Attachment 2) Facility Security Clearance Validation of Contractors.pdf
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- Solicitation number
- PANORL23P0000002076
About this file
This document is a template for contractors to provide information to validate their facility security clearance for access to classified or controlled unclassified information as part of the federal contract opportunity for the Basic Electronics Maintenance Trainer II tech refresh. The template requests the contractor's full legal name, CAGE code, System for Award Management registration status, details of any previous government work if unregistered, current facility security clearance level if approved, whether any foreign ownership or control exists, and related information for any foreign-owned subcontractors. By signing and dating the completed template, the contractor certifies the accuracy of the provided information.
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| File | Type | Posted |
|---|---|---|
| Attachment 1) BEMT II TECH REFRESH DRAFT SOW.pdf |
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FACILITY SECURITY CLEARANCE VALIDATION OF CONTRACTORS
Requiring Access to Classified, CUI Technical Data Packages
To facilitate the security validation procedures required to support your participation on FAR base contracts or OTA agreements, please provide the following information and certify (sign) and date your responses.
1. Company / Organization Full legal Name:
2. Company / Organization Cage Code:
3. Is your organization registered in the System for Award Management (SAM) database (Yes or No)?
4. If you answered “No” to question #3, please provide information regarding any previous government contracts or government work your organization has performed.
5. Does your company / organization have a DCSA approved Facility Clearance (FCL) (Yes or No)? If you answer “Yes,” List the level of your FCL (SECRET or TOP SECRET)
6. Is your company / organization (or your subcontractors foreign owned or under USA Foreign Owned, Controlled, or Influenced (FOCI) status (Yes or No)?
7. Is your company / organization in merger and/or purchasing discussions with a foreign company or a USA FOCI company (Yes or No)?
8. If you answered “Yes” to question #6 or #7, please provide the following information on each foreign owned or under USA FOCI company.
a. Full Company Name:
b. Cage Code:
c. Identify Country or Origin:
I certify the information I have provided on behalf of my organization is accurate and up to date.
Printed Name Signature Date
WHEN FILLED IN, MARK CUI AT THE TOP AND BOTTOM OF THIS PAGE!
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