Atch 9-Base Access Template (CAO Jul 24).docx
DOCX document 78 KB Posted
- Attached to
- Well 3 & Well 5 Repair w/SCADA Automation
- Solicitation number
- FA480325B0002
About this file
The document is a Base Access Template for Shaw Air Force Base, designed to process Criminal Background History Checks for base access. The template requires comprehensive personal information including full legal name, date of birth, social security number, driver's license details, and citizenship status. The sponsor of the access request assumes full responsibility for ensuring proper pass management and notification to Security Forces if an individual's access needs to be terminated.
This template is associated with Solicitation FA480325B0002 for Well 3 & Well 5 Repair with SCADA Automation at Shaw AFB. The project involves installing process equipment, control systems, and remote SCADA access using Allen Bradley technology. The project is valued between $500,000 and $1,000,000, with key dates including a mandatory site visit on April 18, 2025, questions due by April 23, 2025, and solicitation offers due on May 20, 2025 at 2:00 PM EST. The project must comply with various standards including ANSI, AWWA, NEC, and UPC, with the contracting team including Mr. Darrel Ford and SrA Felix Prose from the Department of the Air Force Air Combat Command.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
DATE:
FROM:
SUBJECT:
WHO:
WHAT FOR:
WHERE:
If base wide give justification:
WHEN:
SPONSOR NAME:
DOD EDPI:
CONTACT INFO:
The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant or deny access to Shaw AFB. It is further understood that anyone abusing approved privileges could, at a minimum, lose said privilege and possibly face criminal charges.
Full Legal Name (Last, First MI) Date Of Birth (Year/Mo/Day) Social Security Number
ST-DL #
(REAL ID Y/N)
U.S.
Citizen (Y/N)
I UNDERSTAND THAT AS THE SPONSOR I AM RESPONSIBLE FOR THE PERSON(S) LISTED ON THIS FORM, AND FOR ENSURING THE ABOVE NAME INDIVIDUAL(S) TURNS IN THE DBIDS PASS OR RETRIEVE THE PASS ONCE THE INDIVIDUAL(S) ARE TERMINATED, QUIT, OR NO LONGER REQUIRES ACCESS. IF I AM NOT ABLE TO RETRIEVE THE PASS, I WILL NOTIFY SECURITY FORCES TO HAVE THE INDIVIDUAL(S) PASS DEACTIVATED IN DBIDS.
This form must be sent by the sponsor from their government email and received at the email addresses/fax number listed above in the 20 SFS/S-5V section.
CUI
Victory By Valor image1.png
File details come from the government source that posted it. Updated .