ANNEX 3 - Document Access Agreement and Request Form.pdf

PDF 20 KB Posted

Attached to
Missile Defense Agency (MDA) Special Topic Broad Agency Announcement (BAA) for the Concept Definition for Sea-Based Terminal Future Interceptor
Solicitation number
HQ0851-20-S-0001
Issued by

View the file

Other files

File Type Posted
ANNEX 1 - OCI Analysis and Disclosure Form.pdf PDF
Concept Definition for SBT Future Interceptor.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Company Name

Facility Security Point of Contact Phone # Email

Corporate Point of Contact Phone # Email

CAGE Code Facility Clearance (FCL) Level

Storage Auth Level

Accept via SIPRNet and/or CWAN?

SIPR/CWAN Address(es)

Accept FEDEX deliveries?

Are you able to process classified CDs?

Document Access Agreement and Request Form Request for classified material. Fill out Sections 1 and 2. The FSO should sign Section 3, and then email to frederick.dildine@mda.mil and daniel.l.watson.ctr@mda.mil

SECTION 1 -- COMPANY INFORMATION

Classified Mailing Address

SECTION 2 -- CLASSIFIED RECEIVING INFORMATION

SECTION 3 -- ACCESS STIPULATIONS AGREED TO BY SUBMITTING THIS SIGNED FORM

FSO Signature/Date

By signing and returning this form, the company agrees to the following pre-award stipulations:

1. The Government will transmit the classified information to the Facility Security Officer (FSO).

2. The FSO is responsible for internal delivery to company employees who a) are properly cleared to the level of the information, and b) have a specific need-to-know.

3. Classified information provided by the Government or produced by the company will be protected IAW the full requirements of the National Industrial Security Program (NISP) and the NISP Operating Manual (NISPOM).

4. No classified or unclassified information generated from this pre-award activity shall be released to the public or made available in a publicly accessible location without written permission from the Government.

5. The company is not relieved of any Export Control requirements pertaining to this information or the Government's pre-award activity.

6. Unless selected for contract award, all classified material related to this pre-award activity, whether provided by the Government or produced by the company, shall be destroyed IAW NISP/NISPOM requirements or returned to the Government by an approved method of transmission. This shall include electronic and hardcopy materials, as well as all storage media.

7. The company shall comply with the DD Form 254 that accompanies classified Government Furnished Information

(GFI).

Form

SECTION 1 COMPANY INFORMATION:
Company Name:
Facility Security Point of Contact:
Phone:
Email:
Corporate Point of Contact:
Phone_2:
Email_2:
CAGE Code:
Facility Clearance FCL Level:
Storage Auth Level:
SECTION 2 CLASSIFIED RECEIVING INFORMATION:
Accept via SIPRNet andor CWAN:
SIPRCWAN Addresses:
Accept FEDEX deliveries:
Classified Mailing Address:
Are you able to process classified CDs:

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