Attachment 3- BASE ACCESS FORM2.0.pdf

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Attached to
5280023PR0001507- NAVSEA Cableway Training
Solicitation number
5280023PR0001507
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This document contains a vendor access request form for Coast Guard Base Portsmouth. The form requires contact information for visitors including name, date of birth, identification type and number, citizenship, employer, work dates, hours and location on base. The sponsor's name, phone number and email are also required. Visitor requests must be submitted at least 72 hours before needed access. Deliveries of heavy equipment require advance authorization.

The related federal contract opportunity is a solicitation from the Department of Homeland Security Coast Guard for cableway training at NAVSEA. Solicitation number 5280023PR0001507 provides no further detail on required products or services, pricing, response dates or other contract details.

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Other files

File Type Posted
Attachment 6- Electronic Submission of Payment Requests.pdf PDF
Request for Quote- 52800PR230001507.pdf PDF
Attachment 5- IPP Clause.pdf PDF
Attachment 1- DOD-STD-2003_1.pdf_safe.pdf PDF
Attachment 2- Cable Inspection Criteria NAVSEA INST.9404.1D.pdf PDF
Attachment 4- DHS Form 11000-6.pdf PDF

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COAST GUARD BASE PORTSMOUTH

Vendor Access Request

NOTE: The visit of any non-U.S. Citizen or Permanent Resident Alien must be reported by the sponsor within 20 days by following ALCOAST 112/10 paragraph 4. D. (5) and report to COMDT (CG-2/CG-DCO-I) via a FVR form (enclosure 2 of this instruction).

NOTE: Deliveries of cranes and heavy equipment (i.e. crane, large dumpster, etc.) requires advance authorization from the Facilities Engineering Department (FED) at (757) 483-8503 and Security at (757) 483-8586.

(Enclosure 1)

Instructions: This form must be filled out for all visitors; all blocks need to be filled unless they have a CAC or RapidGate Card. If they have one of those cards then only their name, which card they hold, and work dates are needed.

Name (Last, First, MI) Male or Fem

Date of Birth

(mmddyy)

Drivers License #, State ID #, OR indicate if they posses RapidGate

Last four

SSN

Citizen -ship

Company Name

Start Date

End Date Work

Hours

Work Location

Paratas, Semper P. M/F 11/07/87 ABCDEFGHIJK 0000 U.S. N/A 1/27/20 2/30/20 0500-1900 POOL

ALL REQUESTS NEED TO BE SUBMITTED NO LATER THAN 72 HOURS PRIOR TO TIME ACCESS IS REQUESTED.

Sponsor Phone Number: Sponsor Name (Rank, Last, First):

(mmddyy) (mmddyy)

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Email Button:

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