DBIDS Access Request From 5500.docx

DOCX document 715 KB Posted

Attached to
Repairs to Substation 7 Federal contract opportunity
Solicitation number
N4008520B2556
Issued by
Department of the Navy Naval Facilities Engineering Command

About this file

This document is a request form for company access to Portsmouth Naval Shipyard (PNSY) in Kittery, Maine. The form provides details for a company seeking access in relation to contract N4008520B2556 with the Naval Facilities Engineering Command to perform repairs to Substation 7 and Building 165 at PNSY. The request form includes fields for the company name and address, points of contact, names of personnel needing access, sponsorship information from the contracting officer Kimberly Miller, and a requested access timeframe and expiration date of July 20, 2020. Approval for company access requires submission of this form to PNSYDBIDS@navy.mil, while individual employee access requests use form 5512 and must be carried by employees to pass and receive badges.

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Text version

DBIDS ACCESS REQUEST FORM (NAVSHIPYD PTSMH 5500)

SUBMISSION INFORMATION

1. Requester full name:

2. Title:

3. Phone Number :

4. COMPANY NAME :

DBIDS INFORMATION

Is the company requesting access to the installation the primary Contractor Yes☐ No☐ If no, who do they subcontract for:

(IF REQUEST IS FOR MORE THAN ONE PERSON PLEASE ATTACH EMPLOYEE LIST)

COMPANY REQUESTING ACCESS INFORMATION

Company Name (Corporate Legal name):

Company Address :

Company Phone Number(Corporate Office):

Company Local POC:

Email and Phone:

Are Any Personnel Foreign Nationals?

Yes ☐ No ☐ (If Yes provide separate list of Names)

For access to: PORTSMOUTH NAVAL SHIPYARD

Timeframe of Access Required: ☐ 0600-1800 ☐ 1400-2300 ☐ 24 Hours

☐ All Week ☐ M-F only ☐ Weekends Only

SPONSOR INFORMATION (MUST BE SHIPYARD PERSONNEL)

Sponsor Name: Kimberly Miller

Sponsor Organization: NAVFAC

Sponsor Title: Contract Specialist

Sponsor Phone Number: 978-807-2212

Sponsor Email Address: Kimberly.a.miller@navy.mil

Contract or project number: N4008520B2556

Contract or Project ACCESS EXPIRATION Date: 7/20/2020

Only ONE request for Company access should be submitted to; PNSDBIDS@navy.mil (all requests for employees are on the 5512 and are carried by the employee to pass and ID once the company is approved) Revision 12/16/19

Employees Needing Access:

Seth Fontaine Brian Ross Donald Bailey image1.jpeg

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