Mayport_Naval_Base_ Vendor Access Form.doc
DOC document 54 KB Posted
- Attached to
- Dock-Side (DS): USCGC VALIANT DOCKSIDE Repairs FY21 Federal contract opportunity
- Solicitation number
- 70Z080-21-Q-P4502000
About this file
This document contains a vendor access form for Mayport Naval Base and details of a related federal contract opportunity for dock-side repairs of a Coast Guard cutter. The vendor access form requests information on individuals requiring access to the base to perform work for a company, including name, date of birth, identification details, citizenship, address, work hours and dates of access. It requires signature of the company sponsor. The federal contract opportunity is a solicitation issued by the Department of Homeland Security Coast Guard for dock-side repairs of the USCGC VALIANT, with a period of performance from November 4, 2020 to December 30, 2020. The solicitation includes attachments outlining the schedule of services and supplies as well as work specifications, and notes that incomplete quotes failing to include required documents may not be considered.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CGC VALIANT Dockside Repairs FY21 Award Notice.pdf | ||
| VALIANT Amendment of Solicitation A0003 P4502000 SIGNED.pdf | ||
| D-123-2046 Fluid Handling Plan.pdf | ||
| A00002 page 2 VALIANT DS Repairs P4502000.pdf | ||
| VALIANT Amendment of Solicitation A0002 P4502000.pdf | ||
| VALIANT Amendment of Solicitation A0001 P4502000.pdf | ||
| Alpha Wharf Berth A-1.pdf | ||
| General_Security_Guidance.pdf | ||
| A00001 page 2 VALIANT DS Repairs P4502000.pdf | ||
| Valiant DS P450200 Solicitation.pdf | ||
| Valiant DS P450200 SPECS.pdf | ||
| SOSS Valiant FY21 DS P450200 .xls | XLS spreadsheet |
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Text version
BASE MAYPORT
Vendor Access Request
Name (Last, First, MI)
| Male or Female |
| Date of Birth (mmddyy) |
| Driver’s License #, State ID #, OR indicate if they possess RapidGate or TWIC |
| Last four SSN |
| Citizen-ship |
| Home Address (City & State Only) |
| Start Date |
| End Date |
| Work Hours |
| Sat, Sun, or |
Holiday
Access Start Date: ########### Access End Date: ####### Work Location: USCGC VALIANT (WMEC 621), Alpha Pier 1
Company: ########### Sponsor Print: Christopher J. Varrichio, Engineer Officer Sponsor Signature: _____________________ Phone: 904-270-6207 or 732-586-0153 By signing this request I certify that I have reviewed the information provided to me by the vendor’s company and the above is true and accurate to the best of my knowledge.
File details come from the government source that posted it. Updated .