Attachment D - Expected Visitor Form.docx

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Attached to
RENOVATE BLDG 154, NAVAL SUPPORT FACILITY, INDIAN HEAD, MD
Solicitation number
N4008024R2227
Issued by

About this file

This document is an Attachment E - Expected Visitor(s) form related to the federal contract opportunity to RENOVATE BLDG 154, NSF INDIAN HEAD, MD. The form is to be submitted by authorized personnel to either the DAHLGREN or INDIAN HEAD email addresses. The form collects general information about the visitor, including name, citizenship, company represented, date(s) of visit, building number, and whether the visitor requires access to a restricted area or administrative area. The form indicates that visitors without a CAC or government PIV must complete a separate vetting form (SECNAV 5512/1). The related federal contract opportunity is solicitation N4008024R2227, issued by the Department of the Navy Naval Facilities Engineering Command, for an Indefinite Delivery Quantity contract. The solicitation is open to specific MACC contract holders. All solicitation documents, attachments, and amendments are available on SAM.gov.

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Text version

ATTACHMENT E

EXPECTED VISITOR(S)

Can Only Be Submitted By Authorized Personnel To either: DAHLGREN: PassID.NSASP-DLGR.fcm@navy.mil OR INDIAN HEAD: PassID.NSASP-INHD.fcm@navy.mil

General Information (POC provide this form to Person Authorized by your command to submit it)

MARK ONLY ONE

Persons without one of the following, MUST fill out Vetting Form SECNAV 5512/1 Form

Date(s) of Visit Visitor Last Name Visitor First Name & Middle Initial

Citizen-ship
Representing Company
Visit Bldg. #
Restricted Area / Admin Area

CAC

In

JPAS

GOV

PIV

Date vetting completed

6/27/2024

Bldg 154
Restricted

POC

POC Phone #

NSASP 5512/17V

Revision August 2020

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