RFP Attch 7 - CUI Request Form MT FE_FSS.pdf

PDF 39 KB Posted

Attached to
Montana Interstate Facilities Engineering and Full Facilities Services
Solicitation number
47PJ0024R0108
Issued by

About this file

This document is a Request for Controlled Unclassified Information (CUI) for a federal contract opportunity. The contract is for facilities engineering and full facilities services for three federal properties located along the Interstate 90 corridor in Montana, with a total square footage of approximately 314,000 gross square feet. The services include facilities engineering, operations and maintenance, snow removal, landscaping, pest management, and custodial services. The contract will be a single-award, indefinite-delivery, indefinite-quantity (IDIQ) contract with a base year and four option years. The contract will be a 100% small business set-aside under NAICS 561210, with a small business size standard of $47.0 million. The evaluation factors, in descending order of importance, are Quality Management System, Staffing Plan, Relevant Experience, Past Performance, Energy Optimization Approach, and Socioeconomic Status. The solicitation includes details on site visits, a pre-proposal conference, and the proposal deadline.

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Text version

REQUEST FOR CONTROLLED UNCLASSIFIED INFORMATION (CUI) BUILDING INFORMATION

Solicitation No.: 47PJ0024R0108

Project Title: Montana Interstate Facilities Engineering and Full Facilities Services

The requester shall complete the information below and return the entire Request for Controlled Unclassified Information (CUI) Building Information document to the Contracting Officer or Contract Specialist. By signature below, the requestor of CUI building information acknowledges the requirement to maintain controls, as stated herein, to safeguard the information, and shall return or destroy the CUI building information as required by this Agreement. The undersigned acknowledges that the requester shall abide by this Agreement and shall only disseminate CUI building information to other authorized users under the conditions set forth herein.

Company Name: _____________________________________________________

Name of Individual and Title: ____________________________________________

Signature: ___________________________________________________

Date: _______________________________________________________

(The Offeror shall attach copy of business license or formation document.)

Unique Entity Identifier (UEI) Number: _______________________________

UEI Number Verified by Government Representative at:

https://sam.gov/ Yes: ___ No: ___

Employer ID Number/Federal Tax ID Number _______________________________

Offeror/bidder/contractor information and UEI number has been verified and release of CUI building information is approved by:

Dylan White Date Contracting Officer https://sam.gov/

DISPOSAL STATEMENT FOR CONTROLLED UNCLASSIFIED INFORMATION (CUI) BUILDING INFORMATION

RFQ No.: 47PJ0024R0108

Project Title: Montana Interstate Facilities Engineering and Full Facilities Services

I hereby certify that all Controlled Unclassified Information (CUI) building information relative to the referenced Notice ID and project not previously returned to the Government has been destroyed or disposed of by burning or shredding paper copies, physically destroying computer diskettes or permanently deleting/removing/erasing electronic files from computers.

I also certify the no unauthorized physical or electronic copies will be made or retained of such CUI building information.

Company Name: ______________________________________________

Name of Individual: ____________________________________________

Signature: ___________________________________________________

Title: _______________________________________________________

Date: _________________

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