DVM_Document_Access_Agreement_Form.xlsx

Form

Document Access Agreement/Request Form

Request access to the MDA/DVM MOKV documents. Fill out Section 1 and email to Duane.Keller@mda.mil

In submitting this request, we agree to the following document handling procedures:

� Only U.S. persons with need to know can handle the MDA/DVM MOKV CLASSIFED and CUI documents , per the official DD 254 � Offerors shall comply with BMDS FOUO documentation on Offeror's Unclassified LAN, see DD 254 Paragraph 11.1 � All MDA/DVM MOKV Requestor's documentation, in any form (hardcopy, electronic, DVD, etc.), shall be destroyed no later than five (5) days after notification of Government's decision to not select a white paper for award � I further agree on behalf of my company to hold the Missile Defense Agency harmless from any liability or damage which may result from the failure of my company or its employees to abide by the terms and conditions of this MDA/DVM MOKV Offeror's Document Access Agreement.

THIS AGREEMENT CONCERNS A MATTER WITHIN THE JURISDICTION OF AN AGENCY OF THE UNITED STATES AND THE MAKING OF A FALSE, FICTITIOUS, OR FRAUDULENT CERTIFICATION MAY RENDER THE MAKER SUBJECT TO PROSECUTION UNDER TITLE 18, UNITED STATED CODE, SECTION 1001. OTHER SANCTIONS RELATED TO CONDUCT MAY ALSO APPLY.

Sheet1