Atch 5. Document Request & Disclaimer Form.pdf

DEPARTMENT OF THE AIR FORCE

AIR FORCE LIFE CYCLE MANAGEMENT CENTER

HANSCOM AIR FORCE BASE MASSACHUSETTS

Other Transaction Authority (OTA) for Solicitation:

FA873026RB001

Aerospace Readiness Enterprise System (ARES)

DOCUMENTATION REQUEST AND DISCLAIMER FORM

Any information obtained from the AFLCMC/C3C Program Office will be used for the sole purpose of assisting , hereafter referred to as the "contractor", in responding to the Government's requirements for Solicitation XXXX. The contractor is responsible for ensuring that the information received will not be used for any purposes other than stated above and that the information will be destroyed by the contractor when work is completed.

The contractor guarantees that the provided information, and/or any modified version thereof, will not be published in any manner or offered for sale. The information shall not be sold or transferred to any other firm without prior written approval of the AFLCMC/C3C Program Office. The contractor understands that documentation contains Controlled Unclassified Information (CUI) and distribution is authorized only to United States Government agencies and U.S. Government contractors only, in accordance with the distribution statement.

The contractor understands that the information is intended for U.S. domestic use only. The contractor will not make the information available to foreign governments nor use the information in any contract(s) with a foreign government.

As a representative of the company/firm listed below, I am authorized to bind the company to the above stated rules.

Name of Individual:

Title/Position:

Phone:

Email Address:

Authorized Signature & Date:

Company/Firm Name:

CAGE Code:

Mailing Address:

City, State, Zip Code: