ATTACHMENT 5 - - 1818 Pre-enrollment sample.pdf

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Attached to
BLDG 81 ROOF REPLACEMENT Federal contract opportunity
Solicitation number
SP330023B0002
Issued by
Defense Logistics Agency Distribution

About this file

Written by GovTribe AI ·

This document is a pre-enrollment sample form for visitor access to a Defense Logistics Agency facility. It details a planned site visit by John Doe on July 12, 2023 to conduct a roof replacement project at Building 81. The requester's office is J7/AB and the point of contact at the facility is Tim Kielbowick, who can be reached at 717-770-6128. The related federal contract opportunity is solicitation number SP330023B0002 for the Building 81 roof replacement project to be awarded by the Defense Logistics Agency Distribution.

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Other files for this federal contract opportunity

Other files attached to BLDG 81 ROOF REPLACEMENT, newest first.
File Type Posted
BID ABSTRACT-SP330023B0002 8-2-2023.pdf PDF
SP330023B0002 - A0002 7-25-2023.pdf PDF
SP330023B0002 Amendment 0001.pdf PDF
BLDG 81 ROOF ATTENDEE ROSTER.pdf PDF
ATTACHMENT 4 - CONSTRUCTION WAGE DETERMINATION.pdf PDF
ATTACHMENT 1 - Specs Combined RTA 03232023.pdf PDF
SP330023B0002 IFB ROOF-final.pdf PDF
ATTACHMENT 9 - SF25A-16e - PAYMENT - 2025.pdf PDF
ATTACHMENT 7 - SF24-16e - BID BOND - 2025.pdf PDF
ATTACHMENT 6 - Pre-enrollment Photos.pdf PDF
ATTACHMENT 3 - Submittal Register RTA 04032023.pdf PDF
ATTACHMENT 2 - Dwgs Combined RTA 03272023.pdf PDF
ATTACHMENT 8 - SF25-16e - PERFORMANCE - 2025.pdf PDF
Show all 13

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PRIVACY ACT STATEMENT

VISIT NOTIFICATION

1. ACTIVITY TO BE VISITED

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:DEFENSE LOGISTICS AGENCY

8725 JOHN J. KINGMAN ROAD

FT BELVOIR, VA 22060-6220

Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.

To control access to and movement on DoD installations, buildings, or facilities.

Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.

Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.

DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES

SECTION I

2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE

5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE

8. PURPOSE OF VISIT

SECTION II

9.

NAME(S) OF VISITOR(S)

(Last, First, MI)

10.

GRADE/RANK

11.

SSN

12.

DATE OF BIRTH

13.

STATE /COUNTRY OF

BIRTH

14.

CLEARANCE/DATE

GRANTED

15.

TYPE OF INVESTIGATION/

DATE

16. TYPED NAME OF SECURITY REPRESENTATIVE

SECTION III

18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE

DLA FORM 1818, JUL 96 (EG)

FROM: TO:

PDF (DLA)

RequesterName: Mogen Gilson
OfficeCode: J7/AB
FacPOC: Tim Kielbowick
Phone: 717-770-4757
POCPhone: 717-770-6128
VisitedActivity: DLA DISTRIBUTION

Meet at PASS/ID and we will proceed to BLDG 81 parking Lot

10:00 AM-11:00 AM

VisitPurpose: Site Visit: BLDG 81 ROOF REPLACEMENT

Visitor has registered utilizing the pre-enrollment website: https://dbids-global.dmdc.mil/enroll

DateTo: 7/12/2023
Visitor:
0: Doe, John M.
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DateFrom: 7/12/2023
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tcsControl:
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resetBtn:

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