Attachment_13_-_Classified_Material_Request_Form_DRAFT.pdf

ATTACHMENT-13 N00024-18-NR-98173

RFP CLASSIFIED MATERIAL REQUEST FORM

Those companies who wish to receive the classified material relevant to the N00024-18-NR-98173 are to request such information from peter.richmond@navy.mil and provide a copy to jacob.glassman@navy.mil and angel.jaeger@navy.mil Said companies should complete the “Classified Material Request” below and return it via email to the aforementioned Points of Contact.

Said companies should complete the “Classified Material Request” below and return it via email to the aforementioned Points of Contact. Said Company and the Employees hereby agree that they shall not discuss, disclose, release, reproduce, or otherwise provide or make available any procedure, correspondence, documentation, budget, plans, business sensitive information, proprietary information, source selection information (as defined in

Federal Acquisition Regulation (FAR) 2.101), or any other data, software, or information pertaining to the CIS

Program (collectively, “Program Information”), regardless of the medium (e.g. electronic or paper) or format in which the Program Information exists, except as specifically authorized in writing by the Contracting Officer. The duties of Said Company the Employees under this agreement extend to any information that is derived from, is based upon, incorporates, includes or refers to Program Information. All information, material regardless of the medium will be destroyed forty-five (45) days after Contract Award. Destruction dates will be provided by the

Contracting Officer.

CLASSIFIED MATERIAL REQUEST

Classified Material Requested Classified Attachments for N00024-18-NR-98173 Company Name

Unclassified Mailing Address ________________________________

Classified Mailing Address ________________________________

Classified Mailing POC Name: __________________________

Title: __________________________

Email: __________________________

Security Manager Name: __________________________

Phone: __________________________

Email: __________________________

Cage Code

Level of Facility Clearance

Level of Storage Capability

Requested Method of Delivery (Please select ONE)

Fed Ex/USPS CTR Fed Ex Account Number:

CTR Pick Up

CTR Point of Contact:

Name: __________________________

Phone: __________________________

Email: __________________________ mailto:cherissa.tamayori@navy.mil mailto:glenda.leon@navy.mil mailto:angel.jaeger@navy.mil