PR15893714_RAR Form_Cotonou.docx

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PR15893714_USMCotonouSourcesSought
Solicitation number
PR15893714_USMCotonouSourcesSought
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This is a Restricted Access Request Form for a pre-solicitation related to overseas guard services at the U.S. Mission Cotonou, Benin (Solicitation Number: PR15893714_USMCotonouSourcesSought).

The form requires interested vendors to provide complete requester information including company name, address, Unique Entity Identifier (UEI), CAGE Code, and point of contact details. Vendors must indicate their interest level as either a prime contractor, joint venture participant, or other entity type. The Department of State, Bureau of Diplomatic Security is conducting market research to identify vendors capable of providing local guard services at the U.S. Embassy in Cotonou. The primary mission involves protecting U.S. personnel, facilities, and equipment from violent attack and theft, preventing unauthorized access, maintaining order, and deterring criminal and terrorist activities. The NAICS code for these services is 561612. All interested vendors must be registered with SAM.gov, complete and sign this restricted access form, and submit an electronic request via SAM.gov for approval. Vendors must clearly demonstrate relevant experience through examples of previous or current guard security contracts. The restricted access documents contain technical and operational information that cannot be duplicated or redistributed, and all materials must be kept secure and destroyed upon termination of use. Completed forms should be submitted to GutierrezKV@state.gov.

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US Mission Cotonou, Benin – Overseas Guard Services Restricted Access Request

RESTRICTED ACCESS REQUEST – OVERSEAS GUARD SERVICES

U.S. MISSION COTONOU, BENIN

PR15893714

THIS FORM MUST BE FILLED OUT IN ITS ENTIRETY*. ANY INFORMATION NOT SUPPLIED WILL RENDER THIS REQUEST INVALID.

1. Requester Information

a. Company Name _____________________________________________________

b. Company Address ___________________________________________________

c. Unique Entity Identifier No. (UEI): ______________________________________

d. CAGE CODE ________________________________________________________

e. Point of Contact _____________________________________________________

f. Telephone No _______________________________________________________

g. E-mail Address ______________________________________________________

2. My interest in this project is as a (please check one):

a. a. [ ] Prime Contractor

b. b. [ ] Joint Venture Participant

c. c. [ ] Other (please specify) ___________________________________________

3. I, the undersigned, agree that I will safeguard this information in accordance with the following distribution restriction statement:

RESTRICTED DISTRIBUTION AGREEMENT

Distribution authorized to legitimate bidders only, contains technical or operation information.

THESE RESTRICTED ACCESS DOCUMENTS MAY NOT BE DUPLICATED NOR IS ANY SECONDARY DISTRIBUTION OF DOCUMENTS AUTHORIZED. ANY AND ALL FIRMS WISHING TO VIEW ANY PART OF THESE DOCUMENTS MUST REGISTER/BE REGISTERED WITH SAM.GOV, COMPLETE AND SIGN THIS FORM, AND HAVE THEIR REQUEST APPROVED BY THE GOVERNMENT. IN ADDITION, TO SUBMITTING THIS FORM THEY MUST ALSO SUBMIT AN ELECTRONIC REQUEST VIA SAM.GOV. ALL DATA SHALL BE KEPT IN A LOCKED DESK, LOCKED FILING CABINET, OR LOCKED ROOM WHEN NOT IN USE. UPON TERMINATION OF USE, THE HARDCOPY PRINTS AND ANY ELECTRONIC MEDIA SHALL BE DESTROYED BY SHREDDING THE PRINTS AND FORMATTING THE ELECTRONIC MEDIA. UPON TERMINATION OF USE, ALL MEDIA SHALL BE REMOVED FROM ANY COMPUTERS.

DO NOT COPY, SCAN OR POST ANY PART OF THESE BIDDING DOCUMENTS ON THE INTERNET.

Printed Name:____________________________ Signature:______________________________________

*Completed form may be e-mailed to GutierrezKV@state.gov.

Restricted Access Request Page 1

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