Attachment 7. Base Pass Request.pdf
PDF 333 KB Posted
- Attached to
- Vent Hood Services
- Solicitation number
- FA483027Q0004
About this file
This is a Memorandum for Installation Access from the 23d Contracting Squadron at Moody Air Force Base requesting security passes for individuals visiting the installation for a contractor site visit related to a contracted requirement. The memorandum is classified as Controlled Unclassified Information (CUI) and is addressed to the 23d Security Forces Squadron.
The document requests passes for unspecified contractor personnel to access Moody AFB in Georgia. It includes a table for recording visitor information with fields for full name (as it appears on valid state ID), last six digits of SSN or date of birth, organization/company/school name, and expiration date (not to exceed one year). The memorandum is signed by JUSTIN DE JESUS, SSgt, USAF, Contract Specialist with the 23d Contracting Squadron, and notes that a site visit will be held upon request from contractors. The document contains a standard CUI protection notice regarding the Freedom of Information Act and Privacy Act, with warnings about unauthorized disclosure or misuse of personal information.
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| Attachment 5. Question and Answer Form.docx | DOCX document | |
| Attachment 4.FY 27 Vent Hood Service Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment 1. SOW.pdf | ||
| Attachment 2. Insurance Compliance.pdf | ||
| SF 1499.pdf | ||
| Attachment 3.Wage Determination 2015-4493 Rev 33.pdf | ||
| Attachment 6. Base Map.pdf |
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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.
JUSTIN DE JESUS, 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 .