ATTACHMENT 15 VISITOR REQUEST WORKSHEET.pdf

PDF 523 KB Posted

Attached to
Repair Building 51 Federal contract opportunity
Solicitation number
W50S87-23-B-0001
Issued by
Department of the Army North Carolina Army National Guard

View the file

Other files for this federal contract opportunity

Other files attached to Repair Building 51, newest first.
File Type Posted
Bid Opening Sign-in Sheet.jpg JPG image
OF 1419 Abstract signed.pdf PDF
Questions and Answers 07102023.pdf PDF
Amendment 0001.pdf PDF
Pre-bid signin sheet.jpg JPG image
PreBidSlides_W50S87-23-B-0001 Repair Building 51.pptx PPTX presentation
Pre Bid Sign in sheet.jpg JPG image
W50S87-23-B-0001.pdf PDF
ATTACHMENT 8 DRAWINGS 145 AW Repair Maint. Hangar Building 51 dated 20 July 2022 Vol 4.pdf PDF
ATTACHMENT 18 145 AW CONTRACTOR SECURITY GUIDE.pdf PDF
ATTACHMENT 19 145 AW CONTRACTOR ENVIRONMENTAL GUIDE.pdf PDF
ATTACHMENT 5 DRAWINGS 145 AW Repair Maint. Hangar Building 51 dated 20 July 2022 Vol 1.pdf PDF
ATTACHMENT 9 SOW Repair Bldg 51 dated 6 November 2022.pdf PDF
ATTACHMENT 1 SPECS REPAIR BUILDING 51 FJRP112701 dated 20 July 2022 Vol 1 of 4 502 pages.pdf PDF
ATTACHMENT 3 SPECS REPAIR BUILDING 51 FJRP112701 dated 20 July 2022 Vol 3 of 4 490 pages.pdf PDF
ATTACHMENT 7 DRAWINGS 145 AW Repair Maint. Hangar Building 51 dated 20 July 2022 Vol 3.pdf PDF
ATTACHMENT 12 BRAND NAME JUSTIFICATION Interior and Exterior Finishes redacted.pdf PDF
ATTACHMENT 16 PREBID CONFERENCE SITE VISIT and BID DROP OFF MAP.pdf PDF
ATTACHMENT 17 145 AW CONTRACTOR SAFETY GUIDE.pdf PDF
ATTACHMENT 2 SPECS REPAIR BUILDING 51 FJRP112701 dated 20 July 2022 Vol 2 of 4 542 pages.pdf PDF
ATTACHMENT 4 SPECS REPAIR BUILDING 51 FJRP112701 dated 20 July 2022 Vol 4 of 4 444 pages.pdf PDF
ATTACHMENT 6 DRAWINGS 145 AW Repair Maint. Hangar Building 51 dated 20 July 2022 Vol 2.pdf PDF
ATTACHMENT 10 BRAND NAME JUSTIFICATION - Best Door hardware redacted.pdf PDF
ATTACHMENT 11 BRAND NAME JUSTIFICATION Alerton Direct Digital Controls redacted.pdf PDF
ATTACHMENT 13 BRAND NAME JUSTIFICATION Monaco Fire Alarm Trasceiver redacted.pdf PDF
ATTACHMENT 14 BRAND NAME JUSTIFICATION- Sika Sarnafil PVC Roof Membrane redacted.pdf PDF
Show all 26

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Page 1 of 2 Current as of 19 November 2021

CUI

145 SFS VISITOR'S REQUEST WORKSHEET

AUTHORITY: 10 U.S.C. 8013, DODI 1000.30, AFMAN 31-101 V3, and AFI 33-332 PRINCIPLE PURPOSE(S): To conduct National Crime Information Center (NCIC) check, on non-DoD affiliated civilian visitors. DISCLOSURE:

Disclosure of requested information is voluntary. However, failure to provide information may result in access privileges being refused or withdrawn.

The Controlled Unclassified Information Statement will apply throughout the duration of the visitor's visit to the 145 AW Installation.

1. INSTRUCTIONS

All information must be completed; First, Middle, and Last Names (no initials). Email worksheet to 145MSG.S5Pass.ID@us.af.mil

SECTION I: Ensure all blocks are complete.

1.1. SPONSOR'S RANK/ NAME 1.2. SPONSOR'S PHONE NUMBER & UNIT

1.3. VISITORS AFFILIATION 1.4 VISITOR'S DESTINATION & PURPOSE FOR VISIT

Visitor's Information

1.5. NAME (LAST, FIRST, MIDDLE) 1.6. SOCIAL SECURITY # 1.7. DL# & STATE 1.8. DOB 1.9. DATES & TIMES 1.10. VETTING RESULTS 1.11. VETTED BY

SECTION II: To be completed, signed, and dated by Security Forces.

2.1. DISTRIBUTION INSTRUCTIONS APPROVED and DENIED ON FITNESS CRITERIA.

Ensure all information is loaded into the Main Gate Database and completed worksheet is sent to the originator, sponsor (if different than the originator), and 145MSG.S5Pass.ID@us.af.mil

2.2. INFORMATION NEEDED FOR DENIAL ON FITNESS CRITERIA AND/OR MISCELLANEOUS COMMENTS, I.E. MAY NOT DRIVE.

Ensure full name, company, and reason for denial is placed below and/or comments if needed: Date:

CUI

Controlled by: 145 AW Controlled by: 145 SFS CUI Category: PRVCY Distribution/Dissemination Controls: FEDCON POC: TSgt Mark P. Dow, (704) 398-4833 mailto:usaf.nc.145-aw.list.bdoc@mail.mil mailto:usaf.nc.145-aw.list.bdoc@mail.mil

Page 2 of 2 Current as of 19 November 2021

INSTRUCTIONS FOR COMPLETING VISITOR REQUEST WORKSHEET

SECTION I TO BE COMPLETED BY SPONSOR:

Block 1.1. Enter the sponsor's Rank/Name and DOD or Social Security Number.

Block 1.2. Enter sponsor's contact number and unit.

Block 1.3. Enter company's name or visitors purpose of visiting 145th AW Installation.

Block 1.4. Enter the visitors allowed destination or destinations by sponsor and a brief description of the visitor's purpose for visit.

Block 1.5. Enter Full Last Name, Full First Name, and Full Middle Name (No Initials).

Block 1.6. Visitor's Social Security Number.

Block 1.7. Enter visitor's issued driver's license or state issued ID number and state of issue.

Block 1.8. Enter visitor’s Date of Birth.

Block 1.9. Ensure to enter the requested dates and times of the visitor.

(Note: Contractors that will need access for more than 10 cumulative days will need to complete an 145 AW Form 28.)

SECTION 1.10. & 1.11.: TO BE COMPLETED BY SFS:

Block 1.10. Ensure personnel are vetted via NCIC and CJLEADS. Vetting results will be annotated by APPROVED or DENIED.

Block 1.11. SFS personnel conducting the vetting will place their initials in this block.

SECTION II: TO BE COMPLETED, SIGNED, AND DATED BY SFS:

Block 2.1. Ensure all information is loaded into the Main Gate Database and completed worksheet is sent to the originator, sponsor (if different than the originator), and 145MSG.S5Pass.ID@us.af.mil

Block 2.2. This section will be used to annotate the reason for the denial, if visitor is denied, and/or any other pass-on information on the visitor, i.e. may not drive due to invalid driver’s license etc.

(Note: SFS member conducting the vetting will need to sign and date the completed form, Section II, Block 2.2.)

mailto:usaf.nc.145-aw.list.bdoc@mail.mil

SECTION I TO BE COMPLETED BY SPONSOR:
Block 1.1. Enter the sponsor's Rank/Name and DOD or Social Security Number.
Block 1.3. Enter company's name of visitor being sponsored, if applicable, and/or any additional comments.
Block 1.7. Enter visitor's issued driver's license or state issued ID number and state of issue.
APPROVED or DENIED.
18 DOBRow6:
Row5:
110 VETTING RESULTSRow6:
1101 VETTED BYRow6:
15 NAME LAST FIRST MIDDLERow7:
16 SOCIAL SECURITY Row7:
17 DL STATERow7:
18 DOBRow7:
Row6:
110 VETTING RESULTSRow7:
1101 VETTED BYRow7:
15 NAME LAST FIRST MIDDLERow8:
16 SOCIAL SECURITY Row8:
17 DL STATERow8:
18 DOBRow8:
Row7:
110 VETTING RESULTSRow8:
1101 VETTED BYRow8:
15 NAME LAST FIRST MIDDLERow9:
16 SOCIAL SECURITY Row9:
17 DL STATERow9:
18 DOBRow9:
Row8:
110 VETTING RESULTSRow9:
1101 VETTED BYRow9:
15 NAME LAST FIRST MIDDLERow10:
16 SOCIAL SECURITY Row10:
17 DL STATERow10:
18 DOBRow10:
Row9:
110 VETTING RESULTSRow10:
1101 VETTED BYRow10:
15 NAME LAST FIRST MIDDLERow11:
16 SOCIAL SECURITY Row11:
17 DL STATERow11:
18 DOBRow11:
Row10:
110 VETTING RESULTSRow11:
1101 VETTED BYRow11:
15 NAME LAST FIRST MIDDLERow12:
16 SOCIAL SECURITY Row12:
17 DL STATERow12:
18 DOBRow12:
Row11:
110 VETTING RESULTSRow12:
1101 VETTED BYRow12:
15 NAME LAST FIRST MIDDLERow13:
16 SOCIAL SECURITY Row13:
17 DL STATERow13:
18 DOBRow13:
Row12:
110 VETTING RESULTSRow13:
1101 VETTED BYRow13:
15 NAME LAST FIRST MIDDLERow14:
16 SOCIAL SECURITY Row14:
17 DL STATERow14:
18 DOBRow14:
Row13:
110 VETTING RESULTSRow14:
1101 VETTED BYRow14:
15 NAME LAST FIRST MIDDLERow15:
16 SOCIAL SECURITY Row15:
17 DL STATERow15:
18 DOBRow15:
Row14:
110 VETTING RESULTSRow15:
1101 VETTED BYRow15:
15 NAME LAST FIRST MIDDLERow16:
16 SOCIAL SECURITY Row16:
17 DL STATERow16:
18 DOBRow16:
Row15:
110 VETTING RESULTSRow16:
1101 VETTED BYRow16:
15 NAME LAST FIRST MIDDLERow17:
16 SOCIAL SECURITY Row17:
17 DL STATERow17:
18 DOBRow17:
Row16:
110 VETTING RESULTSRow17:
1101 VETTED BYRow17:
15 NAME LAST FIRST MIDDLERow18:
16 SOCIAL SECURITY Row18:
17 DL STATERow18:
18 DOBRow18:
Row17:
110 VETTING RESULTSRow18:
1101 VETTED BYRow18:
15 NAME LAST FIRST MIDDLERow19:
16 SOCIAL SECURITY Row19:
17 DL STATERow19:
18 DOBRow19:
Row18:
110 VETTING RESULTSRow19:
1101 VETTED BYRow19:
15 NAME LAST FIRST MIDDLERow20:
16 SOCIAL SECURITY Row20:
17 DL STATERow20:
18 DOBRow20:
Row19:
110 VETTING RESULTSRow20:
1101 VETTED BYRow20:
15 NAME LAST FIRST MIDDLERow21:
16 SOCIAL SECURITY Row21:
17 DL STATERow21:
18 DOBRow21:
Row20:
110 VETTING RESULTSRow21:
1101 VETTED BYRow21:
15 NAME LAST FIRST MIDDLERow22:
16 SOCIAL SECURITY Row22:
17 DL STATERow22:
18 DOBRow22:
Row21:
110 VETTING RESULTSRow22:
1101 VETTED BYRow22:
15 NAME LAST FIRST MIDDLERow23:
16 SOCIAL SECURITY Row23:
17 DL STATERow23:
18 DOBRow23:
Row22:
110 VETTING RESULTSRow23:
1101 VETTED BYRow23:
15 NAME LAST FIRST MIDDLERow24:
16 SOCIAL SECURITY Row24:
17 DL STATERow24:
18 DOBRow24:
Row23:
110 VETTING RESULTSRow24:
1101 VETTED BYRow24:
15 NAME LAST FIRST MIDDLERow25:
16 SOCIAL SECURITY Row25:
17 DL STATERow25:
18 DOBRow25:
Row24:
110 VETTING RESULTSRow25:
1101 VETTED BYRow25:
15 NAME LAST FIRST MIDDLERow26:
16 SOCIAL SECURITY Row26:
17 DL STATERow26:
18 DOBRow26:
Row25:
110 VETTING RESULTSRow26:
1101 VETTED BYRow26:
Text 2: 704-391-4207
Text 1: SMSgt Bryant K Alexander
Text 3: Repair Building 51/FJRP112701
Text 4: 4930 Minuteman Way/Building 63 Conf Room

Charlotte,NC 28208

Text 5:
Text 6:
Text 7:
Text 8:
Text 9:
Text 10:
Text 11:
Text 12:
Text 13:
Text 14:
Text 15:
Text 16:
Text 17:
Text 18:
Text 19:
Text 20:
Text 21:
Text 22:
Text 23:
Text 24:
Text 25:
Text 26:
Text 27:
Text 28:
Text 29:
Text 30:
Text 31:
text 32:
Text 33:
Text 34:
Text 35:
Text 36:
Text 37:
Text 38:
Text 39:
Text 40:
Text 41:
Text 42:
1102 date:
1103:

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