Attachment 4 - Remote Delivery Site Appointment Form.docx

RDS 410 DELIVERY APPOINTMENT FORM

Desired Delivery Date: ______________________________________________________________________ Confirmed Appointment Date (to be completed by RDS): __________________________________________ Shipping Company’s Name: __________________________________________________________________ Shipping Company’s Point of Contact Name: ____________________________________________________ Shipping Company’s Phone Number: __________________________________________________________

VEHICLE INFORMATION:

Make: ________________________________________________________________________________ Model: ________________________________________________________________________________ Year: _________________________________________________________________________________ Color: ________________________________________________________________________________ Tag Number: ___________________________________________________________________________

DRIVER INFORMATION:

Name: ________________________________________________________________________________ Date of Birth: ___________________________________________________________________________ Driver’s License #: _______________________________________________________________________

PASSENGER (1) INFORMATION:

Name: ________________________________________________________________________________ Date of Birth: ___________________________________________________________________________ Driver’s License #: _______________________________________________________________________

PASSENGER (2) INFORMATION:

Name: ________________________________________________________________________________ Date of Birth: ___________________________________________________________________________ Driver’s License #: _______________________________________________________________________

ITEM INFORMATION:

Company Name: ________________________________________________________________________ Pro Number: ___________________________________________________________________________ Purchase Order Number: _________________________________________________________________ End Recipient: __________________________________________________________________________ General Description of Item: ______________________________________________________________ Number of pallets or boxes: _______________________________________________________________ Dimensions of Item or Pallet: ______________________________________________________________ Upon completion, fax to: 202-757-5209 or Email MBX.OA.RDSAppt@OA.eop.gov. Call 202-395-5250 to confirm receipt and set up an appointment time. For questions, please contact Curtis Hamlin at 202-641-4867 or Ed Madden at 202-870-2016.

DELIVERY OF ITEMS ORDERED BY EOP COMPONENTS

Required Address and Access Procedures to the Remote Delivery Site (RDS) The RDS will only accept deliveries of items (purchased for official government business via a purchase order, credit card or through a Standard Form 1) if addressed as specified below.

Address to be used for Delivery of Purchases:

SSDMD/RDS; Plus recipient’s name Joint Base Anacostia-Bolling(JBAB) Bldg. 410/Door 123, PO# For Credit Card Orders, last 5 digits of phone number 250 Murray Lane, SW Washington, DC 20509 Phone Number: 202-395-5250

PLEASE NOTE:

· Receiving Hours: 6:00 am-2:30 pm Monday-Friday (closed weekends and Federal holidays).

· Mandatory advance delivery notice required for access to JBAB and Bldg 410.

· Emergency, early or late deliveries must be coordinated in with the Distribution Director or Branch Chief at 202-395-5250

· All packages, regardless of address sent via United States Postal Services (USPS) will be processed at an alternate screening facility not the RDS.

· Packages that do not follow the address criteria above will be refused for security reasons.

· Packages with no end recipients name on the box will be refused and returned to the carrier for security reasons.

DELIVERY ACCESS REQUIREMENTS TO RDS 410:

For security reasons, SSDMB must submit a roster of all incoming deliveries to Security Personnel no later than 3 pm, one business day in advance.

· Items shipped by carriers other than United Parcel Service (UPS), Federal Express (FEDEX), Federal Express Ground, Government Printing Office (GPO), and National Park Service (NPS) require an appointment for delivery to gain access to JBAB and to Bldg 410.

· Carriers with a Rapid Gate Pass or other Government Identification that can access military installations without being processed at the JBAB Visitor’s Center still require a delivery appointment to access Bldg 410.

· FedEx Freight and UPS Freight require an appointment for delivery

· Carriers without an appointment will be turned away and an appointment will need to be made for the next business day.

· To ensure coordination with all Security Personnel, appointments must be made by 12 noon of the business day prior to delivery.

· The carrier must complete the RDS 410 Delivery Appointment Form on back, fax it to 202-757-5209 and confirm the appointment date by calling 202-395-5250.

· Directions to the address above cannot be obtained through the internet. Call for directions.

· Carriers must enter the South Gate at JBAB (Exit 1 off 295) and proceed to the inspection station.

· Carriers must be at the JBAB Visitor’s Center no later than 1:30 pm to be processed through the inspection station.

· Requirements upon Arrival Include:

· Driver must have a valid driver’s license

· All passengers must have a government issued photo identification (driver’s license)

· No pets allowed

· Valid vehicle registration

· Valid vehicle insurance

· Delivery manifest

· Leased vehicles or trucks making deliveries are required to have the lease agreement as a substitute for registration and insurance. Lease agreement must be in the name of the driver or the carrier company on the manifest.

Revised Feb 2018