Attachment 7. Base Pass Request.pdf
PDF 284 KB Posted
- Attached to
- Fire Suppression
- Solicitation number
- FA483026Q0024
About this file
This is a memorandum from the 23d Contracting Squadron at Moody Air Force Base, Georgia, requesting installation access passes for contractor personnel conducting a site visit related to a contracted requirement. The memorandum is addressed to the 23d Security Forces Squadron and is signed by KEVIN GORIS, SSgt, USAF, Contract Specialist.
The document includes a table template for capturing required information for each individual requiring base access, including full name as it appears on valid state identification, last six digits of Social Security Number or date of birth, organization/company/school name, and pass expiration date (not to exceed one year). The memorandum indicates that the site visit will be held upon request from contractors and provides a brief synopsis of the access requirement. The document is marked as Controlled Unclassified Information (CUI) and must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 5. Question and Answer Form.docx | DOCX document | |
| Solicitation Amendment FA483026Q00240002 SF 30.pdf | ||
| Attachment 8. FA483026Q0024.pdf | ||
| Attachment 6. Base Map.pdf | ||
| Attachment 4. Price Schedule .xlsx | XLSX spreadsheet | |
| Attachment 1. PWS Fire Suppression.pdf | ||
| Attachment 3. Insurance Compliance.pdf | ||
| Attachment 2. Wage Determiantions.pdf | ||
| Attachment 5. Question and Answer Form.docx | DOCX document |
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Text version
CCUI
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 individuals access Moody AFB for the purpose of a site visit for a contracted requirement.
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: There will be a site visit held upon request from contractors.
KEVIN GORIS, SSgt, USAF Contract Specialist
Attack · Rescue · Prevail
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: |
| Text1: |
| Text2: |
File details come from the government source that posted it. Updated .