C10 VA ID PACKAGE UPDATED 12-19-2023.pdf

PDF 849 KB Posted

Attached to
7E21--NextGen Wi-Fi Upgrades Manhattan and St. Albans VAMC
Solicitation number
36C24225B0017
Issued by

About this file

This document is a VA contract employee application package containing multiple forms required for contractor personnel to obtain access and work at VA facilities. The package includes several key forms: a Background Investigation Request Worksheet, VHA Service Center PIV Sponsorship Form, VHA Special Agreement Checks (SAC) Memorandum, Security Center PIV Credentials Turn-In Inventory Report, VA Form 10-0453 Screening Checklist, VA Form 0711 Request for Personal Identity Verification Card, Declaration for Federal Employment (Optional Form 306), and Employment Eligibility Verification Form I-9.

The forms collect detailed personal information including name, SSN, date/place of birth, citizenship status, physical characteristics, employment history, and education details. The package supports security screening and identity verification processes required by VA policy, with requirements for fingerprinting within 5 business days of award notification, background investigations, and various levels of security checks (NACI/MBI/BI). The forms are associated with VA's New York/New Jersey Veterans Health Administration facilities and appear to be standard templates dated 2011, though some individual forms have more recent revision dates.

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Other files

File Type Posted
SAMPLE BID SHEET WiFi UPGRADE.docx DOCX document
36C24225B0017 0001.docx DOCX document
C22 ALL POSTERS.pdf PDF
Attachment 5 FAR 52.225-2 BUY AMERICAN CERTIFICATE.pdf PDF
ADDITIONAL INSERTS.doc DOC document
Attachment 4 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATION (1).pdf PDF
S02 SPECS .pdf PDF
S02 DRAWINGS .pdf PDF
36C24225B0017_1.docx DOCX document
WAGE-RATES.docx DOCX document

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