Atch 5 - Base Pass Request.pdf

PDF 41 KB Posted

Attached to
Appropriated Funds (APF) Linen Services Federal contract opportunity
Solicitation number
FA483025Q0018
Issued by
Department of the Air Force Air Combat Command

About this file

This file is a template form for requesting personnel passes for contractor access to Moody Air Force Base, specifically for contract FA483024Q0039 related to Linen Exchange services. The form is addressed to the 23rd Security Forces Squadron (23 SFS/S5) Pass and Registration office and requires contractors to provide their company information, contract details, and reason for base access.

The form requires key information including the prime contractor's name/address, project title (Linen Exchange), access duration (through April 19, 2025), and contractor point of contact details. It specifies that original consent forms for criminal background checks must be submitted for listed individuals. The form must be reviewed by both company officials and base personnel (specifically Mr. Gerard Entwisle, 229.257.2509) and requires signatures from both parties. For contracts administered by 23 CONS, the form must be reviewed by that office; otherwise, it is reviewed by the requesting base organization.

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Other files for this federal contract opportunity

Other files attached to Appropriated Funds (APF) Linen Services, newest first.
File Type Posted
Questions and Answers - 25Q0018 APF Linen.pdf PDF
Solicitation - FA483025Q0018.pdf PDF
Atch 7 - PPI Form.pdf PDF
Atch 2 - APF Linen Services PWS 4Feb2025.pdf PDF
Atch 5 - Base Pass Request.pdf PDF
Atch 6 - PPQ Questionnaire.pdf PDF
Solicitation - FA483025Q0018.pdf PDF
Atch 1 - Pricing Schedule.xlsx XLSX spreadsheet
Atch 2 - APF Linen Services PWS 4Feb2025.pdf PDF
Atch 3 - WD 2015-4493 Rev 27.pdf PDF
Atch 4 - Insurance Compliance (AFFARs).pdf PDF
Atch 6 - PPQ Questionnaire.pdf PDF
Show all 12

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Text version

NOTE: THE INFORMATION ON THIS LETTER MUST BE LEGIBLE

MEMORANDUM FOR 23 SFS/S5; PASS AND REGISTRATION DATE: .

FROM:

(YOUR FIRM’S/PRIME CONTRACTOR'S NAME/ADDRESS)

SUBJECT: Request for Personnel Passes, Contract Number FA483024Q0039

(INCLUDE COMPLETE CONTRACT NUMBER)

Or At the Request of 23 Contracting Squadron .

(NAME OF BASE ORGANIZATION REQUIRING CONTRACTOR’S PRESENCE ON BASE)

1. Project Title or Reason for Pass Request: Linen Exchange .

2. Please issue passes for employees of:

(YOUR FIRM OR YOUR SUBCONTRACTOR)

Employees require access to Moody AFB through: 19 April 2025

(NOT TO EXCEED 1 YEAR)

Contractor point of contact is: - (YOUR FIRM’S REPRESENTATIVE AND PHONE NUMBER, IF CONTRACT, MUST BE PRIME CONTRACTOR)

3. If there is a contract, whether written or administered by 23 CONS or by another agency, the address above, the point of contact listed, and the signature below are with the Prime Contractor to which the contract is written. This letter will be presented for review by 23 CONS for contracts written or administered by 23 CONS and for all others will be presented for review by the base organization requesting our presence.

4. Completed, original, consent forms (no copies) to conduct criminal background will be presented for the individuals listed below.

Reviewed:

(SIGNATURE OF COMPANY OFFICIAL) (SIGNATURE OF BASE PERSONNEL)

. Mr. Gerard Entwisle 229.257.2509 .

(TYPED NAME AND TITLE OF COMPANY OFFICIAL) (TYPED/PRINTED NAME, PHONE NO. OF BASE PERSONNEL AND DATE)

(Format, Background Cover Letter, 02/2011) No. of Completed Consent Forms to be presented

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