Attachment 03 - Base Access Request - 14 May 2026.pdf
PDF 451 KB Posted
- Attached to
- Well 4 PFAS/PFOA Upgrade
- Solicitation number
- FA480326B0010
About this file
This is a base access authorization form for a contractor site visit issued by the 20th Fighter Wing at Shaw Air Force Base, South Carolina.
The form authorizes potential vendors to access Building 1130 on May 20, 2026, at 10:00 A.M. EST for a site visit related to the B1130 Annex HVAC Repair project. SSgt Craig Johnson (craig.johnson.37@us.af.mil; 803-895-5384) serves as the sponsoring official responsible for contractor access and accountability. The form requires collection of personal information from visiting contractors, including full legal name, date of birth, Social Security number, state driver's license number with REAL ID verification, and U.S. citizenship status. This information is protected under the Privacy Act of 1974 and will be used exclusively to conduct criminal background history checks for access authorization to the base. The sponsor assumes full responsibility for ensuring that all individuals listed turn in their DBIDS passes upon termination of access and must notify Security Forces for pass deactivation if unable to retrieve passes directly. The form must be submitted by the sponsor from a government email account to the 20th Security Forces Squadron (20 SFS/S-5V) section.
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Text version
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
Victory By Valor
CUI
CUI
DATE: 5/14/2026
FROM: 20th CONS
SUBJECT: Contractors need base access for B1130 Annex HVAC Repair site visit
WHO: Potential vendors
WHAT FOR: Site Visit for B1130 Annex HVAC Repair
WHERE: Bldg. 1130
WHEN: 20 May 2026 @ 10:00 A.M. EST
SPONSOR NAME: SSgt Craig Johnson
CONTACT INFO: craig.johnson.37@us.af.mil; 803-895-5384
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.
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.
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) mailto:sarah.nieves.3@us.af.mil
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| I UNDERSTAND THAT AS THE SPONSOR I AM RESPONSIBLE FOR THE PERSONS LISTED ON: |
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File details come from the government source that posted it. Updated .