Attachment F - WorkPass Form.xls
XLS spreadsheet 41 KB Posted
- Attached to
- P812 Provide Ship to Shore Electrical Substations at Pier #1, Naval Station, Rota, Spain
- Solicitation number
- N6247020R4005
About this file
This document contains an attachment for a work pass form and information on a related federal contract opportunity. The attachment provides a template for requesting a work pass from the Spanish Security Officer at Naval Station Rota in Spain. It requires information such as the job to be performed, location, duration, company details, and attachments including a copy of the work contract and identification documents.
The related federal contract opportunity is for providing ship to shore electrical substations at Pier 1 at Naval Station Rota, Spain. The solicitation number is N6247020R4005 and is being issued by the Department of the Navy Naval Facilities Engineering Command. The opportunity type is a solicitation for the work described.
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| ATTACHMENT A - | |||||||||||||||
| Work Pass Format | |||||||||||||||
| Date: | |||||||||||||||
| From: | Facilities Engineering and Acquisition Division, PWD, NAVSTA Rota, Spain | ||||||||||||||
| (Tenant Command or NAVSTA Department requesting base pass) | |||||||||||||||
| To: | Jefatura de Seguridad, Base Naval de Rota (Spanish Security Officer) | ||||||||||||||
| Via: | Security Officer, U.S. Naval Station, Rota, Spain. | ||||||||||||||
| Subj: | REQUEST FOR WORK PASS | INITIAL ISSUE | RENEWAL | (Check one) | |||||||||||
| Ref: | (a) | Spanish Navy Norma General 02/93 (Base Access Procedures) | |||||||||||||
| 1. | Based on the following information, I request that a work pass be issued to | ||||||||||||||
| the persons listed below: | (Check type of pass) | ||||||||||||||
| Contractor Employee | Shipping Agent | Domestic Servant | |||||||||||||
| (Complete a thru h) | (Complete a thru e and g) | (Complete a,b,c,e,h and i) | |||||||||||||
| Technical Expert | Business Visit | (One day only) | |||||||||||||
| (Complete a thru e) | (Complete a thru e) | ||||||||||||||
| a. | Duration of the pass: | M-F 0800-1600 (6/4/20-6/5/20) | |||||||||||||
| (Specify period of time: days of the week, and hours of work) | |||||||||||||||
| b. | Job to be performed: | Site visit for P812 Provide Ship to Shore Elect Substations | |||||||||||||
| c. | Job location: | Pier 1 | |||||||||||||
| d. | Company/ employer's name & address: | ||||||||||||||
| e. | Sponsor's name/ rank/ phone: | Brian Seward/GS14/+34-956-82-1010 | |||||||||||||
| f. | Attach copy of work/service contract; job order/ request for services | ||||||||||||||
| g. | Attach current Social Security documents. | ||||||||||||||
| h. | Attach photocopy of Spanish ID/Passport. | ||||||||||||||
| i. | Attach medical certificate from base hospital. | ||||||||||||||
| Individual's Full Name | ID Card/Passport | Company | |||||||||||||
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| (Signature of Securtity Officer) | (Signature of CO, OIC, Dept. Head | ||||||||||||||
| or Authorized Representative) | |||||||||||||||
| IMPORTANT: | CHECK WITH THE PASS CLERK OR CALL EXT. 3247 IN CASE OF DOUBT |
Sheet1
File details come from the government source that posted it. Updated .