5. 23 CONS Base Pass Form.pdf
PDF 383 KB Posted
- Attached to
- PMEL Workbenches
- Solicitation number
- FA483024Q0037
About this file
This document is a Request for Installation Access Personnel Pass to Moody Air Force Base to allow contractor personnel access during a federal contract performance period. The key details are:
The 23rd Contracting Squadron at Moody AFB, Georgia is issuing a solicitation (Solicitation Number FA483024Q0037) for the procurement of multiple size workbenches and roll around equipment stands to be installed in Building 552. The solicitation requires the vendor to provide all necessary equipment, tools, and materials, perform installation, and dispose of old equipment. A site visit is scheduled for July 24th, 2024 and responses are due by July 23rd, 2024. The contract performance period is not to exceed 1 year. The contractor personnel requiring access passes are from ABCD Company under Contract Number FA483024Q0037.
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Text version
FOR OFFICIAL USE ONLY
DEPARTMENT OF THE AIR FORCE
23D CONTRACTING SQUADRON (ACC)
MOODY AIR FORCE BASE GEORGIA
Attack ∙ Rescue ∙ Prevail The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties
MEMORANDUM FOR 23 SFS/SFOXI
FROM: 23 CONS
SUBJECT: Request for Installation Access Personnel Pass
1. Request pass for the following person(s) to Moody AFB:
2. If you have any questions or concerns, please contact the undersigned:
Contract Number:
Prime Contractor:
Duration of Pass:
(NTE 1 Year)
Purpose:
Full Name Organization/CompanySSN/DOB*
*Write N/A if contractor declined to provide information. Be advised that SSN/DOB information is required for base access.
Security Forces will ask for it at the Visitor's Center if not detailed in this form.
Sponsor Info: Rank, Name; Duty Title; Email; Duty Phone
| Date1_af_date: 08-Jul-2024 |
| Contract #: FA483024Q0037 |
| Contractor Name: ABCD |
| Duartion of Pass: 24 July 2024 |
| Contract Purpose: Contractor Site Visit |
| FullName1: John Doe Jr |
| FullName2: John Does Sr |
| FullName3: |
| FullName4: |
| FullName5: |
| SSNDOB1: 123-45-6789/ 1 Jul 2022 |
| SSNDOB2: 678-91-2345/ 1 Jan 2023 |
| SSNDOB3: |
| SSNDOB4: |
| SSNDOB5: |
| Org1: ABCD |
| Org2: ABCD |
| Org3: |
| Org4: |
| Org5: |
| SponsorInfo: SrA Cloud Wharton, Contract Specialist, cloud.wharton@us.af.mil, 257-4776 |
| Clear Form: |
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