Application For Access To Material Under A Protective Order (Consultant) {GAO-19-613SP}

UNITED STATES GOVERNMENT ACCOUNTABILITY OFFICE OFFICE OF THE GENERAL COUNSEL PROCUREMENT LAW DIVISION Washington, D.C. 20548 Matter of: File: Agency: APPLICATION FOR ACCESS TO MATERIAL UNDER A PROTECTIVE ORDER FOR CONSULTANT 1. I, , am a consultant employed by , and hereby apply for access to protected material covered by the protective order issued in connection with this protest. 2. I have been retained by and will, under the direction and control of that attorney, assist in the representation of in this protest. 3. I hereby certify that I am not involved in competitive decisionmaking for or on behalf of any party to this protest or any other firm that might gain a competitive advantage from access to the material disclosed under the protective order. Neither I nor my employer provides advice or participates in any decisions of such parties in matters involving similar or corresponding information about a competitor. This means, for example, that neither I nor my employer provides advice concerning or participates in decisions about marketing or advertising strategies, product research and development, product design or competitive structuring and composition of bids, offers, or proposals with respect to which the use of protected material could provide a competitive advantage. 4. My professional relationship with the party for whom I am retained in this protest and its personnel is strictly as a consultant on issues relevant to the protest. Neither I, my spouse, nor any member of my immediate family holds office or a management position in any company that is a party in this protest, or in any competitor or potential competitor of a party. Page 1 GAO-09-770SP Guide to GAO Protective Orders American LegalNet, Inc. www.FormsWorkFlow.com 5. I have attached the following information: (a) a current resume describing my education and employment experience to date; (b) a list of all clients for whom I have performed work within the 2 years prior to the date of this application, and a brief description of the work performed; (c) a list of all clients for whom my employer has performed work within the 2 years prior to the date of this application and for whom the use of protected material could provide a competitive advantage, and a brief description of the work performed; (d) a statement of the services I am expected to perform in connection with this protest; (e) a description of the financial interests that I, my spouse, and/or my family has in any entity that is an interested party in this protest or whose protected material will be reviewed; if none, I have so stated; (f) a list identifying by name of forum, case number, date, and circumstances all instances in which I have been granted admission or been denied admission to a protective order, or had a protective order admission revoked, or been found to have violated a protective order issued by GAO or by an administrative or judicial tribunal; if none, I have so stated; and (g) a statement of the professional associations to which I belong, including membership numbers. 6. I have read a copy of the protective order issued by GAO in this protest, and I will comply in all respects with all terms and conditions of that order in handling any protected material filed or produced in connection with the protest. I will not disclose any protected material to any individual other than those individuals admitted under the protective order by GAO. 7. For a period of 2 years from the date this application is granted, I will not engage or assist in the preparation of a proposal to be submitted to any agency of the United States government for * where I know or have reason to know that any party to the protest, or any successor entity, will be a competitor, subcontractor, or teaming member. *Describe subject of procurement at issue in the protest 8. For a period of 2 years from the date this application is granted, I will not engage or assist in the preparation of a proposal for submission to * for ** __ nor will I have any personal involvement in any such activity. *Name of contracting agency **Describe procurement at issue in the protest 9. I acknowledge that any violation of the terms of the protective order may result in the imposition of such sanctions as GAO deems appropriate, including but not limited to dismissal of the protest, referral of the violation to appropriate disciplinary bodies or professional associations, and restricting my practice before GAO. I further acknowledge that a party whose protected information is improperly disclosed shall be entitled to all remedies under law or equity, including breach of contract. Page 2 GAO-09-770SP Guide to GAO Protective Orders American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATION By my signature, I certify that, to the best of my knowledge, the representations set forth above (including attached statements) are true and correct. I recognize that knowingly making a false statement on this application could render me liable to a $10,000 fine or 5 years imprisonment, or both, pursuant to 18 U.S.C. § 1001. I identify below the mailing address and facsimile number at which I may receive protected material in accordance with the terms of the protective order. Signature Date Executed Typed Name and Title Mailing Address Direct Dial Telephone Number Facsimile Number E-mail Address ATTORNEY'S CERTIFICATION The consultant named above has been retained by me to assist in the representation of in this protest and will perform his/her duties in connection with this protest under my direction and control. Signature Date Executed Typed Name and Title Name of Firm Page 3 GAO-09-770SP Guide to GAO Protective Orders June 2009 American LegalNet, Inc. www.FormsWorkFlow.com