Attachment 3-Base Pass Request.docx

DATE: 16 August 2021

TO: 20 SFS / S-2, Investigations, 895-3600

FROM: 20/CONS

SUBJECT: Contractor(s) needing access to Shaw

COMPANY NAME:

WHAT FOR: Site Visit for Solicitation Issued for Bldg. 1130 Annex Vindicator IDS Installation WHERE: Bldg. 1130 Annex WHEN: 2 July 2021 @ 2:00 PM EST

SPONSOR INFO: Carrie Mindieta (803) 895-9864 SSgt Brittany Coker (803) 895-9396 DAY PAPER PASS (good for one year): No

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 lose privileges and face criminal charges.

I UNDERSTAND THAT AS SPONSOR, I AM RESPONSIBLE FOR THE PERSON(S) LISTED ON THIS FORM AND FOR ENSURING THE ABOVE NAME INDIVIDUAL(S) TURN(S) IN PASS OR RETRIEVE IT ONCE THE INDIVIDUAL(S) ARE TERMINATED, QUIT, OR NO LONGER REQUIRES ACCESS. IF I AM NOT ABLE TO RETRIEVE IT, I WILL NOTIFY SECURITY FORCES ISSUING AUTHORITY TO HAVE THE INDIVIDUAL(S) PASS DEACTIVATED.

This form must be Authenticated and received through 20sfs.backgroundchec@shaw.af.mil from the actual sponsor’s email account, with the understanding that by submitting this form sponsor agrees to all conditions implied on this form.