Attachment D - Expected Visitor Form.docx
DOCX document 30 KB Posted
- Solicitation number
- N4008024R2227
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 .