RESTRICTED ACCESS REQUEST.pdf
PDF 129 KB Posted
- Attached to
- US Mission Fiji Local Guard Services
- Solicitation number
- 19AQMM26R0113
About this file
This is a Restricted Access Request form for a Request for Information/Pre-Solicitation Notice issued by the U.S. Mission Fiji for a Local Guard Program contract opportunity (Solicitation Number: 19AQMM26R0113).
The form requires interested parties to provide complete requester information including company name, address, UEID number, point of contact details, telephone number, and email address. Applicants must indicate their interest level as either a Prime Contractor, Joint Venture Participant, or other specified role. All firms wishing to access the restricted documents must register with SAM.GOV, complete and sign this form, and receive government approval. The documents are subject to strict distribution controls: they may not be duplicated or secondarily distributed, must be stored in locked containers when not in use, and must be destroyed upon termination of use through shredding hardcopies and formatting electronic media. Documents are explicitly prohibited from being copied, scanned, or posted on the internet. Completed forms should be emailed to Kerryn Finik (FinikK@state.gov) and Paige Goeke (GoekePA@state.gov) for approval by the U.S. State Department.
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Text version
US Mission Fiji– Local Guard Program Restricted Access Request
RESTRICTED ACCESS REQUEST –
LOCAL GUARD PROGRAM U.S. MISSION FIJI
REQUEST FOR INFORMATION/PRE-SOLICITATION NOTICE
19AQMM26R0113
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. UEID No:
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 DOCUMENTS ON THE INTERNET.
Printed Name:_________________________ Signature:
*Completed form may be e-mailed to Kerryn Finik at FinikK@state.gov and Paige Goeke at GoekePA@state.gov.
Restricted Access Request Page 1
SBU - CONTRACTING AND ACQUISITIONS
File details come from the government source that posted it. Updated .