Solicitation_Restricted_Access_Request 1 .docx

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Attached to
U. S. Mission Canada Local Guard Services Federal contract opportunity
Solicitation number
SAQMMA12R0095
Issued by
Department of State Office of Acquisition Management

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Restricted Access Request Form

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SAQMMA12R0095_Ottawa-Toronto-Winnipeg-Halifax.pdf PDF
SAQMMA12R0095_CANADA.zip ZIP file

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Restricted Access Request Solicitation Number SAQMMA-12-R-0095 Local Guard Program U.S. Mission Canada (Ottawa, Toronto, Winnipeg and Halifax)

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. DUNS No. or CAGE CODE ___________________________________________
d. Point of Contact _____________________________________________________
e. Telephone No _______________________________________________________
f. E-mail Address ______________________________________________________

2. My interest in this project is as a (please check one):

a. [ ]Prime Contractor
b. [ ] Joint Venture Participant

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 AT WWW.FEDBIZOPPS.GOV, COMPLETE AND SIGN THIS FORM, AND HAVE THEIR REQUEST APPROVED BY THE GOVERNMENT. THE SOLICITATION 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 BIDDING DOCUMENTS ON THE INTERNET.

Printed Name:____________________________ Signature:______________________________________

*Completed form may be e-mailed to Latoya M. Jones at JonesLM2@state.gov

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