RAR Form 26N0005.docx
DOCX document 30 KB Posted
- Solicitation number
- 19AQMM26N0005
About this file
This is a Restricted Access Request form used by the Department of State's Bureau of Global Acquisitions for the International Narcotics and Law Enforcement Affairs (INL) office at the U.S. Mission Mexico. The form must be completed in its entirety by prospective contractors seeking access to restricted bidding documents related to solicitation 19AQMM26N0005, a pre-solicitation Request for Information (RFI) for a Tactical Law Enforcement Operations Training Program for Mexico.
Contractors must provide company information including name, address, DUNS number or CAGE code, and a point of contact with telephone and email details. They must also indicate their role in the project—whether as a prime contractor, joint venture participant, or other capacity. Upon approval by the government, contractors agree to strictly safeguard all restricted access documents by maintaining them in locked storage, prohibiting duplication or secondary distribution, and refraining from posting any materials on the internet. Upon termination of use, all hardcopy documents must be shredded and electronic media must be formatted and removed from computers. Completed forms should be submitted via email to Eric Modrak at ModrakER@state.gov. This form serves as a gatekeeping mechanism to control access to sensitive market research materials while the government finalizes procurement strategy and requirements for the future full solicitation.
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Text version
Department of State-- Bureau of Global Acquisitions Restricted Access Request
RESTRICTED ACCESS REQUEST – INTERNATIONAL NARCOTICS AND LAW ENFORCEMENT AFFAIRS
U.S. MISSION MEXICO
19AQMM26N0005
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. DUNS No. or CAGE CODE ___________________________________________
d. Point of Contact _____________________________________________________
e. Telephone No _______________________________________________________
f. 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 WITH SAM.GOV, COMPLETE AND SIGN THIS FORM, AND HAVE THEIR REQUEST APPROVED BY THE GOVERNMENT. 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 Eric Modrak at ModrakER@state.gov Restricted Access Request Page 1
File details come from the government source that posted it. Updated .