Attach (2) U.S.pdf
PDF 210 KB Posted
- Attached to
- FY24 MCON P-614 JOINT CONSOLIDATED COMMUNICATIONS CENTER, US JOINT REGION MARIANAS, ANDERSEN, GUAM
- Solicitation number
- N6274225R1303
About this file
This document is a U.S. Citizenship Certification form for solicitation N62742-25-R-1303, requiring contractors to provide proof of U.S. citizenship to access controlled unclassified information related to a Joint Consolidated Communications Center project at Andersen Air Force Base, Guam.
The form requires individuals to submit one of four acceptable documents as proof of citizenship: U.S. Passport, U.S. Birth Certificate, Certificate of Citizenship/FS-240/DS-1350 (for those born outside U.S.), or Certificate of Naturalization. The document includes a signature block where individuals must certify the accuracy and completeness of their citizenship information, and requires submission of an accompanying Non-Disclosure Agreement. This certification is specifically tied to accessing Volume 2 of the RFP documents, which contain controlled unclassified information for secure facility construction work.
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Text version
CERTIFICATION OF U.S. CITIZEN
Re: SOLICITATION/CONTRACT: N62742-25-R-1303/ CONTRACT NO. (TBD)
Name:
Instructions
Each individual shall provide one (1) of the four (4) acceptable documents listed below as proof of U.S. citizenship.
Each individual shall complete and sign the enclosed Non-Disclosure Agreement.
THE FOLLOWING WILL BE ACCEPTED AS UNITED STATES PROOF OF
CITIZENSHIP:
Copy of United States Passport;
Copy of Birth Certificate (if born in the United States);
Copy of Certificate of Citizenship or FS-240, DS-1350 (if born outside the United States); or
Copy of Certificate of Naturalization issued by the Immigration and Naturalization Office
By signing below, the undersigned does hereby agree that the information provided with this document, certifying that the undersigned is a U.S. citizen, is accurate and complete at the time of submission.
Signed:
Print Name:
Title:
Date:
Enclosure:
Attach (3) Non-Disclosure Agreement
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