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Attachment 1 Material Request Form

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Attachment 1

N00024‐17‐IWS5A‐01

BROAD AGENCY ANNOUNCEMENT MATERIAL REQUEST FORM

Those companies who wish to receive the material relevant to the Broad Agency Announcement (BAA) N00024‐17‐

IWS5A‐01 are to request such information from robert.j.mcneal@navy.mil and provide a copy to:

patricia.klimowicz@navy.mil, tracey.carothers@navy.mil, charnea.alston@navy.mil , and meghan.myers.ctr@navy.mil.

Said companies should complete the “Material Request” below and return it via email to the aforementioned Points of

Contact.

MATERIAL REQUEST

Material Requested

[Specify which BAA Priority Briefs]__________

Company Name

Unclassified Mailing Address

Classified Mailing Address

Classified Mailing POC

Name: __________________________

Title: __________________________

Email: __________________________

Facility Security Officer (FSO)

Phone: __________________________

*Personnel Verified by FSO

*Personnel verified by FSO

Attachment 1

Name: __________________________

*Use an additional sheet if needed

Cage Code

Level of Facility Clearance

Level of Storage Capability/Level of

Safeguarding

(Please Select ONLY One) Requested Method of Delivery

Fed Ex

CTR Fed Ex Account Number:

USPS

Contractor Courier Pick Up

CTR Point of Contact:

File details come from the government source that posted it. Updated .