Attch J-8 ASB Badge Request Form.docx

DOCX document 20 KB Posted

Attached to
KSC Electrical BPA Construction Services Federal contract opportunity
Solicitation number
80KSC024R0005
Issued by
National Aeronautics and Space Administration Kennedy Space Center

About this file

This document is a badge request form for visitors to NASA Kennedy Space Center installations. It requests information such as visitor name, dates of visit, social security number, date and place of birth, citizenship status, home address, phone number, employer details, and point of contact at KSC. The related federal contract opportunity is solicitation number 80KSC024R0005 for electrical BPA construction services at KSC. The solicitation is issued by NASA's Kennedy Space Center to establish a blanket purchase agreement for electrical construction services at KSC facilities. Response and award dates, pricing terms, and set-asides are not included in the provided information.

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Other files for this federal contract opportunity

Other files attached to KSC Electrical BPA Construction Services, newest first.
File Type Posted
80KSC024R0005 Amnd 06.pdf PDF
Apd 6 - SOW PCN 99777 - v4.pdf PDF
Apdx 6 - SOW PCN 99777 - v3.pdf PDF
80KSC024R0005 Amnd 05.pdf PDF
80KSC024R0005 Amend 004.pdf PDF
80KSC024R0005 Amnd 03.pdf PDF
Apdx 5 - SOW PCN 99776 - v2 Redlined.pdf PDF
Apdx 6 - PCN 99777 - v2 Clean.pdf PDF
Amnd 02 80KSC024R0005.pdf PDF
Apdx 5 - SOW PCN 99776 - v2 Clean.pdf PDF
Apdx 6 - SOW PCN 99777 - v2 Redlined.pdf PDF
Amnd 01 80KSC024R0005.pdf PDF
Attch J-6 Control Log.pdf PDF
Attch J-7 KSC and CCAFS Map.pdf PDF
Apdx 9 - Site Visit Locations.pdf PDF
Apdx 1 - Site Visit Badge Request Form.docx DOCX document
Apdx 2 - Acceptable Identity Guide.docx DOCX document
Apdx 4 - Pre-Proposal Inquiry Form PCN 99777.xlsx XLSX spreadsheet
Apdx 7 - Technical Experience Summary.pdf PDF
Apdx 8 - Past Performance Questionnaire.pdf PDF
Attch J-1 Project Deliverables.pdf PDF
Attch J-2 KSC Project Specific Requirements.pdf PDF
Attch J-4 SSSP Template.docx DOCX document
Apdx 6 - SOW PCN 99777.pdf PDF
Solicitation 80KSC024R0005 eBPA.pdf PDF
Attch J-5 Lockout -Tagout.pdf PDF
Apdx 5 - SOW PCN 99776.pdf PDF
Attch J-3 Wage Determination10-20- 2023.pdf PDF
Apdx 3 - Pre-Proposal Inquiry Form PCN 99776.xlsx XLSX spreadsheet
Show all 29

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Text version

US Citizen IdMAX Identity Information

Protected table, tab through to answer questions Start Date of Visit:

End Date of Visit:

Installation(s) to be visited (include all building #’s & room #’s) and justification (or purpose) of visit:

Last Name:

First Name:

Middle Name:

Gender (M or F):

Social Security Number:

Date of Birth (Month/Day/Year):

Place of Birth:

(City, State/Province AND Country)

If born to US citizen parents outside the US?

(Provide location)

Are you a Permanent Resident Alien (Greencard Holder)
(If Yes, Number)
(Expiration)
Are you a Naturalized Citizen?
If Yes, Number:

Location:

Date of Issue (Month/Day/Year)
Expiration Date (Month/Day/Year):

Permanent Home Address (include City, State, Zip):

Cell Phone:

E-Mail:

Position Title:

Employer

Institution or Company Name:

Address (Include City, State, Zip):

Phone:

Visitor’s Affiliation KSC

Point of Contact Name:

Phone Number:

Revised 12/16/22

File details come from the government source that posted it. Updated .