Attachment 6) - BAL Template 21 SEP 2022.docx

DOCX document 130 KB Posted

Attached to
Goodfellow AFB - Water Service Line Replacement Federal contract opportunity
Solicitation number
FA303023R0002
Issued by
Department of the Air Force Air Education and Training Command

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CUI

DEPARTMENT OF THE AIR FORCE

17TH Training Wing (AETC) Goodfellow Air Force Base Texas

XX Date 2023

MEMORANDUM FOR 17 SFS/S5

FROM: 17 CONS/PKA

SUBJECT: Request Unescorted Base Access Pass

I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for x.

Company Type of Services Contract# Site Visiting FPCON

The following contractor or guest will need periodic access to deliver lumber to the building. (Just an example…state your particular needs) Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours John Doe

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

TX

I will ensure the contractors are 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.

Upon completion or termination of this visitor request, I will ensure their passes are returned to the Visitor Control Center.

5. If you have any questions, please contact me at (325) 654-0000 and at cell phone number (325) 654-0000.

LAST, M FIRST, RANK, USAF
Contract Specialist

Controlled by: - CUI Category: PRVCY Limited Dissemination control: FEDCON

POC: -

Ever Into Danger

CUI

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