FFG(X)_CD_RFP_Classified_Material_Request_Form_FBO.doc

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Guided Missile Frigate (FFG(X)) Conceptual Design
Solicitation number
N0002418R2300
Issued by

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FFG(X) CD RFP CLASSIFIED AND DISTRIBUTION CONTROLLED MATERIAL REQUEST FORM

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N00024-18-R-2300

Guided Missile Frigate (FFG(X)) Conceptual Design

RFP CLASSIFIED AND DISTRIBUTION CONTROLLED MATERIAL REQUEST FORM

N00024-18-R-2300 Guided Missile Frigate (FFG(X)) Conceptual Design

RFP CLASSIFIED AND DISTRIBUTION CONTROLLED MATERIAL REQUEST FORM

Those companies who wish to receive the classified and limited distribution controlled material relevant to the solicitation N00024-18-R-2300 shall request such information from lawrence.gordin@navy.mil and kelli.bryan@navy.mil. Said companies should complete the below “Classified and Distribution Controlled Material Request” and assertion, sign and return via email to the aforementioned Points of Contact.

CLASSIFIED AND DISTRIBUTION CONTROLLED MATERIAL REQUEST

Material Requested
Classified and Distribution Statement D Attachments for Solicitation N00024-18-R-2300

Company Name

Unclassified Mailing Address
________________________________
Classified Mailing Address
________________________________
Classified Mailing POC
Name: __________________________

Title: __________________________

Email: __________________________

Security Manager
Name: __________________________

Phone: __________________________

CAGE Code

Level of Facility Clearance

Level of Storage Capability

Requested Method of Delivery (Please select ONE)

FedEx
Contractor FedEx Account Number:

Contractor Pick Up Washington Navy Yard, DC Contractor Point of Contact:

Name: __________________________

Phone: __________________________

I, [insert signatory's name], hereby certify that [company] will destroy any and all copies, notes, or other materials produced using the classified or other restricted information provided in connection with solicitation N00024-18-R-2300 within 180 days from receipt of access to the information, unless [company] submits a proposal in response to a final solicitation N00024-18-R-2300 issued by the Naval Sea Systems Command.

[Signature]

[Title]

Date

[Company Name]

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