5. ACL Request Letter.docx
DOCX document 45 KB Posted
- Attached to
- REPAIR RUNWAY 32 PAVEMENT PHASE 3
- Solicitation number
- FA449725R0005
About this file
This is an Access Control List (ACL) request letter from the 436th Contracting Squadron requesting base access at Dover AFB for a contractor site visit related to contract FA449725R0005 (Repair Runway 32 Pavement Phase 3 project). The letter is sponsored by TSgt Joshua J. Brooks, an active duty member serving as Administrative Contracting Officer, and requests access to Building 501 at Dover AFB on January 8, 2025, between 7:00 AM and 5:00 PM. The document includes fields for visitor information to be completed under Privacy Act protection, including requirements for last name, first name, date of birth, and driver's license information.
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Text version
Date:
MEMORANDUM FOR: 436th SFS/S5B
FROM: 436 CONS/PKA
SUBJECT: Request for Dover AFB Access Control List
1. Sponsor’s Full Name and Grade: Joshua J. Brooks / E-6 Sponsor’s Contact Phone # Military/Home 302-677-5232 Sponsor’s Military/Home Address: 639 Atlantic Street, Dover AFB Email Address: joshua.brooks.14@us.af.mil Sponsor’s Affiliation with Dover AFB: Active Duty: X Reserve:
National Guard: Retired Military Member: DoD Civilian:
Will the sponsor be attending the event? Yes X No
2. Request the below listed individual/personnel be granted entry to:
B501, Dover AFB, DE 19902 Location of event
Contractor Site Visit for work to be conducted on contract FA449725R0005 Reason for request
Access date/time: 8 Jan 2025; 7am-5pm Required access will be from (Inclusive dates and times)
3. The below personal information is provided for individuals requiring access.
All information contained below must be protected under the Privacy Act of 1974 (see AFI33-332). Do not release outside of DoD channels without the consent of the originator's.
LAST NAME, FIRST MI DATE OF BIRTH DRIVER’S LICENSE
//SIGNED//
| JOSHUA BROOKS, TSgt, USAF |
| Administrative Contracting Officer |
Revised: 3 November 2016 Page 1 of 1
File details come from the government source that posted it. Updated .