Attachment 6- Base Pass Request v2.0.pdf

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Attached to
WASHER/DRYER RENTAL SERVICE
Solicitation number
FA483022Q0008
Issued by

About this file

This document contains a base pass request form and details of a related federal contract opportunity. The base pass request form seeks installation access for contractor personnel to provide washer and dryer rental services at Moody Air Force Base in Georgia. The form lists five individuals from two organizations requiring access for a duration of one year to support the contract. Relevant personal information such as social security number and date of birth are included or noted as required for base access. The contracting specialist serving as sponsor is identified.

The related federal contract opportunity involves furnishing, installing, maintaining and repairing 110 washers and 122 dryers across 15 facilities at Moody AFB. The services must be provided at no cost to residents and all appliances maintained in operating condition for the life of the contract. Repairs must be completed within 72 hours of reporting as the services are considered mission essential for military readiness. The Department of the Air Force is seeking these washer and dryer rental services to begin on October 1, 2022 for a one year base period and four one-year option periods.

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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 #:
Contractor Name:
Duartion of Pass:
Contract Purpose:
FullName1:
FullName2:
FullName3:
FullName4:
FullName5:
SSNDOB1:
SSNDOB2:
SSNDOB3:
SSNDOB4:
SSNDOB5:
Org1:
Org2:
Org3:
Org4:
Org5:
SponsorInfo: Ms. Cara E Muse; Contract Specialist; cara.muse@us.af.mil; 229-257-4715
Clear Form:

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