SOLICITATION ATTACHMENT 01 - Request for Controlled Unclassified Information CUI Form.pdf
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- Solicitation number
- 47PJ0024R0061
About this file
This document is a Request for Controlled Unclassified Information (CUI) related to Solicitation 47PJ0024R0061 for the Mike Mansfield Federal Building/Courthouse Seismic Retrofit & Limited Modernization Design/Build Phase 1 project.
The solicitation is for a GSA Design-Build project to provide seismic retrofit and limited modernization of the historic Mike Mansfield Federal Building and U.S. Courthouse in Butte, Montana. Key requirements include seismic upgrades, roof replacement, HVAC, electrical, plumbing, and architectural improvements to address accessibility and historic preservation. To access the full solicitation documents, offerors must complete and return the CUI request form, which requires company information, a UEI number, and verification by the Contracting Officer. All questions related to the solicitation must be submitted by June 20, 2024, and Phase 1 qualification submissions are due by July 9, 2024.
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REQUEST FOR CONTROLLED UNCLASSIFIED INFORMATION (CUI)
Solicitation: Mike Mansfield FB/CH Seismic Retrofit & Ltd Mod D/B
The requester shall complete the information below and return this Request for Controlled Unclassified Information (CUI) 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.)
UEI Number: _________________________________________
UEI Number Verified by Government Representative at:
https://www.sam.gov/portal/public/SAM/#1 Yes: ___ No: ___
GACA EMAIL ADDRESS: _________________________________________
Offeror/bidder/contractor information and UEI number has been verified and release of CUI building information is approved by:
Christie VandenDries Date Contracting Officer https://www.sam.gov/portal/public/SAM/#1
This statement shall be submitted by the holder of SBU building information when information is disposed of in accordance with the Request for Sensitive but Unclassified Building Information upon completion of the Project.
DISPOSAL STATEMENT FOR SENSITIVE BUT UNCLASSIFIED BUILDING
INFORMATION
Solicitation/Contract Number ________________________________________
I hereby certify that all Sensitive but Unclassified (SBU) building information relative to the referenced solicitation/contract 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 of such SBU building information were made or are being retained.
Company Name: ______________________________________________
Name of Individual: ____________________________________________
Signature: ___________________________________________________
Title: _______________________________________________________
Date: _________________
47PJ0024R0061
| GACA EMAIL ADDRESS: |
| Christie VandenDries: |
| Date_2: |
| Company Name_2: |
| Name of Individual: |
| Title: |
| Date_3: |
| Company Name: |
| Name of Individual and Title: |
| Date: |
| UEI Number: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .