Attachment L - Site Visit Visitor Authorization Form for HECSA.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- W912DR22R0030
About this file
This document contains a site visit visitor authorization form and details of a federal contract opportunity. The site visit form requires information such as visitor name, date of birth, social security number, organization, dates of visit, and whether an escort or credentials are needed.
The federal contract opportunity is for construction services for a Special Operations Forces Battalion Operations Facility at the U.S. Army Corps of Engineers' Headquarters and Engineering Center in Alexandria, Virginia. The U.S. Army Corps of Engineers Baltimore District will award a competitive, firm-fixed-price design-bid-build construction contract using best value tradeoff procedures. The solicitation number is W912DR22R0030 and responses are due based on the attached solicitation documents. The required construction project and services are described in the attached solicitation and its attachments.
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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 .