RestrictedAccessForm.docx
DOCX document 33 KB Posted
- Attached to
- U. S. Mission Georgetown - Local Guard Services
- Solicitation number
- 19AQMM21R0262
About this file
This document contains a restricted access request form and related federal contract opportunity for local guard services at the U.S. Embassy in Georgetown, Guyana. The restricted access request form requires contact information and agreement to distribution restrictions to access the solicitation documents. The related federal contract opportunity is solicitation number 19AQMM21R0262 issued by the Department of State Office of Acquisition Management to provide local guard services at the U.S. Mission in Georgetown. The contractor will be required to provide the organizational structure, management, and qualified staff to meet or exceed the performance work statement requirements for securing the embassy environment.
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US Mission Guyana– Local Guard Program Restricted Access Request
RESTRICTED ACCESS REQUEST - LOCAL GUARD PROGRAM
U.S. MISSION GUYANA
19AQMM21R0262
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 FEDBIZOPS, 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 André McIntosh at McIntoshas@state.gov or Patty Washington at Washington-sicherp@state.gov.
Restricted Access Request Page 1
SBU - CONTRACTING AND ACQUISITIONS
File details come from the government source that posted it. Updated .