Section J Attachment 4 - JBCC Access Form.pdf

PDF 92 KB Posted

Attached to
REPAIR AIRFIELD PAVEMENT AT USCG BASE CAPE COD Federal contract opportunity
Solicitation number
70Z0G122BABCD0040
Issued by
Department of Homeland Security US Coast Guard

About this file

This document includes an invitation for bid for airfield pavement repairs at a United States Coast Guard base. The United States Coast Guard Civil Engineering Unit Providence has a requirement for repairs to airfield pavement at Coast Guard Base Cape Cod in Buzzards Bay, Massachusetts. Bidders and any major subcontractors are highly encouraged to attend an organized site visit scheduled for May 9, 2022 at 10:00 AM eastern time. A completed base access request form is required for all attendees to be submitted at least five working days prior to the site visit. Bids are due in response to solicitation number 70Z0G122BABCD0040 for repairs to the airfield pavement at the specified Coast Guard base located in Barnstable County, Massachusetts.

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Other files for this federal contract opportunity

Other files attached to REPAIR AIRFIELD PAVEMENT AT USCG BASE CAPE COD, newest first.
File Type Posted
OF1419 Abstract of Offers.pdf PDF
70Z0G122BABCD0040 Amendment 0001.pdf PDF
List of Site Visit Attendees.pdf PDF
Section J Attachment 1 - Specifications PSN 13465330.pdf PDF
Section J Attachment 3 - General Decision MA20220015.pdf PDF
Section J Attachment 2 - Drawings P13465330.pdf PDF
Section J Attachment 4 - JBCC Access Form.pdf PDF
IFB 70Z0G122BABCD0040 Repair Airfield Pavement.pdf PDF

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Text version

JBCC EVENT/PROJECT ROSTER Office use only

Event/Project Name: Sent to BDOC:

Destination: Approved:

Start & End Dates: Sponsor called:

Sponsor

Name/Phone: Daily Roster?:

Company/POC/Phone: Date:

COMPLETE ALL BLOCKS RETURN TO ACCESS CONTROL/PASS & ID, 3-5 WORKING DAYS PRIOR TO ARRIVAL FOR BACKGROUNDS

MUST BE TYPED & SENT ELECTRONICALLY TO ACCESS CONTROL/PASS & ID FOR TRACKING PURPOSES

LEGAL Last Name LEGAL First Name MI Driver's License # State

US

Citizen? DOB I-Gate

ALL PARTIES AGREE TO NCIC BACKGROUND CHECKS?

NCIC APPROVAL: CJIS REP SIGNATURE: rev: 03/01/17

Originating Agency Contact Information:

Comments:

EventProject Name: Airfield Pavement Repairs Pre-proposal Meeting/Site Visit
Destination:
Start End Dates: 5/9/22 only
Sponsor NamePhone: LT Jordan Bogden/(401) 736-1769
CompanyPOCPhone:
Last NameRow1:
LEGAL First NameRow1:
MIRow1:
Drivers License Row1:
StateRow1:
USA CitizenRow1:
DOBRow1:
IGateRow1: N
Last NameRow2:
LEGAL First NameRow2:
MIRow2:
Drivers License Row2:
StateRow2:
USA CitizenRow2:
DOBRow2:
IGateRow2: N
Last NameRow3:
LEGAL First NameRow3:
MIRow3:
Drivers License Row3:
StateRow3:
USA CitizenRow3:
DOBRow3:
IGateRow3: N
Last NameRow4:
LEGAL First NameRow4:
MIRow4:
Drivers License Row4:
StateRow4:
USA CitizenRow4:
DOBRow4:
IGateRow4: N
Last NameRow5:
LEGAL First NameRow5:
MIRow5:
Drivers License Row5:
StateRow5:
USA CitizenRow5:
DOBRow5:
IGateRow5: N
Last NameRow6:
LEGAL First NameRow6:
MIRow6:
Drivers License Row6:
StateRow6:
USA CitizenRow6:
DOBRow6:
IGateRow6: N
Last NameRow7:
LEGAL First NameRow7:
MIRow7:
Drivers License Row7:
StateRow7:
USA CitizenRow7:
DOBRow7:
IGateRow7: N
Last NameRow8:
LEGAL First NameRow8:
MIRow8:
Drivers License Row8:
StateRow8:
USA CitizenRow8:
DOBRow8:
IGateRow8: N
Last NameRow9:
LEGAL First NameRow9:
MIRow9:
Drivers License Row9:
StateRow9:
USA CitizenRow9:
DOBRow9:
IGateRow9: N
Text3:
Text4:
Text5:
Text6:
Text7:
Originating Agency Contact Information: Brian O'Kane 508-968-6993, Brian.C.O'kane@uscg.mil
Check Box3: Yes
NCIC Approval: [Yes]
Comments:

File details come from the government source that posted it. Updated .