Attachment 5 Shipyard Access Doc 2 Info Badge 9327 REV 17.docx
DOCX document 71 KB Posted
- Attached to
- USS FORD HABITABILITY Federal contract opportunity
- Solicitation number
- N0018921Q0458
About this file
This solicitation requests quotes for renovation work aboard the USS Gerald R. Ford. The Navy requires renovation of four spaces, including the Flag Messroom, Chief of Staff Cabin, Flag Cabin, and Pilot House. Interested vendors must attend a mandatory site visit on September 1, 2021 and submit completed shipyard access documentation. Quotes are due by the date and time specified. The period of performance is from September 30, 2021 to March 15, 2022 aboard the USS Gerald R. Ford at Newport News Shipbuilding. The solicitation includes clauses and provisions and requests firm-fixed-price quotes for the renovation work.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 4 Attachment 9 Questions and Answers2.docx | DOCX document | |
| Amendment 4 Attachment 1 Clauses and Provisions.docx | DOCX document | |
| Amendment 4 230.2 Updated Combined Synopsis Solicitation_08 April 2021.docx | DOCX document | |
| Attachment 3 Performance of Work Statement V4 Amendment 2.docx | DOCX document | |
| Attachment 8 Amendment 2 QnA Attachment.png | PNG image | |
| Attachment 7 Amendment 2 Questions and Answers.docx | DOCX document | |
| Attachment 3 Performance of Work Statement V3 Amendment 1.docx | DOCX document | |
| Attachment 6 Shipyard Access Doc 3 Info NNSY Visitor Access Requirements.docx | DOCX document | |
| Attachment 3 Performance of Work Statement V2 .docx | DOCX document | |
| Attachment 2 Clauses and Provisions to be Signed.docx | DOCX document | |
| Attachment 4 Shipyard Access Doc 1 Info Background Check Requirement.pdf | ||
| Attachment 1 Clauses and Provisions.docx | DOCX document |
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Text version
NEWPORT NEWS SHIPBUILDING
NON EMPLOYEE ACCESS BADGE REQUEST
All applicable fields must be filled in electronically. Fields with missing, incomplete, or handwritten information will not be accepted. Duration of visit to Newport News Shipbuilding may not exceed two (2) years and/or the expiration date of the contract / purchase order.
NN 9327 (Rev 17) For more information on background check requirements and visiting Newport News Shipbuilding, visit https://supplier.huntingtoningalls.com/sourcing/AccessNNS.html
VISITING COMPANY INFORMATION
| 1. Name of Company/Contractor or Agency: |
| 2. Company Street Address: |
| 3. City: |
| 4. State: |
| 5. Zip Code: |
| 6. Company POC Name: |
| 7. Phone: |
| 8. Email: |
VISITING COMPANY CERTIFICATION
By signing this request I certify that the individual(s) listed below are employees in good standing with the company identified above. I further certify that all information contained on this form, and on any attachments hereto, is accurate. I understand that failure to immediately disclose any known adverse information involving these individuals will result in expulsion.
| 9. Name of Officer of Visiting Company: |
| 10. Job Title: |
11. Signature Officer of Visiting Company:
12. Date Signed:
VISIT DETAILS
| 13. Supporting Contract / Purchase Order #: |
| 14. Start Date: |
| 15. End Date: |
| 16. Purpose of Visit: |
| 17. Locations to be Visited: |
NNS SPONSOR APPROVAL INFORMATION
| Select Sponsor Affiliation. |
| 18. Sponsor Name |
| 19. Phone |
| 20. PERN # |
| 21. Affiliation |
| 22. NNS Dept (if applicable) |
23. Sponsor Approval Signature:
24. Date Signed:
Sponsor approval required before entry may be made into VMS. Proof of background investigation completion for each visitor must be attached to this form and will need to be presented, along with proof of citizenship and identity, at the Access Center prior to badging. This form must be retained by the VMS user making entry for a period of 4 years from the date of visit and is subject to audit by department O15.
| Visitor Information #1 |
| 29. SSN# ☐ OR Passport (Foreign Nationals Only) ☐ |
| 25. Choose Citizenship Status |
| 26. Last Name |
| 27. First Name |
| 28. MI |
| 30. Clearance Level Required: |
| Select Clearance Required |
| 31. Phone: |
| 32. Email: |
| 33. Background Check Status: |
| Select Background Check Status |
| 34. Address: |
| 35. City: |
| 36. State: |
| 37. Zip Code: |
| 38. Birth Date: |
| 39. Birth City: |
| 40. Birth State: |
| 41. Birth Country: |
| Visitor Information #2 |
| 29. SSN# ☐ OR Passport (Foreign Nationals Only) ☐ |
| 25. Choose Citizenship Status |
| 26. Last Name |
| 27. First Name |
| 28. MI |
| 30. Clearance Level Required: |
| Select Clearance Required |
| 31. Phone: |
| 32. Email: |
| 33. Background Check Status: |
| Select Background Check Status |
| 34. Address: |
| 35. City: |
| 36. State: |
| 37. Zip Code: |
| 38. Birth Date: |
| 39. Birth City: |
| 40. Birth State: |
| 41. Birth Country: |
* This form must be filled out electronically using the “.docx” file format in order to access the drop down fields and make proper selections for fields 21, 29, 30, and 33.
* If adverse information is found in the background check by HI’s preferred provider, prior approval must be obtained in writing from the NNS O15 Security Department.
Access Center 210 39th Street Newport News, Virginia 23607 Normal Hours of Operation Monday – Friday 6:00 a.m. – 12:00 p.m., 12:30 p.m. to 4:30 p.m.
HUNTINGTON INGALLS INDUSTRIES PROPRIETARY
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