Attachment E - NGA Visistor Access Request Form.pdf.pdf
PDF 472 KB Posted
- Attached to
- Air Cooled Chiller Replacement
- Solicitation number
- HM157524B0002
About this file
This document is an Attachment E - NGA Visitor Access Request Form for an Air Cooled Chiller Replacement project at the National Geospatial Intelligence Agency (NGA) Arnold facility. The form requires visitors to provide personal information such as name, citizenship, identification details, and date of birth to obtain access for a site visit on August 13th, 2024 at 9:00 am CST. The related federal contract opportunity is Solicitation Number HM157524B0002 for the Air Cooled Chiller Replacement project, issued by the Department of Defense National Geospatial Intelligence Agency. The solicitation is for the replacement of air cooled chillers at the NGA Arnold facility.
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Text version
UNCLASSIFIED
Attachment E
UNCLASSIFIED
Request for NGA Site Visit – Air Cooled Chiller Replacement Project
NGA Arnold - August 13th, 2024, 9am CST Arrive at 8:30am CST
Company Name _______________________
First MI Last Suffix Nation of Citizenship
ID Type* ID Number (indicate State of Issue, e.g.
MO XXXX-XXXX-XXXX)
Last four digits of Soc. Sec.
Number
Date of Birth
YYYY-
MM-DD
Place of Birth City, State
*Although several forms of ID are allowed, use “US Driver’s License” if available.
This document is subject to the Privacy Act of 1974: Contents shall not be disclosed, discussed, or shared with individuals unless they have a direct need-to-know in the performance of their official duties. Deliver this/these document(s) directly to the intended recipient. DO NOT drop off with a third party. DOD Directive 5400.11, “Department of Defense Privacy Program”, May 8, 2007.
File details come from the government source that posted it. Updated .