Attachment G Blank Cleared VAR for HECSA.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- W912DR-21-R-0027
About this file
This document contains a template for visitor authorization to the Humphreys Engineer Center (HEC) in Alexandria, Virginia, as well as information about a related federal contract opportunity.
The visitor authorization template requires information such as the visitor's name, organization, date of birth, citizenship status, whether a Fort Belvoir pass or escort is required, and the type of credentialed access authorized. It provides notes indicating this form should be emailed to the HEC security office for security screening and that an escort is not needed for DoD or PIV cardholders. The federal contract opportunity is for training support services at the SOCOM Training Support Facility located at HEC. It was solicited by the Department of the Army Corps of Engineers Engineering District Baltimore and includes the solicitation number and brief description.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Visit Authorization FY18 HEC Visitor Authorization
NOTES:
1. This form should be emailed to DLL-CEHEC-SECURITY@USACE.ARMY.MIL from your security officer.
2. This form is not required for DoD ID Card Holders or PIV Card Holders (e.g. CAC, MIL/CIV Retiree ID, Military Dependent ID, DHS PIV).
3. Army Directive 2014-05 requires all unescorted contractors to be screened through NCIC III or Higher (e.g. Fort Belvoir Visitor Pass From Tulley Gate or Security manager review of JPAS/OPM CVS).
4. Visitors requiring an escort are not authorized credentialed access to buildings. They will enter buildings with their escort.
5. Visitors who are not U.S. Citizens or Permanent U.S. Residents must be approved by HECSA FDO Karen Jones.
| Name | |||||
| (Last, First, MI) | Tenant Visiting | ||||
| (e.g. AGC, SPO, RMDA) | Organization or Company Indivdual Represents | Date of Birth | Social Security number | Place of Birth | US Citizen or Permanent Resident |
(Yes or No)
See Note 5 Fort Belvoir Pass Required
See Note 3 Escort Required
See Note 3 Access Credential Authorized (eg: None, Gate Only or Gate & BLDG) See Note 4 POC Dates of Visit (e.g. 1-7 SEP or
1,3,10 &21 SEP)
| Sample, Simple | ULA | Cowboys | 1-Oct-61 | xxx-xx-xxxx | Dallas Texas | Yes | Yes | no | yes | Dallas Strong or Giant Johnson | Sunday, July 04, 2021 |
| ULA | |||||||||||
| ULA | |||||||||||
| ULA |
File details come from the government source that posted it. Updated .