RAR Form Banjul.docx

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Local Guard Services - U. S. Mission Banjul, The Gambia
Solicitation number
19AQMM22R0123
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This document contains a federal solicitation and related restricted access request form. The U.S. Department of State has a requirement for local guard services to support the U.S. Embassy in Banjul, Gambia. The contractor must provide organizational structure, management, and qualified staff to meet or exceed requirements in the performance work statement. Services must prevent loss, injury, destruction of assets, unauthorized access, and deter potential terrorist attacks. The period of performance is one base year with four one-year options. All contracted personnel, regardless of nationality, must pass background investigations by the contractor and U.S. government. Vendors must request access to solicitation documents via SAM and complete the restricted access request form, adhering to distribution and use restrictions. Preference will be given to U.S. persons and joint ventures. All offerors must register in SAM.gov prior to proposal submission and award.

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US Mission The Gambia– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST - LOCAL GUARD PROGRAM

U.S. MISSION THE GAMBIA

19AQMM21R0300

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 .