Attachment 4 - (CUI) BAL Template.docx

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Attached to
Air and Water Cooled Chiller Maintenance, Goodfellow AFB, TX
Solicitation number
FA303026Q0003
Issued by

About this file

This is a Visitor Access Request memorandum for base access passes at Goodfellow Air Force Base. The document is a filled-in template (Attachment 4 - BAL Template) submitted by SSgt Robert Cosper from the 17th Contracting Squadron to request unescorted base access for a non-ID card holding contractor named John Q. Public for a pre-contract site visit related to Washer and Dryer Lease and Maintenance services under Contract #FA303025Q0021. The visitor requires access to Building 448 (17th Contracting Squadron) and various communications manholes on base during the dates of 10-11 July 2024, with approved hours of Monday-Friday 0700-1000 hours. The memorandum confirms that the visitor will be briefed on licensing and insurance requirements for vehicle operation on the installation and that the access pass will be returned upon completion of the visit.

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Text version

CUI

DEPARTMENT OF THE AIR FORCE

17TH Training Wing (AETC) Goodfellow Air Force Base Texas

12 May 2025

MEMORANDUM FOR 17 SFS/S5

FROM: 17 CONS

SUBJECT: Request Unescorted Base Access Pass

I am sponsoring the following Non-ID card holding guest requiring unescorted access to the base for Pre-Contract site visit.

Company Type of Services Contract# Site Visiting FPCON

Washer and Dryer Lease and Maintenance
FA303025Q0021
Basewide
B

The following contractors or guest will need periodic access to attend a pre-quote site visit at Building 448, 17th Contracting Squadron plus various communications manholes on base.

NameDOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours
Public, John Q.
00 April 1900
TX/12345678
0000
11 July 2024
Mon – Fri

0700 - 1000

11 July 2024
Mon – Fri
10 July 2024
Mon – Fri

I will ensure the listed individuals are 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.

Upon completion or termination of this visitor request, I will ensure their passes are returned to the Visitor Control Center.

If you have any questions, please contact me at (325) 654-4422.

SSgt Robert Cosper
Contract Specialist Controlled by: 17 CONS

CUI Category: PRVCY Limited Dissemination control: FEDCON POC: Robert Cosper, 654-4422

Ever Into Danger

CUI

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