A10_Blank CEAL.xlsx
XLSX spreadsheet 84 KB Posted
- Attached to
- Repair MAF and Base Fire Alarms - DSN/CSN, IDIQ
- Solicitation number
- FA4626-26-R-0012
About this file
This is a Contractor Entry Authorization List (CEAL) template for personnel access to Malmstrom Air Force Base in support of the Repair MAF and Base Fire Alarms contract (FA4626-26-R-0012). The CEAL is a security vetting document used to authorize contractor personnel to access restricted areas on the installation, specifically Missile Alert Facilities (MAF), Launch Facilities (LF), and the Weapon Storage Area (WSA). The form requires comprehensive personal information for each authorized individual, including full legal name, Social Security number, date of birth, driver's license details, physical description, and residence address. All personnel must receive AT Level I and Unmanned Aircraft Systems (UAS) training in accordance with Department of Defense, Air Force Instruction, and local policy requirements prior to authorization.
The document establishes access protocols requiring submission a minimum of five business days before access is needed, with standard contractor hours Monday through Friday from 0600-1800 hours unless otherwise specified. Contractor vehicles entering the installation must use the 10th Avenue North Gate, with large vehicles (panel vans, semi-trucks, tractors, trailers, dump trucks) subject to vehicle searches. The form must be verified and signed by both the Contracting Officer and Project Manager before processing. Additionally, company managers are responsible for collecting and returning Defense Biometric Identification System (DBIDS) cards from employees no longer employed with the contractor. The document includes reporting requirements for any unmanned aircraft systems observed on the installation and emphasizes that all information is protected under Air Force Privacy Act regulations.
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Text version
Sheet1
| CONTRACTOR ENTRY AUTHORIZATION LIST | |||||||||
| 1. Squadron Requestor: 341 CONS | 4.Contract #: FA4626-26-R-0012 | ||||||||
| 2. Company: | 5.Effective Date: | ||||||||
| 3. Subject: Repair MAF & Base Fire Alarms | 6. Expiration Date: | ||||||||
| 8. Contractor Name & office number: Jillian Urick 406-731-3772 | 9. Sub Company manager Name & office number: Sub's name and phone number | ||||||||
| 10. FULL LEGAL NAME | GENDER | SSN | DOB | DL STATE & DL # | HEIGHT/WEIGHT | EYE/HAIR COLOR | RESIDENCE(HOME ADDRESS) | COMPANY | ACCESS REQ |
| LAST, First, MI | M | 000-00-0000 | 1961 Jan 01 | MT/AAB0000123456 | 70"/160 | BLUE/BROWN | 123 Freedom Road, GREAT FALLS MT | Old Guys | Mon-Fri 0530-1730 |
MUST BE REAL ID
Apex Constructors
8. FULL LEGAL NAME GENDER SSN DOB DL STATE & DL # HEIGHT/WEIGHT EYE/HAIR COLOR RESIDENCE(HOME ADDRESS) COMPANY ACCESS REQ
X DBIDS Badge MAF/LF only
WSA
7.Check as needed:
Contracting officer verification and project manager signatures are a requirement in order to process this document failure to do so will result in the document not being processed. This form is to be submitted a minimum of FIVE (5) days prior to the date that access is required. Contractor hours are Mon-Fri 0600-1800 unless otherwise specified above. Ensure that all required information is properly verified before submitting(no nicknames ONLY full legal names). Drones/UAS reporting: If spotted on the installation immediately report to BDOC (406) 731-3895. Include colors/markings, type (plane, rotary), location, flight path, payload (if applicable). DO NOT TOUCH grounded craft. The personnel listed have been propertly vetted to perform official duties on Malmstrom AFB. The personnel lsited have recieved AT Level I and UAS training IAW with DoD, AFI , and local policy. Contractor vehicles: All large contractor vehicle, (e.g. panel van, semi-truck, tractor, trailer, dump truck) that a contractor drives or tows on the installation. Small contractor passenger vehicles exempted from vehicles searches are cars, pickup trucks, SUVs, etc. Contractors will enter the installation through the 10th Ave North Gate. Contracting officer has verified the requirements for the following personnel to be granted access to 341 MW MAF's and LF's. Allow personnel within this CEAL to be authorized access to the required areas IAW DoDM S-5210.41_AFMAN 31-108 and AFMAN 31-101. This CEAL is a supporting document for official contractual duties in the missile field or the WSA. PROJECT MANAGERS/COMPANY MANAGERS ARE REQUIRED TO COLLECT THE DBIDs CARDS FROM THOSE EMPLOYEES THAT ARE NO LONGER WITH THE COMPANY AND TURN THEM INTO THE VCC. INFORMATION CONTAINED HEREIN IS PERSONAL AND WILL NOT BE DISCLOSED TO THE PUBLIC WITHOUT CONSENT OF THE INDIVIDUAL AFI 33-332, AIR FORCE PRIVACY ACT PROGRAM APPLIES.
Office use only: Date received______ Vetted Date:___________ Data Entered by:_________ Scanned by:_______ Called/email by:________ Call Logged by:______ Instructions on how to properly fill the CEAL:
1. The squadron requesting the personnel to be vetted.
2. Company: Main company of the contract. If multiple, type the company who the contract is with.
3.Subject: Name of the project.
4. Contract #: Contract Number for this project or name of the contract.
5. Effective Date: The first day the individual(s)s will need access to base or the MAF/LF.
6. Expiration Date: The last day the individual(s) will need access to base or MAF/LF.
7. Check as needed:
DBIDS Badge : Check this if the individual(s) will be working on the base and need access to enter through 2nd ave gate or 10th ave gate for work purposes.
WSA: Check this if you need it as a supporting document for the WSA and need the VCC to send you a copy. Also make sure to check DBIDS badge if the individual(s) needs base access to get to the WSA.
MAF/LF Only: Check this if you need it only as a supporting document to the MAFs/LFs. Note: If the individuals need access to the base please ensure you also check DBIDs Badge.
8 and 9: Contractor, Project/ Company manager name and office number: This information is required to inform the point of contact when the CEAL has been vetted.
10. All information must be provided in order to run the criminal investigation and is not optional. Follow the example provided.
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