2.2.1 Attachment 10 - GSA Form 139.pdf

PDF 1015 KB Posted Apr 16, 2026

Attached to: Level II Armed Security Guard Services- DR-4847-CTM Federal contract opportunity
Solicitation number: 70FBR826Q00000004
Issued by: Federal Emergency Management Agency Preparedness Section

About this file

Written by GovTribe AI · Apr 16, 2026

GSA Form 139 is a building security log template used by the General Services Administration to record visitor arrival and departure times at federal facilities during security hours.

The form captures visitor information including printed name (last, first, initial), signature, date of visit, agency or firm affiliation, room number visited, and purpose of visit. It includes columns for recording arrival and departure times. The form contains a footnote indicator column for Federal Protective Service and Contract Administration personnel to mark with an "X" when conducting investigations. The form is designed to continue on the reverse side to accommodate multiple visitor entries. This is a blank template document (GSA 139, Revised 12/2006) with no specific solicitation details, contract requirements, or business activities related to federal contracting opportunities.

View the file

Other files for this federal contract opportunity

Other files attached to Level II Armed Security Guard Services- DR-4847-CTM, newest first.
File	Type	Posted
2.4.1 SAM Questions.pdf	PDF	Apr 17, 2026
2.4.1 Sol_70FBR826Q00000004_SAM.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 11 - Contractor DHS Fitness Form 11000-25.pdf	PDF	Apr 16, 2026
2.2.1 Attachment C - DR 4847 Pricing Worksheet.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 16 - Standard Form 85P Questionnaire for Public Trust Positions.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 17 - Standard Form 85P-S Supplemental Questionnaire for Selected Positions.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 16 - Standard Form 85P Questionnaire for Public Trust Positions1.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 18 - SF 87 Fingerprint Chart.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 12 - Optional Form 306 Declaration for Federal Employment OF306.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 01 - Guard Task Order Form.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 15 - DHS Form 11000-9.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 09 - Security Guard Post Assignment Record Post Orders.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 21 - Performance Requirement Summary PRS.xlsx	XLSX spreadsheet	Apr 16, 2026
2.2.1 Attachment 20 - Section F Deliverables.xlsx	XLSX spreadsheet	Apr 16, 2026
2.2.1 Attachment E- Wage Determinations.pdf	PDF	Apr 16, 2026
2.2.1 Attachment F - Specialty Security Attachments.pdf	PDF	Apr 16, 2026
2.4.1 Attachment B - Instruction to Offerors and Evaluation Factors for Award_ SAM.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 13 - Lautenberg Amendment Statement.pdf	PDF	Apr 16, 2026
2.2.1 Attachment 14 -DHS Form 11000-6 Sensitive but Unclassified Non-Disclosure Agreement.pdf	PDF	Apr 16, 2026
2.2.1 Attachment B - Instruction to Offerors and Evaluation Factors for Award.pdf	PDF	Apr 16, 2026
2.2.1 Attachment D - Statement of Contractor Assurance.pdf	PDF	Apr 16, 2026

Show all 21

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING MONTHYEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION GSA 139 (REV. 12/2006)(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING

MONTH

YEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION

GSA 139 (REV. 12/2006)

(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

MONTH:

YEAR. Enter 4 digit year.:

BUILDING:

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 1 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 16 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 15 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 14 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 13 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 12 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 11 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 10 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 9 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 8 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 7 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 6 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 5 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 4 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 3 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 2 of 16. :

PRINT NAME (Last - First - Initial) (b):

SIGNATURE. (c). This is a protected field. :

AGENCY OR FIRM (d):

ROOM NUMBER (e):

PURPOSE OF VISIT (f):

SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

SignatureField1:

File details come from the government source that posted it. Updated Apr 16, 2026.