Section_L_Appendix_1,_KSC_Form_28-889_Visitor_Badge_Request.pdf
PDF 95 KB Posted
- Attached to
- Restore KSC Coastal Shoreline Federal contract opportunity
- Solicitation number
- 80KSC019R0023
About this file
Section L, Appendix 1 to Solicitation 80KSC019R0023.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_03_signed.pdf | ||
| Amendment_02_signed.pdf | ||
| Amendment_01_signed.pdf | ||
| Attachment_J-D,_Cert_of_Progress_Payments.pdf | ||
| Attachment_J-B_KSC_Project_Specific_Requirements.pdf | ||
| Section_L_Appendix_4,_Past_Performance_Questionnaire.docx | DOCX document | |
| Section_L_Appendix_2,_Acceptable_Identity_Guide.pdf | ||
| Attachment_J-C,_Wage_Detemination_FL190001_5-10-2019.pdf | ||
| Attachment_J-A_Project_Deliverables.pdf | ||
| Section_L_Appendix_3,_Pre-Proposal_Inquiry_Form.xlsx | XLSX spreadsheet | |
| 80KSC019R0023_Request_for_Proposal.pdf |
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KSC Visitor Badge Request (Multiple)
NRRS 1620.105.A
Page of KSC FORM 28-889 NS (PI) 08/13 (1.1) PREVIOUS EDITIONS ARE OBSOLETE. Validate prior to use.
Fax No. 867-4854 Mail Code: KSC Badging Office Phone No. 867-7763 Through signature above I attest to the validity and purpose of this visit.
FULL NAME (Last, First, MI)
COUNTRY OF CITIZENSHIP
SSN/Passport/Naturalization # or Alien Reg. # (Green Card) COMPANY NAME and ADDRESS
DATE OF BIRTH
PLACE OF BIRTH
START DATE
END DATE
To Be Escorted Y/N WARNING. When filled in, this form contains Personally Identifiable Information (PII) that is subject to Federal law and regulation. PII may be used only as authorized, which includes securing it in accordance with NASA policy and procedural requirements. Penalties for misuse apply.
Report suspected misuse immediately to Security Operations Center at 877-NASA-SEC (627-2732).
05/05/14 05/05/14 05/05/14 05/05/14 05/05/14 05/05/14 05/05/14 05/05/14 05/05/14 9.0.0.2.20101008.1.734229 KSC Visitor Badge Request (Multiple) KSC FORM 28-889 Rev 08/13, Created 08/13 Version 1.1 08/13 KSC Forms KSC Visitor Badge Request (Multiple) 08/13 1.1
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| ContstructionContractNum: 80KSC0-19-R-0023 |
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| Purpose: Restore KSC Coastal Shoreline |
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