ATTACHMENT 9 - SFS Form 12 - Template.xls
XLS spreadsheet 56 KB Posted
- Attached to
- CONSTRUCT MUNITIONS MAINTENANCE, INSPECTION, AND ASSEMBLY (M&I) FACILITY Federal contract opportunity
- Solicitation number
- W50S9F-24-B-0001
- Issued by
- Department of the Army National Guard
About this file
This document appears to be an Excel template for the Truax Field Pre-Authorization Request Form, which is used to request site access for personnel working on a federal contract opportunity.
The related federal contract opportunity is for the construction of a new 3,500 sq ft Munitions Maintenance, Inspection, and Assembly (M&I) facility at the 115th Fighter Wing at Dane County Regional Airport - Truax Field in Madison, WI. The contract will be a single firm fixed-price construction contract with a 273 calendar day period of performance. The project is set aside 100% for small businesses, with a NAICS code of 236220 and a magnitude of construction between $1-5 million. The solicitation requires several brand name products, including security systems, fire alarm panels, and security keys/cores. The contract will be awarded to the responsive and responsible lowest bidder, and a pre-bid conference and site visit are required.
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Text version
Sheet1
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | 1210 Conference Room and Munitions | |||||
| Company POC: | Project Prime: | M&I Site Visit | |||||
| Company Address: | Start Date: | 5/2/24 | |||||
| End Date: | 5/2/24 | ||||||
| Company POC PH#: | Project POC: | SMSgt Kate Fox | |||||
| Company POC Email: | Project POC Phone #: | 608.245.4524 | |||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) | |||||||
| TRUAX FIELD PRE-AUTHORIZATION REQUEST FORM | |||||||
| Company Name: | Project Location: | ||||||
| Company POC: | Project Prime: | ||||||
| Company Address: | Start Date: | ||||||
| End Date: | |||||||
| Company POC PH#: | Project POC: | ||||||
| Company POC Email: | Project POC Phone #: | ||||||
| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE RESIDED | |
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| NAME MUST MATCH WHAT IS ON YOUR DRIVER'S LICENSE | |||||||
| Validated by: | Authenticated by: | ||||||
| Date: | Date: | ||||||
| 115 SFS Form 12 (30JUL19) |
&C&P of &N&R
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File details come from the government source that posted it. Updated .