M67854-18-R-7600_-_Attachment_8_-_MCSC_Vendor_Roster_for_LRC-template_FEB2018.xlsx

Tab 1

5 U.S.C. Section 301 and OPNAVINST 5530.14C, for security purposes, authorizes collection and maintenance of information on individuals being considered or seeking consideration for access to spaces under the control of the Department of the Navy. This Vendor Screening Form is required by Marine Corps Installations National Capital Region (MCINCR) - Marine Corps Base Order (MCBO) 5530.2. Completed forms submitted to Marine Corps Systems Command (MARCORSYSCOM) will contain personally identifiable information (PII) on person(s) requiring access to MCINCR - Marine Corps Base Quantico (MCBQ) and/or MARCORSYSCOM locations; therefore, they will be controlled by the MARCORSYSCOM Contracting Officer Representative (COR) and the Security Office. The identified person(s) PII submitted to the MARCORSYSCOM COR and Security Office will not be accessible to Command employees outside of the COR and Security Office personnel. Completed forms will be submitted by the MARCORSYSCOM Security Office to the MCBQ, Security Battalion in accordance with MCINCR-MCBO 5530.2 to conduct a background screening on the person(s) listed on the form. Additional disclosures of this information may be made to a federal, state, or local law enforcement agency when such an agency becomes aware of a violation or possible violation of civil or criminal law or to a federal agency conducting an investigation for employment or security reasons. Failure to provide the requested information will result in a denial of access to Marine Corps Systems Command spaces.

&18VENDOR SCREENING FORM &D

&14FOR OFFICIAL USE ONLY (WHEN FILLED IN)