Attachment 3 - Base Access Request Form.docx
DOCX document 33 KB Posted
- Attached to
- Piping and Fuel Tank Corrosion Repair BPA
- Solicitation number
- FA480325A0012
About this file
The Base Access Request Form is a document from the 20th Fighter Wing at Shaw Air Force Base seeking contractor access for a site visit related to corrosion repairs. The site visit is scheduled for 10 July 2025 at 1300, focusing on assessing AST Risers, Piping, and Fuel Tank sites across the base. The sponsor, Sarah Nieves (contact: sarah.nieves.3@us.af.mil, 803-895-5345), requires interested vendors to complete a detailed form for criminal background checks to obtain base access.
The related federal contract opportunity (Solicitation Number: FA480325A0012) is a 100% Small Business Set-Aside solicitation for AST Risers, Piping, and Fuel Tank Corrosion Repair BPA, issued by the Department of the Air Force Air Combat Command. Vendors must complete the base access form and undergo background screening to participate in the site visit and potentially bid on the corrosion repair contract, with specific details available in the attached Request for Quotation (RFQ).
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Text version
FROM: 20th CONS
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
DATE: 06/24/2025
SUBJECT: Contractors need base access to access work for corrosion repairs.
WHO: Interested Vendors
WHAT FOR: Site Visit for AST Risers, Piping and Fuel Tank Corrosion Repair WHERE: Various AST Riser, Piping, and Fuel Tank sites.
If base wide give justification: There are numerous Fuel Tanks attached to various buildings that need to be assessed for corrosion repair..
WHEN: 10 July 2025 at 1300 SPONSOR NAME: Sarah Nieves
DOD EDPI:
CONTACT INFO: sarah.nieves.3@us.af.mil 803-895-5345
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.
| 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)
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.
CUI
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File details come from the government source that posted it. Updated .