Attachment 7 - Base Pass Request.pdf

384 KB Posted

Attached to
Moody AFB Public Affairs (PA) Studio Photographer
Solicitation number
FA483023Q0107
Issued by

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Written by GovTribe AI ·

This memorandum requests installation access passes for individuals supporting a photography services contract at Moody Air Force Base. The request is for passes for two contractors from ABCD Contractor, LLC to perform duties as a studio photographer under Solicitation FA483023Q0107 issued by the Department of the Air Force Air Combat Command. The passes are needed from August 9, 2023 to August 9, 2023 for the contractors to take photographs in support of Moody AFB Public Affairs. Personal information including names, social security numbers, dates of birth and organizations is provided for the two contractors to obtain access to the base. The memorandum provides contact information for the contracting specialist serving as the sponsor.

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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: 27-Jul-2023
Contract #: FA483023Q0107
Contractor Name: ABCD Contractor, LLC
Duartion of Pass: 9 Aug 23 - 9 Aug 23
Contract Purpose: Moody AFB Public Affairs (PA) Studio Photographer
FullName1: John Doe Jr
FullName2: John Does Sr
FullName3:
FullName4:
FullName5:
SSNDOB1: 123-45-6789/ 1 Jul 2022
SSNDOB2: 678-91-2345/ 1 Jan 2023
SSNDOB3:
SSNDOB4:
SSNDOB5:
Org1: ABCD
Org2: ABCD
Org3:
Org4:
Org5:
SponsorInfo: SrA Noah Horn, Contract Specialist, noah.horn.1@us.af.mil, (229) 257-5588
Clear Form:

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