Attachment 2_Access Request Form.pdf

PDF 87 KB Posted

Attached to
Remove and Replace Exterior Ductwork Insulation Federal contract opportunity
Solicitation number
12639524Q0058
Issued by
Department of Agriculture Animal and Plant Health Inspection Service Marketing and Regulatory Programs Business Services

About this file

Written by GovTribe AI ·

This document contains an access request form and information about a related federal contract opportunity for exterior ductwork insulation removal and replacement services. The access request form details a site visit scheduled for February 19-20, 2024 to inspect a construction project location at 1398 West Truck Road. The sponsoring agency is listed as the USDA Animal and Plant Health Inspection Service. The related solicitation is numbered 12639524Q0058 and seeks offers for exterior ductwork insulation removal and replacement services for the Department of Agriculture Animal and Plant Health Inspection Service Marketing and Regulatory Programs Business Services. No pricing, response dates, or other contract details are provided in the opportunity description.

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JBCC EVENT/PROJECT ROSTER Office use only

Event/Project Name: Sent to BDOC:

Destination: Approved:

Start & End Dates: Sponsor called:

Sponsor

Name/Phone: Daily Roster?:

Company/POC/Phone: Date:

COMPLETE ALL BLOCKS RETURN TO ACCESS CONTROL/PASS & ID, 3-5 WORKING DAYS PRIOR TO ARRIVAL FOR BACKGROUNDS

MUST BE TYPED & SENT ELECTRONICALLY TO ACCESS CONTROL/PASS & ID FOR TRACKING PURPOSES

LEGAL Last Name LEGAL First Name MI Driver's License # State

US

Citizen? DOB I-Gate

ALL PARTIES AGREE TO NCIC BACKGROUND CHECKS?

NCIC APPROVAL: CJIS REP SIGNATURE: rev: 03/01/17

Originating Agency Contact Information:

Comments:

EventProject Name: Site visit for future construction proj.
Destination: 1398 West Truck Road
Start End Dates: February 19, 2024
Sponsor NamePhone: Brian Lavin, 508-237-9173, USDA-APHIS
CompanyPOCPhone:
Last NameRow1:
LEGAL First NameRow1:
MIRow1:
Drivers License Row1:
StateRow1:
USA CitizenRow1:
DOBRow1:
IGateRow1: N
Last NameRow2:
LEGAL First NameRow2:
MIRow2:
Drivers License Row2:
StateRow2:
USA CitizenRow2:
DOBRow2:
IGateRow2: N
Last NameRow3:
LEGAL First NameRow3:
MIRow3:
Drivers License Row3:
StateRow3:
USA CitizenRow3:
DOBRow3:
IGateRow3: N
Last NameRow4:
LEGAL First NameRow4:
MIRow4:
Drivers License Row4:
StateRow4:
USA CitizenRow4:
DOBRow4:
IGateRow4: N
Last NameRow5:
LEGAL First NameRow5:
MIRow5:
Drivers License Row5:
StateRow5:
USA CitizenRow5:
DOBRow5:
IGateRow5: N
Last NameRow6:
LEGAL First NameRow6:
MIRow6:
Drivers License Row6:
StateRow6:
USA CitizenRow6:
DOBRow6:
IGateRow6: N
Last NameRow7:
LEGAL First NameRow7:
MIRow7:
Drivers License Row7:
StateRow7:
USA CitizenRow7:
DOBRow7:
IGateRow7: N
Last NameRow8:
LEGAL First NameRow8:
MIRow8:
Drivers License Row8:
StateRow8:
USA CitizenRow8:
DOBRow8:
IGateRow8: N
Last NameRow9:
LEGAL First NameRow9:
MIRow9:
Drivers License Row9:
StateRow9:
USA CitizenRow9:
DOBRow9:
IGateRow9: N
Text3:
Text4:
Text5:
Text6:
Text7:
Originating Agency Contact Information: J. Mosher / jonathan.p.mosher.ctr@mail.mil
Check Box3: Yes
NCIC Approval: [Yes]
Comments:

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