C08.0.4 Attachment 4 Visitor Badge Request.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Bridge Crane Procurement and Installation Federal contract opportunity
Solicitation number
N4523A21Q5722
Issued by
Department of the Navy Naval Supply Systems Command

About this file

This document contains a visitor badge request template and details of a federal contract solicitation. The visitor badge request template seeks confidential personal information such as name, Social Security number, date of birth, and citizenship to facilitate access to a naval shipyard. The related federal contract solicitation is for the procurement and installation of a bridge crane. The solicitation was issued by the Department of the Navy Naval Supply Systems Command with number N4523A21Q5722. Responses are due as a combined synopsis and solicitation in accordance with FAR subpart 12.6 and FAR parts 12 and 13. The solicitation describes the requirement for a bridge crane and refers to an attached document for additional details.

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Text version

Sheet1

PERSONAL INFORMATION "CONFIDENTIAL" Privacy Act of 1974 5 U.S.C. 552a (Public Law 93-579) restrictions apply Revised 03/02/2010
PUGET SOUND NAVAL SHIPYARD CONTROLLED INDUSTRIAL AREA ACCESS REQUEST
ALL FIELDS MUST CONTAIN AN ENTRY - PAY ATTENTION TO FORMAT WHERE INDICATED
Company Name:
Company POC:
POC phone number and email:
Visit Start / End Date:
Contract Number:N4523A21Q5722
NameSSN XXX-XX-XXXXCitizenshipCompany NameDOB mm/dd/yyyyCity & State of birth
EX: Seattle, WA.Clearance Info: Clearance / CAF or Uncleared
LastFirstMiddle

Sheet2

Sheet3

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