2B DBIDS Base Access Request Form (19May17)r.pdf
PDF 191 KB Posted
- Solicitation number
- N6274224R1312
About this file
This document is a base access request form for a Navy contract to provide recreation center construction services at Marine Corps Base Guam in Finegayan, Guam. The contract number is N6274224R1312 and is a pre-solicitation opportunity issued by the Naval Facilities Engineering Command for the Department of the Navy. The prime contractor is requesting base access for employee and subcontractor personnel to perform work between the dates of 25 October 2023 and the contract expiration. Access is required at the Main Base, Apra View Housing, Apra Palms Housing, NAVMAG, Polaris Point, Turner Housing, Flag Circle, JRM Naval Hospital, and NCTS locations on Naval Base Guam Installation. The government sponsor approving the base access is William P. White of the Camp Blaz Supervisory Engineering Tech office, who can be contacted at 671-355-8386 or william.p.white20.civ@us.navy.mil.
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Text version
Date:
To: Ms. Elizabeth E. Balajadia, Naval Base Guam (NBG) Visitor Control Center Supervisor From:
Subj: BASE ACCESS REQUEST -
CONTRACT INFORMATION:
Contract No./ Title:
Contract Start & Expiration Date:
Prime Contractor Name:
Prime Contractor Address:
Contractor Coordinator:
(Name, Title & Phone Number)
Project Location(s) on Naval Base Guam Installation:
(Check mark all that apply)
Main Base Apra View Housing Apra Palms Housing NAVMAG Polaris Point Turner Housing Flag Circle JRM Naval Hospital
NCTS
Required Access Dates:
(Applies only when dates differ from the contract dates stated above.) From: To:
Required Access Days & Times:
EMPLOYEE INFORMATION:
On company letterhead, attach list all employee(s), requiring base access under this contract. List your sub-contractor employees separately. See attached page for format guidance.
SPONSOR INFORMATION:
Name & Title:
Command:
Phone No:
Email Address:
The above listed Prime Contractor is authorized to operate on-board Naval Base Guam Installation. The above listed Prime Contractor Coordinator will provide and liaison directly with NBG Visitor Control Center, all required contractor employee information, to include sub-contractor employee information, for the purpose of securing authorized base access credentials.
Government Sponsor Signature:
25 October 2023 william.p.white20.civ@us.navy.mil
William P. White, Supervisory Engineering Tech, Camp Blaz
SITEVISIT - ONE DAY ONLY
William P. White, Supervisory Engineering Tech, Camp Blaz
671-355-8386
✔ Camp Blaz
OICC MCM, Camp Blaz taryn.kanda Highlight
File details come from the government source that posted it. Updated .