Attachment 6. Base Pass Form ARFF Body Repair.pdf

282 KB Posted

Attached to
Aircraft Rescue Firefighting Vehicle Body Repair
Solicitation number
FA483025Q0023
Issued by

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This document is a Request for Installation Access form from the 23d Contracting Squadron at Moody Air Force Base in Georgia. The form is specifically for base access related to a Fire Truck Repair Site Visit associated with Request for Quote (RFQ) # FA483025Q0023. The form provides a template for listing personnel seeking base access, requiring details such as full names, last 6 digits of SSN/DOB, organization, and an expiration date (not to exceed 1 year). The document is marked as Controlled Unclassified Information (CUI) and includes protections under the Freedom of Information Act and Privacy Act, with warnings about unauthorized disclosure of personal information.

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Other files

File Type Posted
Combo-Synopsis ARFF Body Damage Repair.pdf PDF
Attachment 4. Insurance Compliance.pdf PDF
Attachment 5. Provisions and Clauses.pdf PDF
Attachment 7. Base Map.pdf PDF
Attachment 1. Statement of Work Fire Truck Repair.pdf PDF
Attachment 2. ARFF Body Damage Pictures.pdf PDF
Attachment 3. Pricing Schedule.xlsx XLSX spreadsheet

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CUI

DEPARTMENT OF THE AIR FORCE

23D SECURITY FORCES SQUADRON (ACC)

MOODY AIR FORCE BASE GEORGIA

MEMORANDUM FOR 23 SFS

FROM: 23d Contracting Squadron

SUBJECT: Request for Installation Access

1. I am requesting a pass for the following people to Moody AFB for the purpose of (state reason and location personnel will be traveling to on base, please be specific).

Full Name: as they appear on their valid state ID.

Last 6 of

SSN/DOB

Organization/Company /School Name:

Expiration Date:

(not to exceed 1yr)

2. Brief synopsis of the situation: Base access is required for 23d Contracting Squadron Fire Truck Repair Site Visit. RFQ # FA483025Q0023.

First M. Last Name, Rank, USAF Duty Title

Attack · Rescue · Prevail The information here is Controlled Unclassified Information (CUI) 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 disciplinary action, criminal and/or civil penalties.

Full Name as they appear on their valid state IDRow1:
Last 6 of SSNDOBRow1:
OrganizationCompany School NameRow1:
Expiration Date not to exceed 1yrRow1:
Full Name as they appear on their valid state IDRow2:
Last 6 of SSNDOBRow2:
OrganizationCompany School NameRow2:
Expiration Date not to exceed 1yrRow2:
Full Name as they appear on their valid state IDRow3:
Last 6 of SSNDOBRow3:
OrganizationCompany School NameRow3:
Expiration Date not to exceed 1yrRow3:
Full Name as they appear on their valid state IDRow4:
Last 6 of SSNDOBRow4:
OrganizationCompany School NameRow4:
Expiration Date not to exceed 1yrRow4:
Full Name as they appear on their valid state IDRow5:
Last 6 of SSNDOBRow5:
OrganizationCompany School NameRow5:
Expiration Date not to exceed 1yrRow5:
Full Name as they appear on their valid state IDRow6:
Last 6 of SSNDOBRow6:
OrganizationCompany School NameRow6:
Expiration Date not to exceed 1yrRow6:

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