RestrictedAccessForm_Yerevan.docx
DOCX document 34 KB Posted
- Attached to
- US Mission Yerevan Sources Sought Federal contract opportunity
- Solicitation number
- 19AQMM25R0073
About this file
The document is a Restricted Access Request form for a U.S. Mission Yerevan Overseas Guard Services solicitation (Solicitation Reference 19AQMM25R0073). The U.S. Department of State is seeking a qualified contractor to provide local guard services at the U.S. Embassy in Yerevan, Armenia, with a required focus on creating a secure environment that prevents loss, injury, unauthorized access, and potential terrorist attacks. The contract includes one base year with four optional one-year extensions, and all contracted personnel must pass both contractor and U.S. Government background investigations.
Key solicitation details include a fifteen-day synopsis period followed by a thirty-day proposal submission window, with site visits limited to two representatives per firm. Offerors must be registered in SAM.gov and will be evaluated based on technically acceptable proposals with the lowest price. The government will give preference to U.S. persons or U.S. Joint Venture Persons. Interested parties must complete a Restricted Access Request form and submit it to the contract specialist Kerryn Finik, with strict confidentiality requirements including no duplication, secondary distribution, or internet posting of solicitation documents.
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Text version
US Mission Yerevan– Overseas Guard Services Restricted Access Request
RESTRICTED ACCESS REQUEST –
OVERSEAS GUARD SERVICES MISSION YEREVAN
Solicitation Reference 19AQMM25R0073
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 .