Attachment 7 BARC Visitor Parking Permit Form.pdf

PDF 107 KB Posted

Attached to
Replace Sanitary Piping Federal contract opportunity
Solicitation number
12805B21Q0424
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

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Engineering and Construction (ECB) Parking Permit and Visitor’s Pass Request

*Project Title: ____________________________________ Project Number: _________________________ *Contract Number: ________________________________ ECB Project Manager: George Ford *General Contractor: ______________________________ Sub-Contractor: __________________________ Telephone Number: _______________________________ Proximity Card Number: ___________________ Start Date: _________________ Completion Date: ___________________ Issued Date: _________________ Number of Visitor Passes: __________________________ Number of Parking Permits: ________________

The following must be completed by the Contractor. (** Areas to be completed by ECB.)

Visitor Pass

Number

Parking Permit

Number

Name of Vehicle Owner (For Parking Permit) and/or

Person’s Name (for Visitor’s Pass)

Citizenship (i.e., USA)

Vehicle Permit Information

Tag Number State Year and Make of Vehicle

Page ____ of _____

*Required Information RETURNED______________________________

REV 11/02

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