RestrictedAccessForm_Canada_25R0239.docx

DOCX document 34 KB Posted

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US Mission Canada Local Guard Services
Solicitation number
19AQMM25R0239
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The document is a Restricted Access Request form for the US Mission Canada Local Guard Program (Solicitation Number: 19AQMM25R0239). The pre-solicitation seeks qualified contractors to provide local guard services across multiple Canadian cities including Ottawa, Halifax, Winnipeg, Toronto, Montreal, Quebec City, Vancouver, and Calgary. The contract is anticipated to be a Multiple Award Indefinite Delivery/Indefinite Quantity (IDIQ) with task orders, featuring one base year and four optional one-year extensions.

Key requirements include providing security personnel to prevent loss, injury, unauthorized access, and potential terrorist attacks at U.S. Mission facilities. All contracted personnel must pass background investigations conducted by both the contractor and U.S. Government. Interested offerors must complete a Restricted Access Request form, have an active SAM.gov registration, and submit their interest to Kenneth P. Bailey via email. The solicitation gives preference to U.S. persons or U.S. Joint Venture entities. The synopsis will be posted for approximately 15 days, with approximately 30 days allowed for proposal submissions, though all dates are subject to change.

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US Mission Canada– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST –

LOCAL GUARD PROGRAM U.S. MISSION CANADA

19AQMM25R0239

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 Kenneth P. Bailey at BaileyKP@state.gov.

Restricted Access Request Page 1

SBU - CONTRACTING AND ACQUISITIONS

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