Attachment 4 - 316TH Unofficial Visitor Request Form.pdf

154 KB Posted

Attached to
744 CS Mold Remediation
Solicitation number
FA286024Q4022
Issued by

About this file

Written by GovTribe AI ·

This document is an Unofficial Visitor Base Pass Request Form for the 316th Security Support Squadron/Visitor Control Center at Joint Base Andrews. The form collects information about visitors, including their name, contact information, date of birth, driver's license details, and visit dates and destination. The form states that visitors with identification marked "Not Valid for Federal Purposes" or similar will need to provide a U.S. passport or birth certificate and social security card. The form must be delivered to the Visitor Control Center at least 72 hours prior to the visit. This appears to be an administrative form related to visitor access and control, rather than a solicitation for products or services.

The related federal contract opportunity is for mold remediation services at Building 1539 on Joint Base Andrews. The Department of the Air Force Headquarters District Washington is seeking a professional remediation service to address a mold issue, as military personnel are not trained or equipped to handle this problem. The solicitation number is FA286024Q4022, and the contract is intended to be a short-term solution to prevent the mold from spreading to other areas of the building.

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Other files

File Type Posted
Mold Remediation PWS Update 30-Aug.pdf PDF
Questions and Answers and Photos.pdf PDF
Mold Remediation Combo 16 August.docx DOCX document
Attachment 1 Performance Work Statement Mold Remediation Building 1539.pdf PDF
Attachment 2 CLIN Structure.xlsx XLSX spreadsheet
Attachment 3 Wage Determination SAM.gov.pdf PDF

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CCH TRACKER:

JTC JTC

Rank Last Name First Name

E-Mail Address Contact Number

Last Name First Name Middle Name DOB DL State/Number Start Date End Date

***FOR VCC USE ONLY******FOR VCC USE ONLY*** DATE RECEIVED:

B.A.L.:CCH: NOTIFIED BY/DATE:

Military / Civilian Sponsor Information

316th Security Support Squadron/Visitor Control Center Unofficial Visitor Base Pass Request

Destination

Revised 10 Dec 2015

DO NOT SEND THIS REQUEST FORM WITH DOB AND DL NUMBER FROM A COMMERCIAL/PERSONAL EMAIL ACCOUNT (E.G.

YAHOO); IF YOU CANNOT SEND FROM GOVERNMENT EMAIL ADDRESS, PLEASE DROP OFF FORM AT VCC.

Visitor Control Center email: 316.SPT.Visitor.Center@us.af.mil, If identification states “Not Valid for Federal Purposes,” “Not for Use as Federal Identification,” “Federal Limits May Apply” or any other similar phrase, a US Passport OR Birth Certificate AND Social Security card in conjunction with your current ID will be required.

PRIVACY ACT 1974- Contents shall not be disclosed, discussed, or shared with individuals unless they have direct need-to-know in the performance of their official duties. Deliver this document directly to the intended recipient.

DO NOT drop off with a third-party. *MUST BE DELIVERED A MINIMUM OF 72 HOURS PRIOR TO VISIT*

Visitor Information

DATE RECEIVED:
CCH TRACKER:
CCH:
BAL:
NOTIFIED BYDATE:
First Name:
Last NameEMail Address:
Contact Number:
EMail AddressRow1:
Last NameRow1:
First NameRow1:
Middle NameRow1:
DOBRow1:
DL StateNumberRow1:
Start DateRow1:
End DateRow1:
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File details come from the government source that posted it. Updated .