Doha_RestrictedAccessForm.docx

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Pre-Solicitation Notice- Local Guard Force for U. S. Embassy Doha, Qatar
Solicitation number
19AQMM23R0087
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This document contains a restricted access request form and pre-solicitation notice for a local guard force services contract with the U.S. Department of State in Doha, Qatar. The pre-solicitation notice seeks interested offerors to provide local guard services to support the U.S. Mission in Doha under a single-award time-and-materials, fixed-price, and cost-reimbursable contract for one base year and four one-year options. Interested firms must complete and return the restricted access request form to obtain the pre-solicitation documents, which will require the contractor to provide organizational structure, management, and qualified staff to meet performance requirements and prevent security threats. The anticipated period of performance is one base year and four one-year options.

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US Mission Doha– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST - LOCAL GUARD PROGRAM

U.S. MISSION Doha, Qatar

19AQMM23R0087

THIS FORM MUST BE FILLED OUT IN ITS ENTIRETY*. ANY INFORMATION NOT SUPPLIED WILL RENDER THIS REQUEST INVALID.

1. Requester Information

a. Company Name _____________________________________________________

b. Company Address ___________________________________________________

c. UEI Number ___________________________________________

d. Point of Contact _____________________________________________________

e. Telephone No _______________________________________________________

f. E-mail Address ______________________________________________________

2. My interest in this project is as a (please check one):

a. a. [ ] Prime Contractor

b. b. [ ] Joint Venture Participant

c. c. [ ] Other (please specify) ___________________________________________

3. I, the undersigned, agree that I will safeguard this information in accordance with the following distribution restriction statement:

RESTRICTED DISTRIBUTION AGREEMENT

Distribution authorized to legitimate bidders only, contains technical or operation information.

THESE RESTRICTED ACCESS DOCUMENTS MAY NOT BE DUPLICATED NOR IS ANY SECONDARY DISTRIBUTION OF DOCUMENTS AUTHORIZED. ANY AND ALL FIRMS WISHING TO VIEW ANY PART OF THESE DOCUMENTS MUST REGISTER WITH FEDBIZOPS, COMPLETE AND SIGN THIS FORM, AND HAVE THEIR REQUEST APPROVED BY THE GOVERNMENT. DATA SHALL BE KEPT IN A LOCKED DESK, LOCKED FILING CABINET, OR LOCKED ROOM WHEN NOT IN USE. UPON TERMINATION OF USE, THE HARDCOPY PRINTS AND ANY ELECTRONIC MEDIA SHALL BE DESTROYED BY SHREDDING THE PRINTS AND FORMATTING THE ELECTRONIC MEDIA. UPON TERMINATION OF USE, ALL MEDIA SHALL BE REMOVED FROM ANY COMPUTERS.

DO NOT COPY, SCAN OR POST ANY PART OF THESE BIDDING DOCUMENTS ON THE INTERNET.

Printed Name:____________________________ Signature:______________________________________

*Completed form may be e-mailed to Mohammed N. Haque at HaqueMN@state.gov Restricted Access Request Page 1

SBU - CONTRACTING AND ACQUISITIONS

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