RestrictedAccessForm_SouthKorea.docx

DOCX document 34 KB Posted

Attached to
US Mission South Korea Local Guard Services
Solicitation number
19AQMM25R0043
Issued by

About this file

This is a restricted access request form for the US Mission South Korea Local Guard Program solicitation (19AQMM25R0043). The form requires potential bidders to provide company information including name, address, UEID number, point of contact details, and specify their role as either prime contractor, joint venture participant, or other.

The form includes strict distribution restrictions stating that documents are authorized for legitimate bidders only and contains technical/operational information. Recipients must be registered in SAM.gov and receive government approval. The documents cannot be duplicated or redistributed, must be secured when not in use, and must be destroyed upon termination of use. Completed forms should be emailed to Kenneth P. Bailey at the Department of State. The associated solicitation seeks local guard services for the U.S. Mission South Korea, with questions due by 1000 EST on February 13, 2025, submitted via the provided Excel template to the contracting officer.

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File Type Posted
19AQMM25R0043 QA Template.xlsx XLSX spreadsheet

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Text version

US Mission South Korea– Local Guard Program Restricted Access Request

RESTRICTED ACCESS REQUEST –

LOCAL GUARD PROGRAM U.S. MISSION SOUTH KOREA

Solicitation Reference 19AQMM25R0043

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 .