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CIA RDP96 00788r001700280015 9
Page 19
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PRE CR OING CON TM AI SUMBER DATE COMPLETEO
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_ta Name. Adcress & Zip Cade of Pi ime Contractor ®
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333 Ravenswood Ave. . ;
Menlo Park, CA .
Sree Daan a te OEE Nmammananei ee cet 8am tet aetna se
ta Nome, Addveas & Bip Code of Firet Tiee Subcontractor *
£. Name, Address & Zip Code of Cognizant Seculip OMe
San Francisco, Defense Contract .
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Name, Address & Zip Code of Cognizant Securbty Offica
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faculty aavoclated with IPS, 823 OR RFQ *
TE mae MARR OL st Smt i hse Nair eniintetiteneieminmeninta ee te i seedeniememnentiaeetionat ane ee
*: When actuel perfurmance le al a ictatiun other chan tivat specified, Identify such other location an fies 15.
sen tm tn A te ps ae Nn AOR, iueptianeeminaicperndem en ee trhtihiatantmetemner ated, a .
S10 General wlentilscathae ofthe Procuteaent for which Urta specie atign applies BY" BSDAATE Num oe tauar ‘nl
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Are there additional pecurit= re mu nents established in acccndance with paragraph I-thd or 1115. 184? (J ves CX] No. & YES, itentify the
Pertinent contractual dceument- 4 ttem 13 :
Teeter sen soe cena inate te tani tae een nna ~ieeeet essere ten tne ae ener
Are any elements of this eactra curside the Popect on traee nelly of the coantaant security llice? TD Yes Kr se. oweves, anpialn in
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ACCESS REQUIREMENTS (Continued?
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ACCESS GEO AEM ENTS
1 Se See aro nt meen cren nn fearesdsgrere, ae Aone a ta mene Nn ete rani hitwerme er,
» Aceeus to Claseifled Information Oniy et other
tontractor/Government ectivities,
Ue eee ae Oe weet te elena SA ner ah ener ane went tein, eee eee
Access to other Special Access Frogtam information
(Specify tn dem 13),
Ale lem tg naga nies -
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1. Accesnto U. 3. clamsified information outside the Ltr %
Panuma Cane Zone. Puerto Rico, U. 8. Possessions
and Teust Tersl-cries, .
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Receipt af Cileseifed go camerts sr other material
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OF RM IS No Ree momen in A, meaty an eho nae gens shaban ee
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