Attachment 5 - BAL Contractor Working Copy.docx

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Attached to
B3303 Foundation Repair Federal contract opportunity
Solicitation number
FA303022Q0035
Issued by
Department of the Air Force Air Education and Training Command

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DEPARTMENT OF THE AIR FORCECUI

17th TRAINING WING (AETC)

GOODFELLOW AIR FORCE BASE TEXAS

17 June 2022

MEMORANDUM FOR 17 SFS/S5

FROM: 17 CONS/PKA

SUBJECT: (U) Request Unescorted Base Access Pass

(U) I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for B3210 Site Visit.

CompanyType of ServicesContract#Site Visiting FPCON
HJD Capital Electric Inc Gen Contractor 1040290B3210 B/C

(CUI) The following contractor or guest will need periodic access to building 3210 for site visit of repair dorms project.

Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours Bentley, James 01 Dec 1976 TX/DL 09753806 3300 22 June 2022 Wed. at 1:00 PM Jimenez, Alejandro 18 May 1978 TX/DL 21913342 9712 22 June 2022 Wed. at 1:00 PM

(U) I will ensure Contractors 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.

(U) Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.

5. (U) If you have any questions, please contact me at (325) 654-5194 or Mr. John Hebdon at (325) 716-9747.

SAMUEL J. REYNOLDS, SSGT, USAF
Contracting Specialist

Ever Into DangerControlled by: 17 CONS/PKA CUI Category: PRVCY Limited Dissemination control: FEDCON POC: Samuel Reynolds, 477-5194

CUI

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