requested by the offeror/contractor. This certification should be incorporated into the Representations and Certifications section of the construction solicitation template and separated with a page break from the previous page.}

REQUEST FOR SENSITIVE BUT UNCLASSIFIED BUILDING (SBU) INFORMATION

Solicitation/Contract Number ________________________________________

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 and Title: ____________________________________________

Signature: ___________________________________________________

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 Contracting Officer This statement shall be submitted by the holder of SBU building information when information is disposed of in accordance with the Request for Sensitive but Unclassified Building Information upon completion of the Project.}

DISPOSAL STATEMENT FOR SENSITIVE BUT UNCLASSIFIED BUILDING INFORMATION

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: _________________

Revised 6/24/2015

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