ATTACHMENT E - Expected Visitor Form.docx

DOCX document 22 KB Posted

Attached to
UEM B3163, CTG Solar Turbine (deleted HRSG Boiler, and Gas Booster) Reoccurring Maintenance
Solicitation number
ACQR6050761
Issued by

About this file

The provided document is ATTACHMENT E - Expected Visitor Form, which is a form used to request visitor access to restricted areas at the Naval Support Facility Indian Head, MD. The form captures information about the visitor, such as their name, citizenship, company represented, and the date and location of the visit. It also includes a point of contact and confirmation that the visitor has completed required vetting procedures.

The related federal contract opportunity is for an Indefinite Delivery Indefinite Quantity (IDIQ) contract to provide recurring maintenance for the UEM B3163 facility, which includes a Solar Turbine, HRSG Boiler, and Gas Booster, at the Naval Support Facility Indian Head, MD. The contract has a 1-year base period and four 1-year option periods. It is a firm-fixed price contract set aside for eligible SBA-certified 8(a) small businesses. Proposals are due by 2:00 PM EST on June 24, 2024.

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Text version

ATTACHMENT E

EXPECTED VISITOR(S)

Can Only Be Submitted By Authorized Personnel To either: DAHLGREN: PassID.NSASP-DLGR.fcm@navy.mil OR INDIAN HEAD: NSASP-PASS-ID@us.navy.mil

General Information (POC provide this form to Person Authorized by your command to submit it)

MARK ONLY ONE

Persons without one of the following, MUST fill out Vetting Form SECNAV 5512/1 Form

Date(s) of Visit Visitor Last Name Visitor First Name & Middle Initial

Citizen-ship
Representing Company
Visit Bldg #
Restricted Area / Admin Area

CAC

In

JPAS

GOV

PIV

Date vetting completed

08/27/2024

Bldg. 3163
Restricted

POC

POC Phone #

Suzanne K. Crist suzanne.k.crist2.civ@us.navy.mil
202-834-8415

NSASP 5512/17V

Revision August 2020

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