Attachment 3 - SFS Mass Pass Template with Requirements.pdf

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Attached to
57 MXG AGE Nitro Cart Power Install
Solicitation number
F3G2AA4129A001
Issued by

About this file

This document is an attachment titled "Attachment 3 - SFS Mass Pass Template with Requirements" related to a federal contract opportunity.

The key details are:

The document is a template form for requesting base access passes for contractors to enter Nellis Air Force Base. It requires the sponsor's information, the contractor's personal details, and the justification and duration for the base access. The form must be filled out completely and submitted at least 3-5 duty days in advance. REAL ID compliant identification is required for all visitors entering the installation.

The related federal contract opportunity is for a project called "57 MXG AGE Cart Power Install" with Solicitation Number F3G2AA4129A001. The site visit is scheduled for July 11, 2024, questions are due by July 17, 2024, and offers are due by July 31, 2024. Award will be made to the responsible offeror submitting the lowest total evaluated price that is technically acceptable. The contracting agency is the Department of the Air Force, Air Combat Command.

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Text version

CONTROLLED UNCLASSIFIED INFORMATION (CUI)

SPONSOR RANK:

SPONSOR FULL NAME

SPONSOR DOD ID#

SPONSOR UNIT:

CONTACT NUMBER:

SPONSOR

SIGNATURE:

DATE SIGNED:

Company Last Name First Name MI Full SSN # D.O.B. DL #/State Location Dates

Justification:

Days/Hours

Nellis AFB' Mass Pass Request Form

* Please complete this form to the max extent possible *

Information:

Once the form is completed, email it encrypted to

99SFSS5B-

PASSANDREGISTRATION@US.AF.MIL or hand carry the form to Bldg. 20, Rm #114.Pass & ID hours of operation are Monday-Friday, 0800-1500. If you need a contractor to sponsor passes annote this in the correct block. Be advised additional paperwork will be required so it can be routed for approval to the DFC. We require at a minimum, 3-5 duty days to process base pass requests. For emergencies, please coordinate with the Operations section at (702) 652- 6132.

This form needs to be filled out in its entirety.

Nellis AFB only accepts REAL ID compliant forms of ID for base access. If an individual is not a US citizen, please consult the Pass & ID office at (702) 652-8681 for additional information and guidance.

Please attach additional documents such as Permanent Residency Cards/Work Permits for non-U.S. Citizens.

*THIS FORM MUST BE FILLED OUT BY THE PERSON SIGNING THIS FORM.*

Directions:

AFMAN 31-101 V3

BLUF: Any non-DoD creden�aled member entering a DoD installa�on must have a REAL ID Act compliant ID per AFMAN 31-101 V3, Installa�on Perimeter Access Control.

BACKGROUND: REAL ID Act compliancy has been an issue since its incep�on in 2005. Prior to the one of the most recent revisions to AFMAN 31-101V3, Installa�on Perimeter Access Control that occurred in early 2020 (maybe late 2019), the DoD allowed personnel with IDs issued by states who were on an extension for REAL ID Act compliancy to use non-complaint IDs for ve�ng purposes when entering a DoD Installa�on. However, that AFMAN has been updated mul�ple �mes in the last two years, and each revision requires a REAL ID Act Compliant ID for ve�ng purposes.

We (SFS) will con�nue to enforce the DoD policy in the AFMAN. ALL visitors must present a REAL ID Act compliant ID when receiving a pass or when entering the installa�on via the Trusted Traveler program (Trusted Traveler is not authorized for non-DoD creden�aled MOMMC pa�ents). Please brief your clinics so they can inform their pa�ents accordingly.

APPROVED REAL ID

NON REAL ID’S REQUIRING 2ND

FORM

APPROVED 2ND FORMS

Attachment 3 - SFS Mass Pass Template
AFMAN 31 PRINTOUT
APPROVED 2ND FORMS
APPROVED REAL ID
NON REAL ID
SPONSOR RANK:
SPONSOR FULL NAME:
SPONSOR DOD ID:
SPONSOR UNIT:
CONTACT NUMBER:
SPONSOR SIGNATURE:
DATE SIGNED:
Justification: Contractor needs base access for _________________ Solicitation PR#______________
CompanyRow1: Gumby LLC
Last NameRow1: Doe
First NameRow1: John
MIRow1:
Full SSN Row1: 111-11-1111
DOBRow1: MM-DD-YYYY
DL StateRow1: 123456789 / NV
LocationRow1: NV
DatesRow1: Date of site visit
DaysHoursRow1: # of days
CompanyRow2:
Last NameRow2:
First NameRow2:
MIRow2:
Full SSN Row2:
DOBRow2:
DL StateRow2:
LocationRow2:
DatesRow2:
DaysHoursRow2:
CompanyRow3:
Last NameRow3:
First NameRow3:
MIRow3:
Full SSN Row3:
DOBRow3:
DL StateRow3:
LocationRow3:
DatesRow3:
DaysHoursRow3:
CompanyRow4:
Last NameRow4:
First NameRow4:
MIRow4:
Full SSN Row4:
DOBRow4:
DL StateRow4:
LocationRow4:
DatesRow4:
DaysHoursRow4:
CompanyRow5:
Last NameRow5:
First NameRow5:
MIRow5:
Full SSN Row5:
DOBRow5:
DL StateRow5:
LocationRow5:
DatesRow5:
DaysHoursRow5:
CompanyRow6:
Last NameRow6:
First NameRow6:
MIRow6:
Full SSN Row6:
DOBRow6:
DL StateRow6:
LocationRow6:
DatesRow6:
DaysHoursRow6:
CompanyRow7:
Last NameRow7:
First NameRow7:
MIRow7:
Full SSN Row7:
DOBRow7:
DL StateRow7:
LocationRow7:
DatesRow7:
DaysHoursRow7:
CompanyRow8:
Last NameRow8:
First NameRow8:
MIRow8:
Full SSN Row8:
DOBRow8:
DL StateRow8:
LocationRow8:
DatesRow8:
DaysHoursRow8:
CompanyRow9:
Last NameRow9:
First NameRow9:
MIRow9:
Full SSN Row9:
DOBRow9:
DL StateRow9:
LocationRow9:
DatesRow9:
DaysHoursRow9:
CompanyRow10:
Last NameRow10:
First NameRow10:
MIRow10:
Full SSN Row10:
DOBRow10:
DL StateRow10:
LocationRow10:
DatesRow10:
DaysHoursRow10:
CompanyRow11:
Last NameRow11:
First NameRow11:
MIRow11:
Full SSN Row11:
DOBRow11:
DL StateRow11:
LocationRow11:
DatesRow11:
DaysHoursRow11:
CompanyRow12:
Last NameRow12:
First NameRow12:
MIRow12:
Full SSN Row12:
DOBRow12:
DL StateRow12:
LocationRow12:
DatesRow12:
DaysHoursRow12:
CompanyRow13:
Last NameRow13:
First NameRow13:
MIRow13:
Full SSN Row13:
DOBRow13:
DL StateRow13:
LocationRow13:
DatesRow13:
DaysHoursRow13:
CompanyRow14:
Last NameRow14:
First NameRow14:
MIRow14:
Full SSN Row14:
DOBRow14:
DL StateRow14:
LocationRow14:
DatesRow14:
DaysHoursRow14:
CompanyRow15:
Last NameRow15:
First NameRow15:
MIRow15:
Full SSN Row15:
DOBRow15:
DL StateRow15:
LocationRow15:
DatesRow15:
DaysHoursRow15:

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