Attachment_2-Clearance_Verification_Form.docx

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Attached to
JSOMTC Federal contract opportunity
Solicitation number
H92239-18-R-0011
Issued by
United States Special Operations Command

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JSOMTC SITE VISIT

SECURITY CLEARANCE FORM

September 11, 2018

INSTRUCTIONS:

1. Each participant shall submit a Site Visit Certification via the JPAS System to:

SMO Code: W1E0M1 Date of Visit: 11 September 2018 Purpose of Visit: Solicitation Site Visit. POC Mr. Don McNeil, SWMG

2. Once the JPAS request has been submitted, please provide this completed form back to the the Contract Specialist, Justin Burke at Justin.burke@socom.mil and cc” the Contracting Officer, Ms. Jennifer Payne at jennifer.payne@soc.mil NLT Wednesday, 5 September by 12:00 p.m. EDT.

3. Additionally, each participant shall be prepared to complete a Non-Disclosure Agreement the day of the site visit.

1. Has your firm submitted a Visit Certification via JPAS? Yes No

2. Please complete the following:

Full Name
Company
Email
Full SSN

1.

2.

3.

4.

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