Attachment 6 Base Pass Request.pdf
PDF 404 KB Posted
- Attached to
- Moody, AFB Base Telecommunications Systems Federal contract opportunity
- Solicitation number
- FA483024R0004
About this file
This document is a Base Pass Request form for personnel seeking access to Moody Air Force Base in Georgia. The form includes the contract number (FA483024R0004), the prime contractor name, the duration of the requested base passes (up to 1 year), and the purpose of the access (site visit). The form lists the full names, social security numbers/dates of birth, and affiliated organizations of the individuals requesting base access, as well as the sponsoring Contract Specialist's information.
The related federal contract opportunity is a solicitation for non-personal telecommunications services at Moody AFB. The contract has a 12-month base period and four 12-month option periods. The procurement is a 100% Small Business Set-aside, under NAICS code 541513 with a $37 million size standard. The government intends to conduct a site visit for offerors, with the exact date to be identified in the solicitation. All prospective offerors must be registered in the SAM.gov database to be eligible for award.
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Text version
FOR OFFICIAL USE ONLY
DEPARTMENT OF THE AIR FORCE
23D CONTRACTING SQUADRON (ACC)
MOODY AIR FORCE BASE GEORGIA
Attack ∙ Rescue ∙ Prevail The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties
MEMORANDUM FOR 23 SFS/SFOXI
FROM: 23 CONS
SUBJECT: Request for Installation Access Personnel Pass
1. Request pass for the following person(s) to Moody AFB:
2. If you have any questions or concerns, please contact the undersigned:
Contract Number:
Prime Contractor:
Duration of Pass:
(NTE 1 Year)
Purpose:
Full Name Organization/CompanySSN/DOB*
*Write N/A if contractor declined to provide information. Be advised that SSN/DOB information is required for base access.
Security Forces will ask for it at the Visitor's Center if not detailed in this form.
Sponsor Info: Rank, Name; Duty Title; Email; Duty Phone
| Date1_af_date: |
| Contract #: FA483024R0004 |
| Contractor Name: |
| Duartion of Pass: 18 April 2024 |
| Contract Purpose: Site Visit |
| FullName1: |
| FullName2: |
| FullName3: |
| FullName4: |
| FullName5: |
| SSNDOB1: |
| SSNDOB2: |
| SSNDOB3: |
| SSNDOB4: |
| SSNDOB5: |
| Org1: |
| Org2: |
| Org3: |
| Org4: |
| Org5: |
| SponsorInfo: 1st Lt, Hannah Hidalgo; Contract Specialist; hannah_camille.hidalgo.1@us.af.mil; (229) 257-4712 |
| Clear Form: |
File details come from the government source that posted it. Updated .