RestrictedAccessForm_Singapore.docx

DOCX document 34 KB Posted

Attached to
US Mission Singapore Local Guard Services
Solicitation number
19AQMM26R0112
Issued by

About this file

This is a Restricted Access Request Form for the US Mission Singapore Local Guard Program. The form is a required document that vendors must complete and submit to gain access to solicitation materials for contract opportunity 19AQMM26R0112. The form collects requester information including company name, address, UEID number, point of contact details, telephone number, and email address. Vendors must indicate their role as either a prime contractor, joint venture participant, or other entity type.

Completion of the form is mandatory, with all fields requiring information or the request will be deemed invalid. Completed forms must be submitted via email to Kerryn Finik (FinikK@state.gov) and Ernesto Rivera (Riverae1@state.gov) for government approval prior to accessing the solicitation documents. The form requires vendors to sign a restricted distribution agreement acknowledging that materials contain sensitive technical or operational information that cannot be duplicated or secondarily distributed. Vendors must maintain physical documents in locked storage and destroy all hardcopies and electronic media upon termination of use. The agreement explicitly prohibits copying, scanning, or posting any portion of the documents on the internet. This form is associated with the US Mission Singapore Local Guard Services solicitation managed by the Department of State Office of Acquisition Management, with questions due June 29, 2026 and proposals due August 17, 2026.

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26R0112_Singapore_QA by Sections.xlsx XLSX spreadsheet

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Text version

US Mission Singapore– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST

LOCAL GUARD PROGRAM U.S. MISSION Singapore

REQUEST FOR INFORMATION/SOURCES SOUGHT NOTICE

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 Ernesto Rivera Riverae1@state.gov Restricted Access Request Page 1

SBU - CONTRACTING AND ACQUISITIONS

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