Base Access - 144 SFS DVES FORM (20240320).pdf

PDF 422 KB Posted

Attached to
Walk-in Refrigerator, Freezer Combo Replacement Federal contract opportunity
Solicitation number
W50S6T24QA021
Issued by
Department of the Army National Guard

About this file

Written by GovTribe AI ·

This document is a Base Access Request Form for contractors and visitors to access the 144th Fighter Wing Air National Guard installation. The form must be completed by the sponsor, who is the contracting or government representative requesting access, and contains information about the visitors including full name, date of birth, citizenship, and DBIDS pre-enrollment code. The form outlines the requirements for base access, which include pre-enrollment in DBIDS, presenting valid government-issued identification, and undergoing a criminal background check. Special instructions are provided for foreign national visitors, who must submit additional documentation and allow for longer processing times. The form must be submitted to the Pass and Registration office at least 5-10 business days prior to the requested access date.

The related federal contract opportunity is for the replacement of a walk-in refrigerator and freezer combo and associated components at the base dining facility. The requirement is being solicited as a small business set-aside with a NAICS code of 333415. A site visit is scheduled for August 21, 2024 at 9am, and attendees must complete DBIDS pre-enrollment and be approved for base access prior to attending. Quotes are due by September 30, 2024, and the government intends to award a firm-fixed price contract without negotiations if funds become available.

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Other files for this federal contract opportunity

Other files attached to Walk-in Refrigerator, Freezer Combo Replacement, newest first.
File Type Posted
Solicitation Amendment W50S6T24QA0210001 SF 30 (1).pdf PDF
Current models of Refrigerator and Freezer.pdf PDF
Walk In Images Aug 24.pdf PDF
PWS Refrigerator-Freezer.pdf PDF
Solicitation - W50S6T24QA021.pdf PDF
Wage Determination SCA 15-5609.pdf PDF

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BASE ACCESS REQUEST FORM

INSTRUCTIONS FOR COMPLETING BASE ACCESS REQUEST FORM

FOR CONTRACTORS/VISITORS

• Sponsor will complete the top and middle portions of this form along with submitting a scanned copy of each contractor/visitor state issued driver’s license.

Documents must be emailed to the Pass & Registration office 144SFS.Pass.Registration@us.af.mil. The sponsor must digitally sign the form with a Common Access Card and submit the form through a .mil account.

Processing is a minimum of 5-10 business days for US Citizens. Turn the form into 144SFS Pass & Registration office with enough time to process prior to the contractor/visitor arrival.

• All contractor/visitors MUST pre-enroll into DBIDS at https://dbids-global-enroll.dmdc.mil/preenrollui/#/landing-page no more than 30 days before the visit.

DBIDS PRE-ENROLLMENT IS ONLY VALID FOR 30 DAYS.

• All guests 17 years old and under are not required to enroll into DBIDS unless driving a vehicle on the base.

• All contractors/visitors MUST bring the two forms of ID selected on STEP 1 of the pre-enrollment process (i.e.

Social Security card AND Driver’s License, IF those were the identifiers selected). Driver license that state "FEDERAL LIMITS APPLY" must provide birth certificate and Social Security Card. Documents must be ORIGINALS. No copies or photos will be accepted.

• Once the guest(s) are pre-enrolled, they will be given a QR code along with a SIX DIGIT ALPHA NUMERIC NUMBER. It is recommended to either print or take a screen shot of this page. The sponsor will need the alpha numeric number for the Base Access Request Form.

• The PASS & REGISTRATION office will conduct a criminal history inquiry of all guests 18 years of age and older. Sponsors will be notified of all guests that do not meet base access requirements as set forth in the 144 FW Integrated Defense Plan. PASS & REGISTRATION office will complete the bottom portion of this form.

• Sponsors will be contacted when the criminal history inquiry has been completed. Sponsors will receive notification of contractors/visitor approval via email.

• Unless identified as requiring un-escorted access, all guests must remain under constant escort. Guests identified as requiring un-esccorted access must complete a local antiterrorism briefing and be issued un-esccorted access credentials. It is the responsibility of the installation sponsor to coordinate the above with SFS.

FOR UN-ESCORTED ACCESS, GUESTS MUST PRESENT THE (2) PRIMARY FORMS OF

IDENTIFICATION USED WHEN PRE-ENROLLING INTO DBIDS. Note: Having a Social Security Card does not constitute US Citizenship. All guest’s need to enroll with their correct citizenship or could be denied access. A Permanent Resident is not a US Citizen and must be declared to installation sponsor and 144Security Forces.

SPECIAL INSTRUCTIONS FOR FOREIGN NATIONAL GUESTS:

• In addition to the above requirements, the sponsor must submit a copy of the guest(s) passport and Visa (if applicable) with the Base Access Request Form regardless of age. Foreign National guest(s) who are not family members of the sponsor or spouse will not receive a DBIDS Credential and MUST BE ESCORTED AT ALL TIMES BY THE SPONSOR. These requests NEED to be submitted no less than 45 BUSINESS DAYS PRIOR TO ARRIVAL. All Foreign Nationals MUST go to Pass & Registration office (once approved) to complete biometrics and complete the DBIDS process. Under no circumstances will foreign nationals be escorted onto the installation without first being vetted through AFOSI.

POINTS OF CONTACT:

If you have questions that your sponsor cannot answer, please contact the 144 SFS Pass and Registration Office:

Pass & Registration:

559-454-5243

DSN: 839-5243

Email: 144SFS.Pass.Registration@us.af.mil mailto:144SFS.Pass.Registration@us.af.mil mailto:144SFS.Pass.Registration@us.af.mil

144 FIGHTER WING / SFS

BASE ACCESS REQUEST FORM

Controlled Unclassified Information (CUI) : Protected under the Privacy Act of

SPONSOR'S LAST NAME, FIRST, MIDDLE / DOD ID NUMBER RANK OR GRADE / UNIT SPONSOR'S PHONE NUMBER DATE OF REQUEST

AFFILIATION TO SPONSOR REQUESTING OFFICE (I.E.CE, AMXS, MXS, LRS) OR PERSONAL VISITOR

SPONSOR EMAIL SPONSOR SIGNATURE

CONTRACT TITLE OR COMPANY START DATE OF VISIT END DATE OF VISIT ACCESS DAYS(REQUIRED)

MON-FRI SAT SUN

START-END TIME

PURPOSE OF VISIT:

LOCATION

BASE WIDE MSA OTHER:

REASON FOR ACCESS

CONTRACTOR VENDOR GUEST OTHER:

*All Visitors/Guests/Contractors must have their two (2) primary forms of identification used when pre-enrolling into DBIDS SITE DBIDS. No copies, photos or digital likenesses will be accepted. Processing is a minimum of 5-10 business days for all U.S. Citizens.

** Foreign Nationals must submit the information page of their passport with this form and visa (if applicable). Permanent Residents must submit a front and back copy of their resident card with this form. Permanent Residents are not considered U.S. Citizens. Foreign National Requests must be turned in at least 45 business days prior to arrival to ensure proper processing.

By Checking this box I understand the terms of sponsoring a guest/visitor/contractor to 144th Fighter Wing, CANG

CONTRACTOR/VENDOR/VISITOR INFORMATION

NAME (Last, First, Middle) Date of Birth

(YYYYMMDD) PURPOSE OR COMPANY (IF CONTRACTOR)

CITIZENSHIP

(EX: U.S., MEXICO,

GERMANY, ETC.)

DBIDS CODE

APPROVE/DENY

(SFS USE ONLY)

PASS AND REGISTRATION OFFICE USE ONLY

RECEIVED BY DATE RECEIVED

NCIC/NLETS: YES NO 144SECURITY FORCES REPRESENTATIVE

COMPLETED BY

AUTHORITY: DoDM5200.08v3_AFMAN31-101v3 Installation Perimeter Access Control, Title 18 U.S. Code Section 1382, “Entering military, naval, or Coast Guard property” and 144 FW Integrated Defense Plan PURPOSE(S): To control physical access to Department of Defense (DoD), Department of the Air Force (DOAF) or California Air National Guard Installations/Units controlled information, installations, facilities, or areas over which DoD, DOAF, or California Air National Guard has security responsibilities. DISCLOSURE: Providing registration information is voluntary.

Failure to provide requested information may result in denial of access to benefits, privileges, and DoD installations, facilities and buildings.

Pre-Enroll in the Defense Biometric Identification System (DBIDS) at https://dbids-global-enroll.dmdc.mil/preenrollui/#/landing-page, at minimum five(5) business days prior to and no more than (30) days prior to the day base access is requested. Use continuation sheet if necessary. Pass and Registration phone number 559-454-5243.

EXAMPLE: SMITH, JOHN, ROBERT 19740524 BASE TOUR U.S. ABC123

144 FIGHTER WING / SFS BASE ACCESS

REQUEST FORM FORM CONTINUATION SHEET

Controlled Unclassified Information (CUI) : Protected under the Privacy Act of 1974

SPONSOR'S LAST NAME, FIRST, MIDDLE/DOD ID NUMBER RANK/UNIT SPONSOR'S PHONE NUMBER DATE OF REQUEST

CONTRACTOR/VENDOR/SERVICE PROVIDER/VISITOR INFORMATION

NAME (Last, First, Middle) Date of Birth

(YYYYMMDD)

PURPOSE OR COMPANY (IF

CONTRACTOR)

CITIZENSHIP

(EX: U.S., MEXICO,

GERMANY, ETC.)

DBIDS CODE APPROVE/DENY

(SFS USE ONLY)

Card does not constitute US Citizenship. All guest’s need to enroll with their correct citizenship or could be denied access. A Permanent Resident is not a US Citizen and must be declared to installation sponsor and 144Security Forces.
POINTS OF CONTACT:
SPONSORS LAST NAME FIRST MIDDLE DOD ID NUMBER: Sanchez, Jarrod A
RANK OR GRADE UNIT: MSgt / MSG
SPONSORS PHONE NUMBER: 454-5129
REQUESTING OFFICE IECE AMXS MXS LRS OR PERSONAL VISITOR: MSG
SPONSOR EMAIL: jarrod.sanchez@us.af.mil
CONTRACT TITLE OR COMPANY: Walk-in Refrigerator-Freezer Project
LOCATION: Site Visit - Project: Walk-in Refrigerator-Freezer Project (1 hour visit)
OTHER:
NAME Last First MiddleRow2:
Date of Birth YYYYMMDDRow2:
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US CITIZENRow2:
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Date of Birth YYYYMMDDRow3:
PURPOSE OR COMPANY IF CONTRACTORRow3:
US CITIZENRow3:
DBIDS CODERow3:
APPROVEDENY SFS USE ONLYRow3:
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Date of Birth YYYYMMDDRow4:
PURPOSE OR COMPANY IF CONTRACTORRow4:
US CITIZENRow4:
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SPONSORS LAST NAME FIRST MIDDLEDOD ID NUMBER:
RANKUNIT:
SPONSORS PHONE NUMBER_2:
CONTRACTORVENDORSERVICE PROVIDERVISITOR INFORMATION:
NAME Last First MiddleRow1_2:
Date of Birth YYYYMMDDRow1_2:
PURPOSE OR COMPANY IF CONTRACTORRow1_2:
US CITIZENRow1_2:
DBIDS CODERow1_2:
APPROVEDENY SFS USE ONLYRow1_2:
NAME Last First MiddleRow2_2:
Date of Birth YYYYMMDDRow2_2:
PURPOSE OR COMPANY IF CONTRACTORRow2_2:
US CITIZENRow2_2:
DBIDS CODERow2_2:
APPROVEDENY SFS USE ONLYRow2_2:
NAME Last First MiddleRow3_2:
Date of Birth YYYYMMDDRow3_2:
PURPOSE OR COMPANY IF CONTRACTORRow3_2:
US CITIZENRow3_2:
DBIDS CODERow3_2:
APPROVEDENY SFS USE ONLYRow3_2:
NAME Last First MiddleRow4_2:
Date of Birth YYYYMMDDRow4_2:
PURPOSE OR COMPANY IF CONTRACTORRow4_2:
US CITIZENRow4_2:
DBIDS CODERow4_2:
APPROVEDENY SFS USE ONLYRow4_2:
NAME Last First MiddleRow5_2:
Date of Birth YYYYMMDDRow5_2:
PURPOSE OR COMPANY IF CONTRACTORRow5_2:
US CITIZENRow5_2:
DBIDS CODERow5_2:
APPROVEDENY SFS USE ONLYRow5_2:
NAME Last First MiddleRow6_2:
Date of Birth YYYYMMDDRow6_2:
PURPOSE OR COMPANY IF CONTRACTORRow6_2:
US CITIZENRow6_2:
DBIDS CODERow6_2:
APPROVEDENY SFS USE ONLYRow6_2:
NAME Last First MiddleRow7_2:
Date of Birth YYYYMMDDRow7_2:
PURPOSE OR COMPANY IF CONTRACTORRow7_2:
US CITIZENRow7_2:
DBIDS CODERow7_2:
APPROVEDENY SFS USE ONLYRow7_2:
NAME Last First MiddleRow8_2:
Date of Birth YYYYMMDDRow8_2:
PURPOSE OR COMPANY IF CONTRACTORRow8_2:
US CITIZENRow8_2:
DBIDS CODERow8_2:
APPROVEDENY SFS USE ONLYRow8_2:
NAME Last First MiddleRow9_2:
Date of Birth YYYYMMDDRow9_2:
PURPOSE OR COMPANY IF CONTRACTORRow9_2:
US CITIZENRow9_2:
DBIDS CODERow9_2:
APPROVEDENY SFS USE ONLYRow9_2:
NAME Last First MiddleRow10_2:
Date of Birth YYYYMMDDRow10_2:
PURPOSE OR COMPANY IF CONTRACTORRow10_2:
US CITIZENRow10_2:
DBIDS CODERow10_2:
APPROVEDENY SFS USE ONLYRow10_2:
NAME Last First MiddleRow11_2:
Date of Birth YYYYMMDDRow11_2:
PURPOSE OR COMPANY IF CONTRACTORRow11_2:
US CITIZENRow11_2:
DBIDS CODERow11_2:
APPROVEDENY SFS USE ONLYRow11_2:
NAME Last First MiddleRow12_2:
Date of Birth YYYYMMDDRow12_2:
PURPOSE OR COMPANY IF CONTRACTORRow12_2:
US CITIZENRow12_2:
DBIDS CODERow12_2:
APPROVEDENY SFS USE ONLYRow12_2:
NAME Last First MiddleRow13:
Date of Birth YYYYMMDDRow13:
PURPOSE OR COMPANY IF CONTRACTORRow13:
US CITIZENRow13:
DBIDS CODERow13:
APPROVEDENY SFS USE ONLYRow13:
NAME Last First MiddleRow14:
Date of Birth YYYYMMDDRow14:
PURPOSE OR COMPANY IF CONTRACTORRow14:
US CITIZENRow14:
DBIDS CODERow14:
APPROVEDENY SFS USE ONLYRow14:
NAME Last First MiddleRow15:
Date of Birth YYYYMMDDRow15:
PURPOSE OR COMPANY IF CONTRACTORRow15:
US CITIZENRow15:
DBIDS CODERow15:
APPROVEDENY SFS USE ONLYRow15:
NAME Last First MiddleRow16:
Date of Birth YYYYMMDDRow16:
PURPOSE OR COMPANY IF CONTRACTORRow16:
US CITIZENRow16:
DBIDS CODERow16:
APPROVEDENY SFS USE ONLYRow16:
NAME Last First MiddleRow17:
Date of Birth YYYYMMDDRow17:
PURPOSE OR COMPANY IF CONTRACTORRow17:
US CITIZENRow17:
DBIDS CODERow17:
APPROVEDENY SFS USE ONLYRow17:
NAME Last First MiddleRow18:
Date of Birth YYYYMMDDRow18:
PURPOSE OR COMPANY IF CONTRACTORRow18:
US CITIZENRow18:
DBIDS CODERow18:
APPROVEDENY SFS USE ONLYRow18:
NAME Last First MiddleRow19:
Date of Birth YYYYMMDDRow19:
PURPOSE OR COMPANY IF CONTRACTORRow19:
US CITIZENRow19:
DBIDS CODERow19:
APPROVEDENY SFS USE ONLYRow19:
NAME Last First MiddleRow20:
Date of Birth YYYYMMDDRow20:
PURPOSE OR COMPANY IF CONTRACTORRow20:
US CITIZENRow20:
DBIDS CODERow20:
APPROVEDENY SFS USE ONLYRow20:
NAME Last First MiddleRow21:
Date of Birth YYYYMMDDRow21:
PURPOSE OR COMPANY IF CONTRACTORRow21:
US CITIZENRow21:
DBIDS CODERow21:
APPROVEDENY SFS USE ONLYRow21:
NAME Last First MiddleRow22:
Date of Birth YYYYMMDDRow22:
PURPOSE OR COMPANY IF CONTRACTORRow22:
US CITIZENRow22:
DBIDS CODERow22:
APPROVEDENY SFS USE ONLYRow22:
NAME Last First MiddleRow23:
Date of Birth YYYYMMDDRow23:
PURPOSE OR COMPANY IF CONTRACTORRow23:
US CITIZENRow23:
DBIDS CODERow23:
APPROVEDENY SFS USE ONLYRow23:
NAME Last First MiddleRow24:
Date of Birth YYYYMMDDRow24:
PURPOSE OR COMPANY IF CONTRACTORRow24:
US CITIZENRow24:
DBIDS CODERow24:
APPROVEDENY SFS USE ONLYRow24:
NAME Last First MiddleRow25:
Date of Birth YYYYMMDDRow25:
PURPOSE OR COMPANY IF CONTRACTORRow25:
US CITIZENRow25:
DBIDS CODERow25:
APPROVEDENY SFS USE ONLYRow25:
NAME Last First MiddleRow26:
Date of Birth YYYYMMDDRow26:
PURPOSE OR COMPANY IF CONTRACTORRow26:
US CITIZENRow26:
DBIDS CODERow26:
APPROVEDENY SFS USE ONLYRow26:
NAME Last First MiddleRow27:
Date of Birth YYYYMMDDRow27:
PURPOSE OR COMPANY IF CONTRACTORRow27:
US CITIZENRow27:
DBIDS CODERow27:
APPROVEDENY SFS USE ONLYRow27:
NAME Last First MiddleRow28:
Date of Birth YYYYMMDDRow28:
PURPOSE OR COMPANY IF CONTRACTORRow28:
US CITIZENRow28:
DBIDS CODERow28:
APPROVEDENY SFS USE ONLYRow28:
NAME Last First MiddleRow29:
Date of Birth YYYYMMDDRow29:
PURPOSE OR COMPANY IF CONTRACTORRow29:
US CITIZENRow29:
DBIDS CODERow29:
APPROVEDENY SFS USE ONLYRow29:
NAME Last First MiddleRow30:
Date of Birth YYYYMMDDRow30:
PURPOSE OR COMPANY IF CONTRACTORRow30:
US CITIZENRow30:
DBIDS CODERow30:
APPROVEDENY SFS USE ONLYRow30:
NAME Last First MiddleRow31:
Date of Birth YYYYMMDDRow31:
PURPOSE OR COMPANY IF CONTRACTORRow31:
US CITIZENRow31:
DBIDS CODERow31:
APPROVEDENY SFS USE ONLYRow31:
NAME Last First MiddleRow32:
Date of Birth YYYYMMDDRow32:
PURPOSE OR COMPANY IF CONTRACTORRow32:
US CITIZENRow32:
DBIDS CODERow32:
APPROVEDENY SFS USE ONLYRow32:
NAME Last First MiddleRow33:
Date of Birth YYYYMMDDRow33:
PURPOSE OR COMPANY IF CONTRACTORRow33:
US CITIZENRow33:
DBIDS CODERow33:
APPROVEDENY SFS USE ONLYRow33:
NAME Last First MiddleRow34:
Date of Birth YYYYMMDDRow34:
PURPOSE OR COMPANY IF CONTRACTORRow34:
US CITIZENRow34:
DBIDS CODERow34:
APPROVEDENY SFS USE ONLYRow34:
NAME Last First MiddleRow35:
Date of Birth YYYYMMDDRow35:
PURPOSE OR COMPANY IF CONTRACTORRow35:
US CITIZENRow35:
DBIDS CODERow35:
APPROVEDENY SFS USE ONLYRow35:
NAME Last First MiddleRow36:
Date of Birth YYYYMMDDRow36:
PURPOSE OR COMPANY IF CONTRACTORRow36:
US CITIZENRow36:
DBIDS CODERow36:
APPROVEDENY SFS USE ONLYRow36:
NAME Last First MiddleRow37:
Date of Birth YYYYMMDDRow37:
PURPOSE OR COMPANY IF CONTRACTORRow37:
US CITIZENRow37:
DBIDS CODERow37:
APPROVEDENY SFS USE ONLYRow37:
NAME Last First MiddleRow38:
Date of Birth YYYYMMDDRow38:
PURPOSE OR COMPANY IF CONTRACTORRow38:
US CITIZENRow38:
DBIDS CODERow38:
APPROVEDENY SFS USE ONLYRow38:
NAME Last First MiddleRow39:
Date of Birth YYYYMMDDRow39:
PURPOSE OR COMPANY IF CONTRACTORRow39:
US CITIZENRow39:
DBIDS CODERow39:
APPROVEDENY SFS USE ONLYRow39:
NAME Last First MiddleRow40:
Date of Birth YYYYMMDDRow40:
PURPOSE OR COMPANY IF CONTRACTORRow40:
US CITIZENRow40:
DBIDS CODERow40:
APPROVEDENY SFS USE ONLYRow40:
NAME Last First MiddleRow41:
Date of Birth YYYYMMDDRow41:
PURPOSE OR COMPANY IF CONTRACTORRow41:
US CITIZENRow41:
DBIDS CODERow41:
APPROVEDENY SFS USE ONLYRow41:
NAME Last First MiddleRow42:
Date of Birth YYYYMMDDRow42:
PURPOSE OR COMPANY IF CONTRACTORRow42:
US CITIZENRow42:
DBIDS CODERow42:
APPROVEDENY SFS USE ONLYRow42:
NAME Last First MiddleRow43:
Date of Birth YYYYMMDDRow43:
PURPOSE OR COMPANY IF CONTRACTORRow43:
US CITIZENRow43:
DBIDS CODERow43:
APPROVEDENY SFS USE ONLYRow43:
NAME Last First MiddleRow44:
Date of Birth YYYYMMDDRow44:
PURPOSE OR COMPANY IF CONTRACTORRow44:
US CITIZENRow44:
DBIDS CODERow44:
APPROVEDENY SFS USE ONLYRow44:
NAME Last First MiddleRow45:
Date of Birth YYYYMMDDRow45:
PURPOSE OR COMPANY IF CONTRACTORRow45:
US CITIZENRow45:
DBIDS CODERow45:
APPROVEDENY SFS USE ONLYRow45:
NAME Last First MiddleRow46:
Date of Birth YYYYMMDDRow46:
PURPOSE OR COMPANY IF CONTRACTORRow46:
US CITIZENRow46:
DBIDS CODERow46:
APPROVEDENY SFS USE ONLYRow46:
NAME Last First MiddleRow47:
Date of Birth YYYYMMDDRow47:
PURPOSE OR COMPANY IF CONTRACTORRow47:
US CITIZENRow47:
DBIDS CODERow47:
APPROVEDENY SFS USE ONLYRow47:
Text28:
Text29:
Text31:
Check Box38: Yes
Check Box39: Yes
Check Box40: Off
Check Box41: Off
Check Box42: Off
Check Box43: Yes
Check Box44: Off
Check Box45: Off
Date46_af_date: 9:00
Date48_af_date:
Check Box49: Yes
Check Box50: Off
Check Box51: Off
Date52_af_date: 2024-08-21
Date53_af_date: 2024-08-21
Dropdown1: [CIVILIAN CONTRACTOR]
Date2_af_date:
Date3_af_date:
Check Box4: Off
Check Box5: Off

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