ATTACHMENT 4 SFS Form 3_EAL Request.pdf

PDF 181 KB Posted Mar 25, 2024

Attached to: WST Security Upgrades Federal contract opportunity
Solicitation number: W50S8P24B0002
Issued by: Department of the Army National Guard

About this file

Written by GovTribe AI · Mar 25, 2024

This document is a Controlled Unclassified Information (CUI) request form for the 121st Air Refueling Wing to allow contractor/visitor access to the Aircrew Training System (ATS) facility at Rickenbacker Air National Guard Base.

The key details are:

The 121st Air Refueling Wing is integrating the KC-135R ATS into the Distributed Training Center Network, which requires security upgrades to the ATS facility.
The upgrades include controlled access, a separate classified briefing area, HVAC, fire systems, and power for the MAF DMO equipment.
The construction/contract duration is anticipated to be 120 calendar days.
This project will be competitively solicited as a Small Business Set-aside, with NAICS code 236220 and a size standard of $45M average annual revenue.
The solicitation and associated documents will be available only through the SAM.gov website. Any questions should be emailed to the Contract Specialist and Contracting Officer.

View the file

Other files for this federal contract opportunity

Other files attached to WST Security Upgrades, newest first.
File	Type	Posted
Absract of Offers - OF_1419.pdf	PDF	Apr 26, 2024
Site Walk Sign-In 9-Apr-2024.pdf	PDF	Apr 16, 2024
ATTACHMENT 1 SOW for NLZG242009 WST Security Upgrades REV1 4_16_24.docx	DOCX document	Apr 16, 2024
ATTACHMENT 2.1 WST 1 A-101 REV1 4_10_24.pdf	PDF	Apr 16, 2024
Pre-Award RFIs 24-2009 WST.docx	DOCX document	Apr 16, 2024
W50S8P24B00020001_Amend.pdf	PDF	Apr 16, 2024
ATTACHMENT 3 RFI.docx	DOCX document	Mar 25, 2024
ATTACHMENT 1 SOW for NLZG242009 WST Security Upgrades.docx	DOCX document	Mar 25, 2024
ATTACHMENT 2.1 WST 1 A-101.pdf	PDF	Mar 25, 2024
ATTACHMENT 2.3 WST 1 M-102.pdf	PDF	Mar 25, 2024
W50S8P24B0002.pdf	PDF	Mar 25, 2024
ATTACHMENT 2.2 WST 1 M-101.pdf	PDF	Mar 25, 2024

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CUI

121 SFS Form 3 (Nov 2021)

Controlled By:

CUI Category: PRVY Dissemination: FEDCON

POC:

CUI

EAL# 121 SFS CONTRACTOR/VISITOR REQUEST

CONTROLLED UNCLASSIFIED INFORMATION (CUI) This document contains information that must be protected under the Privacy ACT OF 1974 (See AFI 33-332) and protected from disclosure under the Freedom, of Information Act, 5 USC 552. Do not release outside of DoD channels without the consent of the originator’s office.

SSN: Mandatory for all unescorted entries. Escorts must be provided by the sponsoring organization for all personnel with missing information or the inability to validate the credentials.

DISCLOSURE IS VOLUNTARY; however, failure to disclose required information will prohibit unescorted access. Failure to provide complete and accurate information will delay the processing of this request.

EMPLOYEE/VISITOR INFORMATION BACKGROUND

CHECK

LAST FIRST MI SSN DRIVERS

LIC #

STATE COMPANY/ORG JOB

SITE

START

DATE

END

DATE

DATE METHOD

NOTES:

SPONSOR INFORMATION

NAME/RANK ORGANIZATION PHONE EMAIL DATE SIGNATURE

SECURITY FORCES USE ONLY

OFFICER NAME/RANK DATE SIGNATURE DENIED CONTRACTOR/ VISITOR

EAL:

EMPLOYEEVISITOR INFORMATION:

LASTRow1:

FIRSTRow1:

MIRow1:

SSNRow1:

DRIVERS LIC Row1:

STATERow1:

COMPANYORGRow1:

JOB SITERow1:

START DATERow1:

END DATERow1:

DATERow1:

METHODRow1:

LASTRow2:

FIRSTRow2:

MIRow2:

SSNRow2:

DRIVERS LIC Row2:

STATERow2:

COMPANYORGRow2:

JOB SITERow2:

START DATERow2:

END DATERow2:

DATERow2:

METHODRow2:

LASTRow3:

FIRSTRow3:

MIRow3:

SSNRow3:

DRIVERS LIC Row3:

STATERow3:

COMPANYORGRow3:

JOB SITERow3:

START DATERow3:

END DATERow3:

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DRIVERS LIC Row4:

STATERow4:

COMPANYORGRow4:

JOB SITERow4:

START DATERow4:

END DATERow4:

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FIRSTRow5:

MIRow5:

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COMPANYORGRow5:

JOB SITERow5:

START DATERow5:

END DATERow5:

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FIRSTRow6:

MIRow6:

SSNRow6:

DRIVERS LIC Row6:

STATERow6:

COMPANYORGRow6:

JOB SITERow6:

START DATERow6:

END DATERow6:

DATERow6:

METHODRow6:

LASTRow7:

FIRSTRow7:

MIRow7:

SSNRow7:

DRIVERS LIC Row7:

STATERow7:

COMPANYORGRow7:

JOB SITERow7:

START DATERow7:

END DATERow7:

DATERow7:

METHODRow7:

LASTRow8:

FIRSTRow8:

MIRow8:

SSNRow8:

DRIVERS LIC Row8:

STATERow8:

COMPANYORGRow8:

JOB SITERow8:

START DATERow8:

END DATERow8:

DATERow8:

METHODRow8:

LASTRow9:

FIRSTRow9:

MIRow9:

SSNRow9:

DRIVERS LIC Row9:

STATERow9:

COMPANYORGRow9:

JOB SITERow9:

START DATERow9:

END DATERow9:

DATERow9:

METHODRow9:

LASTRow10:

FIRSTRow10:

MIRow10:

SSNRow10:

DRIVERS LIC Row10:

STATERow10:

COMPANYORGRow10:

JOB SITERow10:

START DATERow10:

END DATERow10:

DATERow10:

METHODRow10:

NOTES:

NAMERANKRow1:

ORGANIZATIONRow1:

PHONERow1:

EMAILRow1:

DATERow1_2:

SIGNATURERow1:

OFFICER NAMERANKRow1:

DATERow1_3:

SIGNATURERow1_2:

DENIED CONTRACTOR VISITORRow1:

Text1:

Text2:

File details come from the government source that posted it. Updated Mar 25, 2024.