Attachment C - JBCC Access Request Form Template 2024.pdf

PDF 139 KB Posted

Attached to
Joint Base Cape Cod (JBCC) Optimized Remediation Contract (ORC) Federal contract opportunity
Solicitation number
W912DR24R0018
Issued by
Department of the Army Corps of Engineers Engineering District Baltimore

About this file

This document is an Access Request Form Template for a JBCC (Joint Base Cape Cod) site visit related to the JBCC Optimized Remediation Contract (ORC) solicitation W912DR24R0018. The site visit will be held on May 1, 2024 from 8:00 AM to 2:30 PM EST at JBCC. Contractors must complete the template, including providing the names, driver's license information, and citizenship status of up to two attendees, and submit it by April 24, 2024 to obtain access to the base for the site visit. The site visit will cover information presented in the attached slide deck. This document is a template and does not directly address the required products or services for the overall contract opportunity.

View the file

Other files for this federal contract opportunity

Other files attached to Joint Base Cape Cod (JBCC) Optimized Remediation Contract (ORC), newest first.
File Type Posted
Attachment D - JBCC ORC Site Visit Slides_ 16APR2024.pdf PDF
Attachment A - Directions to JBCC IRP from Boston.pdf PDF
Attachment B - JBCC AFCEC Bldg 322 Directions.pdf PDF

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

JBCC EVENT/PROJECT ROSTER Office use only

Event/Project Name: Sent to BDOC:

Destination: Approved:

Start & End Dates: Sponsor called:

Sponsor

Name/Phone: Daily Roster?:

Company Name:

Date:

COMPLETE ALL BLOCKS RETURN TO ACCESS CONTROL/PASS & ID, 3-5 WORKING DAYS PRIOR TO ARRIVAL FOR BACKGROUNDS

MUST BE TYPED & SENT ELECTRONICALLY TO ACCESS CONTROL/PASS & ID FOR TRACKING PURPOSES

LEGAL Last Name LEGAL First Name MI Driver's License # State

US

Citizen? DOB I-Gate

ALL PARTIES AGREE TO NCIC BACKGROUND CHECKS?

NCIC APPROVAL: BDOC SIGNATURE: rev: 10/14/21 Originating Agency Contact Information:

Comments:

Pass & ID: 102.iw.pass.and.id.org@us.af.mil

1268801703E Highlight

1268801703E Highlight

1268801703E Highlight

1268801703E Highlight

1268801703E Highlight

1268801703E Highlight

1268801703E Highlight

EventProject Name: JBCC ORC Site Visit
Destination: IRP and MMRP Sites
Start End Dates: 01 May 2024 - 01 May 2024
Sponsor NamePhone: Kimberly Gill

774-836-2052

CompanyPOCPhone:
Last NameRow1:
LEGAL First NameRow1:
MIRow1:
Drivers License Row1:
StateRow1:
USA CitizenRow1:
DOBRow1:
Last NameRow2:
LEGAL First NameRow2:
MIRow2:
Drivers License Row2:
StateRow2:
USA CitizenRow2:
DOBRow2:
Last NameRow3:
LEGAL First NameRow3:
MIRow3:
Drivers License Row3:
StateRow3:
USA CitizenRow3:
DOBRow3:
Last NameRow4:
LEGAL First NameRow4:
MIRow4:
Drivers License Row4:
StateRow4:
USA CitizenRow4:
DOBRow4:
Last NameRow5:
LEGAL First NameRow5:
MIRow5:
Drivers License Row5:
StateRow5:
USA CitizenRow5:
DOBRow5:
Last NameRow6:
LEGAL First NameRow6:
MIRow6:
Drivers License Row6:
StateRow6:
USA CitizenRow6:
DOBRow6:
Last NameRow7:
LEGAL First NameRow7:
MIRow7:
Drivers License Row7:
StateRow7:
USA CitizenRow7:
DOBRow7:
Last NameRow8:
LEGAL First NameRow8:
MIRow8:
Drivers License Row8:
StateRow8:
USA CitizenRow8:
DOBRow8:
Last NameRow9:
LEGAL First NameRow9:
MIRow9:
Drivers License Row9:
StateRow9:
USA CitizenRow9:
DOBRow9:
Text3:
Text4:
Text5:
Text6:
Text7:
NCIC Approval: [Yes]
Comments:
Check Box1: Yes
Check Box2: Yes
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Yes

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