Attachment 5 - Base Pass Request.pdf

PDF 19 KB Posted

Attached to
Rescue Support Services Federal contract opportunity
Solicitation number
FA483022QS001
Issued by
Department of the Air Force Air Combat Command

About this file

This document contains a base pass request template and information on a federal contract solicitation for rescue support services. The base pass request template provides guidance on the information required to request personnel passes for contractor employees to access Moody Air Force Base, including the project title, timeframe of access not to exceed one year, contractor point of contact, and requirement to provide original consent forms to conduct criminal background checks.

The federal contract solicitation is seeking non-personal services for personnel, supervision, and other items and services necessary to perform rescue training center support specialist, unit deployment manager, current operations scheduler, aircrew flight equipment master rigger, supply manager, vehicle control manager, and standardization and evaluation administrative program assistant services at Moody Air Force Base, Georgia. The estimated value is $41.5 million with a one year base period and four one-year options. The solicitation is set aside for service-disabled veteran-owned small businesses and questions are due by January 5th with responses posted by January 17th, 2022. The primary NAICS code is 561210 and Federal Supply Classification code is R408. Award will be based on commercial procedures in FAR Part 12.

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Text version

NOTE: THE INFORMATION ON THIS LETTER MUST BE LEGIBLE

MEMORANDUM FOR 23 SFS/S5; PASS AND REGISTRATION DATE: .

FROM:

(YOUR FIRM’S/PRIME CONTRACTOR'S NAME/ADDRESS)

SUBJECT: Request for Personnel Passes, Contract Number

(INCLUDE COMPLETE CONTRACT NUMBER)

Or At the Request of 23 Contracting Squadron .

(NAME OF BASE ORGANIZATION REQUIRING CONTRACTOR’S PRESENCE ON BASE)

1. Project Title or Reason for Pass Request: .

2. Please issue passes for employees of:

(YOUR FIRM OR YOUR SUBCONTRACTOR)

Employees require access to Moody AFB through: 1

(NOT TO EXCEED 1 YEAR)

Contractor point of contact is: - (YOUR FIRM’S REPRESENTATIVE AND PHONE NUMBER, IF CONTRACT, MUST BE PRIME CONTRACTOR)

3. If there is a contract, whether written or administered by 23 CONS or by another agency, the address above, the point of contact listed, and the signature below are with the Prime Contractor to which the contract is written. This letter will be presented for review by 23 CONS for contracts written or administered by 23 CONS and for all others will be presented for review by the base organization requesting our presence.

4. Completed, original, consent forms (no copies) to conduct criminal background will be presented for the individuals listed below.

Reviewed:

(SIGNATURE OF COMPANY OFFICIAL) (SIGNATURE OF BASE PERSONNEL)

(TYPED NAME AND TITLE OF COMPANY OFFICIAL) (TYPED/PRINTED NAME, PHONE NO. OF BASE PERSONNEL AND DATE)

(Format, Background Cover Letter, 02/2011) No. of Completed Consent Forms to be presented

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