SOW Exhibit B.xlsx
XLSX spreadsheet 37 KB Posted
- Attached to
- SINGLE PURPOSE DETECTION CANINES
- Solicitation number
- 20149020
About this file
This is a contractor information sheet template used by CBP's Office of Professional Responsibility for visitor access requests. The form requires detailed personal information from contractors including name, date of birth, citizenship status, place of birth, occupation, address, and identification documents (passport, visa, driver's license, Social Security number). The template supports up to 84 visitor entries.
The form includes specific submission requirements, stating that requests must be submitted 72 hours prior to arrival via email or fax. Important procedural notes specify that visitors must present U.S. Government-issued photo ID, check in/out at security, and be escorted at all times with a ratio of one escort per four visitors (or one-to-one depending on vetting status). This is a standard form template and does not contain specific contract requirements or solicitation details.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 2 DHS CBP Additional Clauses.docx | DOCX document | |
| Attachment 3 -Canine Proposal.xlsx | XLSX spreadsheet | |
| SOW Exhibit A.pdf | ||
| Attachment 1 -SOW .docx | DOCX document |
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Text version
Short Term Contractors Template
| CBP Contractor Information Sheet | |
| Date Submitted: | From: |
| Contract Company Information | CBP Agency Information |
| Contract Company Name | CBP Location Address (Location, Building, Floor, Room #) |
Contract Company Address Visitor Escort Full Name (DHS/CBP Employee Only)
Contract Company POC (First & Last Name) Phone Number Email
On Site Contractor POC (First & Last Name) Phone Number Phone Office Mobile Office
| Date(s) and | |||||
| Time(s) of Visit | From Date | Time | To Date | Time |
| Purpose of Visit: | ||||||||||||||||||
| Provide all below information | ||||||||||||||||||
| # | Last Name(s) | First Name | Middle Name | DOB MM/DD/YYYY | U.S. Citizen (Y/N) | POB (City, State/ Country) | Occupation | Address | A Number | Exp Date | Visa Number | Exp Date | Passport Country | Passport # | Exp Date | Social Security Number | DL State Issued | Drivers |
License #
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 39 |
| 40 |
| 41 |
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| 84 |
| SUBMISSION: The Office of Professional Responsibility requires a mandatory submission of 72 hours prior to arrival of visitor(s) in order for any visitor to be considered for approval. Email request to SMDSECURITYSERVICESBRANCH@cbp.dhs.gov or fax to the Office of Professional Responsibility, ATTN: Security Management Division at 202-344-1860. |
NOTICE: All visitors must present a U.S. Government issued Photo Identification Card. All visitors must check in at the Security Desk upon arrival and check out at the desk upon departure. Visitor escorts are responsible for constant escort of visitors. The designated escort must accompany visitors at all times, to include returning visitors back to the front desk upon departure. Any visitors found in U.S. Customs and Border Protection space without an escort will be immediately reported to security and escortedout of CBP space. One escort must be provided for every four visitors (1-4), depending on Vetting status one escort may be required for evey person (1-1).
PRIVACY ACT NOTICE: This information is provided to PL 93-579 (Privacy Act of 1974). The purpose of this document is provide information necessary for a minimum security check prior tolimited authorized access to U.S. Customs and Border Protection facility. Failure to provide this information may result in denial of access.
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