Attach 5) BAL Template.docx

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FY 23 B140 Foundation Repair Resolicitation
Solicitation number
FA303023R0001
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DEPARTMENT OF THE AIR FORCECUI

17th TRAINING WING (AETC)

GOODFELLOW AIR FORCE BASE TEXAS

Todays Date

MEMORANDUM FOR 17 SFS/S5

FROM: 17 CONS/PKA

SUBJECT: (U) Request Unescorted Base Access Pass

(U) I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for B140 Foundation Repair Site Visit.

Company
Type of Services
Contract#
Site Visiting
FPCON
Insert Name
Construction
TBD
B140
B/C

(CUI) The following contractor will need one time access to building 140.

Name
DOB
State/DL or ID#
Last 4 SSN
Date(s) of Entry
Days/Hours
22 June 2022
0945 - 1100

Wednesday

22 June 2022
0945 - 1100

Wednesday

(U) I will ensure the contractor is briefed that only properly licensed visitors, appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.

(U) Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.

5. (U) If you have any questions, please contact me at (325) 654-6104 and at cell phone number (325) 716-9747.

NAME, RANK, USAF
Contracting Officer

Ever Into DangerControlled by: 17CONS CUI Category: PRVCY Limited Dissemination control: FEDCON POC: Name, Phone

CUI

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