Appendix C Contractor Entry Authorization List.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Potable Water Backflow Prevention Survey Federal contract opportunity
- Solicitation number
- FA462625Q0017
About this file
This is a contractor entry authorization list template for Malmstrom Air Force Base that provides a structured format for documenting personnel requiring unescorted base access to perform contract work. The document is specifically for use with the 341 Security Forces Pass and ID office.
The template requires detailed personal information including name, SSN, DOB, driver's license information, physical characteristics, and residential address for each contractor. It specifies that contractors must enter through the 10th Ave North Gate, are subject to vehicle searches, and typically have access during business hours (0600-1800) Monday through Friday, though basewide (BW) or 24/7 access can be granted if needed. The form requires verification from both the Project Manager and Contracting Officer, and contains privacy act notifications regarding the protection of personal information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Q and A for FA462625Q0017.pdf | ||
| Appendix Ab Base Map (2018).pdf | ||
| Appendix D AF Form 848.pdf | ||
| Appendix E Baseside List Updated March2025.xlsx | XLSX spreadsheet | |
| Combo Amendment 0002 - FA462625Q0017.pdf | ||
| Appendix Aa Base Map (2025).pdf | ||
| Solicitation Amendment FA462625Q00170001 SF 30.pdf | ||
| Appendix G AFMAN 32-1067.pdf | ||
| Appendix F Missile Zone BPDs Feb2025.xlsx | XLSX spreadsheet | |
| Appendix B MAF Map 34x22.pdf | ||
| Potable Water Backflow Survey SOW - Feb2025.pdf | ||
| Appendix E Baseside List Feb2025.xlsx | XLSX spreadsheet | |
| Appendix A Base Map 11x17.pdf | ||
| Appendix D AF Form 848.pdf | ||
| Solicitation - FA462625Q0017.pdf |
Show all 15
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sheet1
| 1. MEMORANDUM FOR: 341 Security Forces Pass and ID | 5. CODES: | 9. EFFECTIVE DATE: | ||||||||
| 2. COMPANY: | 4. CONTRACT #: | 6. DAYS: - Mon- Fri (BW = Basewide) if needed | 10. EXPIRATION DATE: | |||||||
| 3. SUBJECT: | 7. HOURS: ( 0600-1800) | |||||||||
| 8. DATE UPDATED: | ||||||||||
| The personnel listed below have been verified and will require unescorted entry onto Malmstrom AFB to perform official contractual duties. All commercial/contractor vehicles must be searched regardless of size. All contractors will enter the installation through the 10th Ave North Gate. | ||||||||||
| 11. If there are any questions please contact the PROJECT MANAGER - Name and Phone Number | ||||||||||
| NAME (Last, First MI) | SSN | DOB | STATE/DL# | Height Weight | Eye Color Hair Color | SEX | RESIDENCE (HOME) ADDRESS | COMPANY | ACCESS REQUIRED | |
| 12. (SAMPLE) SMITH, JOHN D | 121456789 | 10-Jul-60 | MT/0000000000000 | 72"/200 | Blue/Brown | M | 0000 12th Ave N, Great Falls, MT | Smith Construction | BW or 24/7 | |
| ///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// |
| 13. Contracting Officer |
| 14. Name/ Phone |
CONTRACTOR ENTRY AUTHORIZATION LIST &8 17 MARCH 2014
| &8CONTRACTING OFFICER VERIFICATION | &8INFORMATION 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. | &8PROJECT MANAGER VERIFICATION |
File details come from the government source that posted it. Updated .