B.08.02 Attachment H - Official Short Term Request 22JUL20 (Covid Version).xls
XLS spreadsheet 144 KB Posted
- Attached to
- CONSTRUCT F-16 FLIGHT SIMULATOR FACILITY at JOINT BASE ANDREWS, MARYLAND Federal contract opportunity
- Solicitation number
- W912DR22B0004
About this file
This document contains an automated short term access request form and information regarding a competitive 8(a) Invitation for Bid for construction of an F-16 flight simulator facility at Joint Base Andrews in Maryland. The access request form collects visitor information including name, dates of access, vaccination status, and recent Covid-19 test results. It is intended for use by the 316th Security Support Squadron/Visitor Control Center.
The IFB opportunity solicitation seeks bids for construction of an F-16 flight simulator facility and is set aside for competitive bidding under section 8(a) of the Small Business Act. The Department of the Army Corps of Engineers Engineering District Baltimore is the contracting agency. Bids are due by the date specified in the accompanying solicitation documents. The opportunity description provides a high-level overview but interested parties must review the full solicitation and attachments for complete requirement details.
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Text version
Sheet1
| 316th Security Support Squadron /Visitor Control Center | |||||||||||||
| Automated Short Term Access Request | |||||||||||||
| Sponsor Information | |||||||||||||
| Last name | First Name | Unit/Organization | Contact # | ||||||||||
| E-Mail Address | Has all visitors been fully COVID-19 vaccinated? Yes___ No ___ | ||||||||||||
| If NOT has the visitor received negative results for COVID-19 in the last 72 hours? Yes ___ No ___ | |||||||||||||
| Visitor Information | |||||||||||||
| PRIVACY ACT 1974- Contents shall not be disclosed, discussed, or shared with individuals unless they have direct | |||||||||||||
| need-to-know in the performance of their official duties. Deliver this document directly to the intended recipient DO NOT drop off with a third-party. | Vaccinated | Covid-19 Tested | |||||||||||
| Last Name | First Name | MI | SSN | DOB | Start Date | End Date | Destination | State/DL Number | State/Tag | Company/Org | V | T |
Sheet2
Sheet3
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