Attachment 5. Investigation Request.pdf
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- Solicitation number
- N4425523R1507
About this file
This document contains a background investigation request form and details of a federal contract opportunity for gull abatement services. The background investigation request form solicits personally identifiable information from an individual to facilitate initiating them in the e-QIP system for a Tier 3 investigation, as required for systems access and a Common Access Card.
The federal contract opportunity is solicitation number N4425523R1507 from the Department of the Navy Naval Facilities Engineering Command for gull abatement services at the Trident Refit Facility on Naval Base Kitsap in Washington. The non-personnel services contract requires providing all necessary personnel, equipment, supplies, transportation, tools and other items to perform falcon services to reduce the gull population by 90% each day onsite, on average, while complying with all Navy safety and security requirements and communicating effectively with Navy personnel. The contractor will patrol the facility with free flying predator birds to chase away problem birds, primarily Glaucous-winged Gulls, with actual operation hours to be determined based on bird pressure levels.
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(Provide your work and as an option, your personal email address)
Date of Birth: _______________________________ (DD/MMM/YYYY)
City of Birth: ___________________ County of Birth:______________________
State of Birth: _________________
Country of Birth: ____________________ (If not the U.S., please provide the documentation FS240 or Naturalization Certificate and U.S. Passport)
Job Title: _________________________________________________________
**When completed, please return this form so we can initiate an invitation request to e-QIP (the online Security Questionnaire), the first step in the Investigation Process**
ATTACHMENT 5: BACKGROUND INVESTIGATION REQUEST FORM
FOR OFFICIAL USE ONLY
Please complete the blocks below and return to the Naval Facility Northwest Security Office.
This information will facilitate our part of the process to initiate you in the Electronic Questionnaire Investigations Processing (e-QIP) system for a Tier 3 investigation as required for systems access and/or a Common Access Card.
After we receive this completed form, we will be sending you guidance in a separate email regarding your part in accessing e-QIP and entering your information. If you have questions, please do not hesitate to ask.
(First, Middle, Last Name)
(Enter your complete legal name. If married, please use your married name. If have a suffix (Jr, Sr, II, etc., include that information as well.)
E-Mail Address: _________________________________________________
| First Middle Last Name: |
| EMail Address 1: |
| EMail Address 2: |
| Date of Birth: |
| City of Birth: |
| County of Birth: |
| State of Birth: |
| Country of Birth: |
| Job Title: |
File details come from the government source that posted it. Updated .