Attachment 1- PWS Appendix 14_GSA Form 139-Record of Arrival and Departure from Building.pdf

PDF 1 MB Posted Sep 7, 2023

Attached to: Western Ground Transportation DRAFT Solicitation
Solicitation number: 70CDCR23R000000XX
Issued by: Immigration and Customs Enforcement

About this file

Written by GovTribe AI · Dec 21, 2023

This document is a template for recording visitor arrivals and departures from federal buildings. It includes fields for month, year, date, visitor name, signature, agency or firm, room number, purpose of visit, arrival and departure times. The related federal contract opportunity notice is for ground transportation services. It provides the solicitation number, name as the Western Ground Transportation draft solicitation, lists the opportunity type as a special notice, and identifies Immigration and Customs Enforcement as the contracting agency. No further details are provided on the required products or services, response dates, pricing or other salient information.

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Attachment 1- PWS Appendix 2a_San Diego AOR Transportation Routes.docx	DOCX document	Sep 7, 2023

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TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING MONTHYEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION GSA 139 (REV. 12/2006)(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING

MONTH

YEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION

GSA 139 (REV. 12/2006)

(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

MONTH:

YEAR. Enter 4 digit year.:

BUILDING:

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 1 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 16 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 15 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 14 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 13 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 12 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 11 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 10 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 9 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 8 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 7 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 6 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 5 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 4 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 3 of 16. :

DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 2 of 16. :

PRINT NAME (Last - First - Initial) (b):

SIGNATURE. (c). This is a protected field. :

AGENCY OR FIRM (d):

ROOM NUMBER (e):

PURPOSE OF VISIT (f):

SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

TIME OF ARRIVAL (g):

TIME OF DEPARTURE (i):

SignatureField1:

File details come from the government source that posted it. Updated Sep 7, 2023.