Attachment 4 - BAL Template.docx
DOCX document 224 KB Posted
- Attached to
- Repair Fire Alarm Systems - Goodfellow AFB
- Solicitation number
- FA303024Q0038
About this file
This document is an Attachment 4 - BAL Template, which is a request for an Unescorted Base Access Pass for a Non-ID card holding guest to access Goodfellow Air Force Base in Texas. The request includes the name, date of birth, state/driver's license or ID number, and last 4 digits of the Social Security number of the guest, as well as the date range and days/hours of the requested access. The sponsor agrees to ensure the guest is briefed on the base access requirements and that the pass will be returned upon completion or termination of the visit.
The related federal contract opportunity is for the Repair of Fire Alarm Systems at Goodfellow AFB, with a Solicitation Number of FA303024Q0038. This is a Firm Fixed-Price acquisition with a Period of Performance of 120 days after the Notice to Proceed. The work includes replacement of the existing Fire Alarm System in two buildings, including a stamped-engineered design, new panels, detection devices, wiring, and demolition of the existing system. The contract has a value between $100,000 and $250,000 and is set aside for 100% Small Business. A site visit is scheduled for July 17, 2024, and proposals are due by July 24, 2024.
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Text version
DEPARTMENT OF THE AIR FORCE
17TH TRAINING WING (AETC)
GOODFELLOW AIR FORCE BASE TEXAS
FOR OFFICIAL USE ONLY
xx July 2021
MEMORANDUM FOR 17 SFS/S5
FROM: 17 XXX/XXX (Your office symbol)
SUBJECT: Request Unescorted Base Access Pass
1. I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for (state official purpose, i.e. briefing animal safety, construction work, etc..).
| Company | Type of Services | Contract# | Site Visiting FPCON | |
| Name of Business What does the business do? N/A if none | Building # or #’s B,C,D or B/C |
2. The following contractor or guest will need periodic access to deliver lumber to the building. (Just an example…state your particular needs) Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours Public, John Q. 20 Apr 1933 TX 12345678 0000 10 May – 15 Jun 2019 Mon – Thurs/0700-1500
3. I will ensure Mr. Public is briefed that only properly licensed visitors, appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.
4. Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.
5. If you have any questions, please contact me at (325) 654-1234. (Your contact number office and cell)
| FIRST MI. LAST, Major, USAF |
| Commander |
The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties
FOR OFFICIAL USE ONLY
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