Section_J_Attachment 10 - GSA Form 139.pdf

GSA Form PDF 1015 KB Posted

Attached to
AMENDMENT 0003 _Sol_70FBR427R00000001 Level II Armed Guard Security Services
Solicitation number
70FBR427R00000001
Issued by

About this file

Written by GovTribe AI ·

GSA Form 139 is a federal building security log used to record visitor arrivals and departures during security hours at General Services Administration facilities.

The form captures essential visitor information including date, printed name (Last - First - Initial), signature, agency or firm affiliation, room number, and purpose of visit. It includes time-stamped columns for arrival and departure times. The form contains a checkbox column designated for Federal Protective Service and Contract Administration personnel to mark with an "X" when conducting investigations. The document is designed to continue on the reverse side to accommodate multiple visitor entries. This is a blank template form (GSA 139, Revised 12/2006) with no specific contract opportunity, products, services, or acquisition details.

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Other versions and copies of GSA Form 139

11 government files on GovTribe name GSA Form 139. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
2.2.1 Attachment 10 - GSA Form 139.pdf Same revision and size as this file Revision not stated Level II Armed Security Guard Services- DR-4847-CTM
Attachment 10 GSA Form 139.pdf Same revision and size as this file Revision not stated Level II Armed Security Guards / DR-4827-NC
Attachment 1- PWS Appendix 14_GSA Form 139-Record of Arrival and Departure from Building.pdf Revision not stated Western Ground Transportation Solicitation (RFP)
Attachment 1- PWS Appendix 14_GSA Form 139-Record of Arrival and Departure from Building.pdf Revision not stated Western Ground Transportation DRAFT Solicitation
ATTACHMENT 5 GSA FORM139.pdf Same revision and size as this file Revision not stated Security Emergency Medical Technician (EMT) Services
GSA FORM 139.pdf Revision not stated Northern Ohio Administrative Services, Various locations
EXHIBIT_09_-_GSA_FORM_139.pdf Revision not stated FMSS CONSOLIDATED ARMED GUARD SERVICES
EXHIBIT_09__GSAFORM139_FO.pdf Revision not stated Fresno, CA and Ogden, UT Consolidated Armed Security Guard Services
Exhibit_9__GSAFORM139_FO.pdf Revision not stated CONSOLIDATED ARMED GUARD SERVICES
EXHIBIT_02A_-_GSA_FORM_139.pdf Revision not stated FMSS CONSOLIDATED ARMED GUARD SERVICES

Who attaches GSA Form 139

Agency Files
Department of the Treasury Internal Revenue Service 4
Immigration and Customs Enforcement 2
John F. Kennedy Center for the Performing Arts 1
General Services Administration Public Buildings Service Region 5 1
Federal Emergency Management Agency 1
Federal Emergency Management Agency Preparedness Section 1
Federal Emergency Management Agency Region 4 1

Other files

File Type Posted
Section_J_Attachment 15 - DHS Form 11000-9.pdf PDF
Section_J_Attachment 18 - SF 87 Fingerprint Chart.pdf PDF
Section_J_Attachment 03 - American_with_Disabilities Act 9ADA_of_1990_Pub_L_101-336.pdf PDF
Section_J_Attachment 17 - Standard Form 85P-S_Supplemental Questionnaire for Selected Positions.pdf PDF
2.2.1 Evaluation Factors for Award - Amendment 0003 - 20261029.docx DOCX document
Section_J_Attachment 13 - Lautenberg Amendment Statement.pdf PDF
Section_J_Attachment 07 - Homeland Security Presidential Directive 12.pdf PDF
Section_J_Attachment 19 - Security Equities in Standing Up Responder Lodging Locations During Disaster Operations.docx DOCX document
Section_J_Attachment 12 - Optional Form 306_Declaration for Federal Employment_OF306.pdf PDF
Section_J_Attachment 02 - Federal_Management_Regulations_41 CFR_PART_102-74.pdf PDF
Section_J_Attachment 06 - FEMA Manual 121-3-1 FEMA Credentialing Access Manual.pdf PDF
Section_J_Attachment 08 -DHS_Management_Directive_11042.1.pdf PDF
Section_J_Attachment 04 - FEMA Directive 121-1 FEMA Personal Identity Verification Guidelines.pdf PDF
Section_J_Attachment 20 - Section_F_Deliverable_Schedule.xlsx XLSX spreadsheet
Section_J_Attachment 16 - Standard Form 85P Questionnaire for Public Trust Positions.pdf PDF
Section_J_Attachment 14 -DHS Form 11000-6_Sensitive but Unclassified Non-Disclosure Agreement.pdf PDF
70FBR427R00000001 _Amendment 0003.pdf PDF
Section_J_Attachment 09 - Security Guard Post Assignment Record_Post_Orders.pdf PDF
Questions and Answer 002_Amd 0003.docx DOCX document
Section_J_Attachment 11 - Contractor DHS Fitness Form 11000-25.pdf PDF
Section_J_Attachment 01 - Guard_Task_Order_Form.pdf PDF
Section_J_Attachment 05 - FEMA Directive 121-3 Facility Access.pdf PDF
Section_J_Attachment 21 - Performance_Requirement_Summary_PRS.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 2 APPENDIX - Weapons Roster - Amendment 0002 - 20261026.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 3 APPENDIX - Pricing Proposal - Amendment 0002 - 20261026.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 5 Technical Evaluation Document -PSO Document List - Amendment 0002 - 20261026.xlsx XLSX spreadsheet
Sol_70FBR427R00000001_Amd_0002.pdf PDF
1.10.1 WD Lee_ FT Myers.pdf PDF
1.10.1 WD Seminole_ Lake Mary_ FL.pdf PDF
2.2.1 Evaluation Factors for Award - Amendment 0002 - 20261026.docx DOCX document
Questions and Answers 001_0002.pdf PDF
Sol_70FBR427R00000001_Amd_0001.pdf PDF
2 .2.1 Proposal Attachment 10 Evaluation Factors for Award.docx DOCX document
02.2.1 Sol_70FBR427R00000001.pdf PDF
2.2.1 Proposal Attachment 3 APPENDIX - Pricing Proposal.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 6 Determination of Finance Responsibility.pdf PDF
2.2.1 Proposal Attachment 4 Technical Evaluation Document Past Performance Questionnaire.docx DOCX document
2.2.1 Proposal Attachment 8 Technical Evaluation Document - Certification of PWS 3.1.docx DOCX document
2.2.1 Proposal Attachment 2 APPENDIX - Weapons Roster.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 1 Performance Work Statement.pdf PDF
2.2.1 Proposal Attachment 5 Technical Evaluation Document -PSO Document List.xlsx XLSX spreadsheet
2.2.1 Proposal Attachment 7 Local Area Documentation Requirement..pdf PDF
2.2. 1Proposal Attachment 9 Performance Work Statement.pdf PDF
Show all 43

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Text version

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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):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
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
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
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:

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