Request for Sensitive but Unclassified Building.pdf

REQUEST FOR SENSITIVE BUT UNCLASSIFIED BUILDING (SBU) INFORMATION

Attachment(s) __________________________________________________________

Solicitation/Contract No. __________________________________________________

DOCUMENT SECURITY AGREEMENT

NOTICE TO PROSPECTIVE BIDDERS/OFFERORS

This solicitation/contract includes Sensitive but Unclassified (SBU) building information. SBU information provided under this solicitation/contract is intended for use by authorized users only.

In support of this requirement, General Services Administration (GSA) requires bidders/offerors/contractors to exercise reasonable care when handling SBU building information per the solicitation. To receive SBU building information related to this solicitation/contract, please provide the information requested herein and execute the agreement.

Valid identification for non-Government users. Non-Government users shall provide valid identification/information to receive SBU building information. The identification/information shall be presented and verified for each dissemination of SBU information and shall include items stated in (1. a.) through (1. d.).

(a) A copy of a valid business license, articles or certification of formation, or other documentation granted by the state or local jurisdiction to conduct business. The license or other documentation at a minimum shall provide the name, address, phone number of the company, state of formation, and the name of the individual legally authorized to act for the company. If a business license or other documentation is not available from the jurisdiction, a statement testified to by the submitter shall be provided; and

(b) Verification of a valid DUNS Number against the company name listed on the business license or certification. Verification may be obtained through http://www.fpdc.gov, or by calling Dun & Bradstreet at 703-807-5078 to set up an account; and

(c) A valid Employer ID Number/Federal Tax ID Number of the company requesting the information; and,

(d) A valid picture state driver's license shall be required of person(s) picking up SBU documents. Phone verification must be made to a previously validated authorized user that the individual(s) picking up the documentation is authorized to do so by the company obtaining the documents. SBU documents will not be released to any individual or firm who has not supplied the documentation required by this Agreement.

Revised June 16, 2008 http://www.fpdc.gov/

CONTROL AND RETENTION OF SBU BUILDING INFORMATION:

1. Limiting dissemination to authorized users. Dissemination of information shall only be made upon determination that the recipient is authorized to receive it. The criterion to determine authorization is need-to-know. Those with a need-to-know are those who are specifically granted access for the conduct of business on behalf of or with GSA. This includes all persons or firms necessary to perform work at the request of the Government, such as architects and engineers, consultants, contractors, sub-contractors, suppliers, and others that the contractor deems necessary in order to submit an offer/bid or to complete the work or contract, including maintenance and repair contractors and equipment service contractors.

Note: It is the responsibility of the person or firm disseminating the SBU building information to assure that all other recipients are authorized users and to keep records of all recipients. The authorized user must safeguard against unauthorized use of the SBU building information throughout the term of retention. Prospective offerors/bidders/contractors who wish to be designated as an authorized user shall provide identification and information as set forth below:

2. Retaining and destroying documents.

(a). Offerors/bidders not awarded the resultant contract shall immediately upon such notification return all SBU building information to GSA or provide a disposal statement as required by (2. d.) below. The contractor, at the completion of the contract, shall immediately return all SBU building information to GSA or provide a disposal statement as required by

(2. d.) below. All exceptions to this requirement must be approved by the Contracting Officer.

(b). Copies of SBU building information retained for legal, warranty or other legitimate purposes must be safeguarded against unauthorized use for the term of retention. When the SBU building information is no longer needed, the offeror/bidder/contractor shall immediately return all SBU building information to GSA or provide a disposal statement as required by (2. d.)

below.

(c). Term of Agreement: The requirements stated herein shall continue throughout the solicitation period and contract term, and for any specific time thereafter as determined necessary by the Contracting Officer.

(d). Written Disposal Statement: All offerors/bidders provided SBU building information shall provide a written statement (see attached) that they and all other authorized users have properly disposed of the SBU building information. Contractors provided SBU building information shall provide the disposal statement (which may exclude the contractor's record copy) prior to submission of a Release of Claims to obtain final payment. Destruction shall be accomplished by burning or shredding hardcopy documents, physically destroying CD's, permanently deleting and removing electronic files, and removing files from computer hard drives.

3. Related Authorities: Authorized users shall comply with the requirements of PBS Order 3490.1, the GSA Acquisition Manual, and the Federal Acquisition Manual relative to safeguarding SBU building information. Failure to comply may result in sanctions or penalties enforced under governing regulations or statutes.

The requester shall complete the information below and return the entire Request for Sensitive but Unclassified Building (SBU) Information document to the Contracting Officer or Contract Specialist. By signature below, the requestor of SBU building information acknowledges the requirement to maintain controls, as stated herein, to safeguard the information, and shall return or destroy the SBU building information as required by this Agreement. The undersigned acknowledges that the requester shall abide by this Agreement and shall only disseminate SBU building information to other authorized users under the conditions set forth herein.

Company Name: ______________________________________________

Name of Individual: ____________________________________________

Signature: ___________________________________________________

Title: _______________________________________________________

Date: _________________

(Attach copy of business license or formation document)

DUNS Number:_________________________________________

DUNS Number Verified by Government Representative at:

http://www.fpdc.gov/fpdc/duns-query-v2_fpdc.htm or http://www.ccr.gov Yes: ___ No: ___

Employer ID Number/Federal Tax ID Number ___________________________________

Offeror/bidder/contractor information and DUNS number has been verified and release of SBU building information is approved by:

Contracting Officer's Name Date

Signature http://www.fpdc.gov/fpdc/duns-query-v2_fpdc.htm http://www.ccr.gov/