RestrictedAccessForm_Italy.docx

DOCX document 34 KB Posted

Attached to
U. S. Mission Italy
Solicitation number
19AQMM26R0022
Issued by

About this file

This is a Restricted Access Request form for the U.S. Mission Italy Local Guard Program solicitation (19AQMM26R0022). The document outlines strict requirements for potential contractors seeking access to the solicitation documents, requiring complete registration on SAM.gov and execution of a detailed confidentiality agreement. Interested parties must submit a fully completed form to Kerryn P. Finik at Finikk@state.gov, with mandatory fields including company details, point of contact information, and contractor type (prime contractor, joint venture participant, or other).

The underlying contract opportunity is for local guard services at the U.S. Mission in Italy, with an anticipated performance period of one base year and four optional one-year extensions. The Department of State seeks a qualified contractor to provide security services that prevent loss, injury, unauthorized access, and potential terrorist attacks. All contracted personnel must pass rigorous background investigations by both the contractor and U.S. Government. The solicitation will be posted on SAM.gov for approximately 15 days, with an estimated 30-day proposal submission window, and site visits will be conducted via PowerPoint presentation.

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US Mission Italy– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST –

LOCAL GUARD PROGRAM U.S. MISSION Italy Solicitation Reference 19AQMM26R0022

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 P. Finik at Finikk@state.gov.

Restricted Access Request Page 1

SBU - CONTRACTING AND ACQUISITIONS

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