BAL TEMPLATE.docx
DOCX document 224 KB Posted
- Attached to
- CIPP Lining on Bldg 700/ R112
- Solicitation number
- FA303021R0023
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| B700 Rm C112 Reline Domestic Water Supply SOW.pdf | ||
| Building Wage Determination TX20210282.pdf |
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Text version
DEPARTMENT OF THE AIR FORCE
17TH TRAINING WING (AETC)
GOODFELLOW AIR FORCE BASE TEXAS
FOR OFFICIAL USE ONLY
xx Apr 2020
MEMORANDUM FOR 17 SFS/S5
FROM: 17 CONS/PKA
Subject: Request Unescorted Base Access Pass
1. I am sponsoring the following Non-ID card holding guest requiring Unescorted access to the base for attending a Site Visit at Bldg 700.
| Company | Type of Services | Contract# | Location Visiting | |
| Name of Business What does the business do? N/A if none | Bldg 700 |
2. The following contractor or guest will need access to the base to attend a Site Visit.
Name DOB State/DL or ID# Last 4 SSN Date(s) of Entry Days/Hours Public, John Q. 20 Apr 1933 TX 12345678 0000 29 June 2021 Tuesday @ 1000
3. I will ensure Mr. Public is briefed that only properly licensed visitors, appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.
4. Upon completion or termination of this visitor request, I will ensure his pass is returned to the Visitor Control Center.
5. If you have any questions, please contact me at (325) 654-3809.
| JAKE LUCERI, SSgt, USAF |
| Contract Specialist |
The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties
FOR OFFICIAL USE ONLY
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