Attachment 3 - 316TH Unofficial Visitor Request Form.pdf

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Attached to
Daikin HVAC VRV Compressor Replacement
Solicitation number
FA286024Q4008
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This document is an Unofficial Visitor Base Pass Request form for the 316th Security Support Squadron/Visitor Control Center at Joint Base Andrews. It outlines the process and requirements for visitors to access the base, including providing personal information such as name, date of birth, driver's license number, and visit dates. The form must be submitted at least 72 hours prior to the visit and requires government email or delivery to the Visitor Control Center. The document also references a related federal contract opportunity for the replacement of a Variable Refrigerant Valve (VRV) Compressor on a Daikin HVAC unit at Joint Base Andrews. This contract is set aside for small disadvantaged businesses, with a 120-day period of performance. It includes a site visit on April 16, 2024 and requires submission of a priced response by the specified deadline.

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Combo_1631 HVAC Compressor Replacement.pdf PDF
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CCH TRACKER:

JTC JTC

Rank Last Name First Name

E-Mail Address Contact Number

Last Name First Name Middle Name DOB DL State/Number Start Date End Date

***FOR VCC USE ONLY******FOR VCC USE ONLY*** DATE RECEIVED:

B.A.L.:CCH: NOTIFIED BY/DATE:

Military / Civilian Sponsor Information

316th Security Support Squadron/Visitor Control Center Unofficial Visitor Base Pass Request

Destination

Revised 10 Dec 2015

DO NOT SEND THIS REQUEST FORM WITH DOB AND DL NUMBER FROM A COMMERCIAL/PERSONAL EMAIL ACCOUNT (E.G.

YAHOO); IF YOU CANNOT SEND FROM GOVERNMENT EMAIL ADDRESS, PLEASE DROP OFF FORM AT VCC.

Visitor Control Center email: 316.SPT.Visitor.Center@us.af.mil, If identification states “Not Valid for Federal Purposes,” “Not for Use as Federal Identification,” “Federal Limits May Apply” or any other similar phrase, a US Passport OR Birth Certificate AND Social Security card in conjunction with your current ID will be required.

PRIVACY ACT 1974- Contents shall not be disclosed, discussed, or shared with individuals unless they have direct need-to-know in the performance of their official duties. Deliver this document directly to the intended recipient.

DO NOT drop off with a third-party. *MUST BE DELIVERED A MINIMUM OF 72 HOURS PRIOR TO VISIT*

Visitor Information

DATE RECEIVED:
CCH TRACKER:
CCH:
BAL:
NOTIFIED BYDATE:
First Name: Marchie
Last NameEMail Address: marchie.winebrenner@us.af.mil
Contact Number: 240-612-5629
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Text1: A1C
Text2: Winebrenner

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