ATTACHMENT 6 - DL1818.pdf

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Attached to
Replace and Adjust Overcurrent Protective Devices (OCPDs), Various Buildings Federal contract opportunity
Solicitation number
SP330021B0003
Issued by
Defense Logistics Agency Distribution

About this file

This document is a visit notification form for the Defense Logistics Agency Distribution related to the solicitation for Replace and Adjust Overcurrent Protective Devices (OCPDs), Various Buildings. The form provides details of a site visit scheduled for August 18, 2021 at 10:00 AM to Building 54 and 87 to meet with the point of contact Mogen Gilson in office J7-AB. The purpose of the visit is listed as to replace and adjust OCPDs in various buildings. Visitor information is requested including name, grade/rank if applicable, social security number, date of birth, driver's license state and number. The security representative is to sign off on the form upon completion of the visit.

The related federal contract opportunity is solicitation number SP330021B0003 from the Defense Logistics Agency Distribution to replace and adjust overcurrent protective devices in various buildings. No further details are provided on response dates, pricing terms, set asides or other salient information.

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Text version

VISIT NOTIFICATION

1. ACTIVITY TO BE VISITED

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:

DEFENSE LOGISTICS AGENCY

8725 JOHN J. KINGMAN ROAD

FT BELVOIR, VA 22060-6220

PRIVACY ACT STATEMENT

Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.

To control access to and movement on DoD installations, buildings, or facilities.

Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.

Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.

DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES

SECTION I

2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE

5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE

8. PURPOSE OF VISIT

SECTION II

9.

NAME(S) OF VISITOR(S)

(Last, First, MI)

10.

GRADE/RANk

(IF APP)

11.

Social Security No.

12.

DATE OF BIRTH

13.

DL State & Number

14. 15.

16. TYPED NAME OF SECURITY REPRESENTATIVE

SECTION III

18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE

DLA FORM 1818, JUL 96 (EG)

FROM: TO:

PerFORM (DLA)

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Text1:
0: Building DLA Distribution
1: BLDG 54 AND 87
2: 8/18/2021 AT 10:00 AM
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Text2: Mogen Gilson
Text3: J7-AB
Text4: X-4757
Text5: 8/18/2021
Text6: 8/18/2021
Text7: Tyler Enders
Text8: X-7045
Text9:
0: Replace and Adjust Overcurrent Protective Devices (OCPDs), Various Buildings- SITE VISIT
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Text17: Please fax to both X5480 & X8146.
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