Attachment 3 - Base Access RSVP Form.docx

DOCX document 75 KB Posted

Attached to
Asbestos and LBP Testing Service
Solicitation number
FA480324QB092
Issued by

About this file

This document is a memorandum for requesting base access and background checks for personnel to attend a site visit related to a federal contract opportunity. The visit is scheduled for July 29, 2024 at 10:00 AM EST and involves access to several buildings on Shaw Air Force Base. The personnel requesting access are from the 20th Civil Engineering, 20th Contracting Squadron, and AFCENT. The sponsor is SrA Thomas Grove from the 20th Contracting Squadron. The related federal contract opportunity is for Asbestos and Lead-Based Paint Testing Services at the same facilities, with a Solicitation Number of FA480324QB092. The contractor shall provide the required inspections and surveys in accordance with the Performance Work Statement for this requirement, which is being issued by the Department of the Air Force's Air Combat Command.

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Text version

DEPARTMENT OF THE AIR FORCE

20th FIGHTER WING (ACC)

SHAW AIR FORCE BASE SOUTH CAROLINA

DATE: 17 July 2024

MEMORANDUM FOR 20 SFS/S-5V TSgt Kolby Davis kolby.davis.1@us.af.mil, Ms. Jacqueline Hernandez-Sears jacqueline.hernandez-sears.1@us.af.mil

FROM: 20CONS/PKA SrA Thomas Grove

SUBJECT: Request for Base Access / Mead Hunt background request

WHO: 20th Civil Engineering, 20th Contracting Squadron and AFCENT

WHAT FOR: 20 CONS Annual Multiple Award Construction Contract Site Visit

WHERE: BLDGs 1413, 0115, 0202, 1047, 5004

Allow access to bldgs. 1413, 0115, 0202, 1047, 5004 and other support agencies to attend site visit.

WHEN: 29 July 2024 at 10:00AM EST

SPONSOR: 20CONS/PKA SrA Thomas Grove

CONTACT INFO: thomas.grove.1@us.af.mil 803-895-9807

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 #
U.S.

Citizen (Y/N)

Doe, John
2000/01/01
111-11-1111
SC - 000000000000
Yes

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.

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