EAL Access Request Form.xlsx

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Upgrade Building 504 Fire Detection and Install Fire Suppression
Solicitation number
W912J2-22-B-0001
Issued by

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This solicitation is for upgrade building 504 fire detection and installation of fire suppression at Volk Field ANG Base in Camp Douglas, Wisconsin. The US Property and Fiscal Office will award a single firm fixed price contract for services to provide all labor, materials, equipment and supervision. Work will be performed in accordance with attached specifications and drawings. The contract line items include Project YAQF082005 to upgrade building 504 fire detection and install fire suppression. This project is a total small business set aside with a North American Industry Classification code of 236220 for commercial and institutional buildings and a small business size standard of $39.5 million average annual revenue for the past three years. The contract duration is 365 days from notice to proceed with a project magnitude between $1 million and $5 million requiring specific brand name products for the fire alarm panels. The pre-bid conference will be held at Volk Field with an immediate site visit and bids must be submitted through the System for Award Management by the deadline in the solicitation which will be publicly opened. The solicitation, plans and specifications are available on SAM.gov and issued by the Department of the Army Wisconsin Army National Guard.

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Sheet1

VOLK FIELD / CAMP WILLIAMS CONTRACTOR / VISITOR (EAL) REQUEST
FOR OFFICIAL USE ONLY (FOUO) This document contains information which must be protected under the Freedom of Information Act (5 U.S.C. 552) and/or the Privacy Act of 1974 (5 U.S.C. 552a). Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in disciplinary action, criminal and/or civil penalties. Further distribution is prohibited without the approval of the consent of the originator’s office.
Requested by: (Dept-Name, ph#)Date of Request:PLEASE NOTE NEW EMAIL ADDRESS: Email completed form to: WI.CRTC.Entry.Request@us.af.mil
DBIDS Self-Enrollment: http://dbids.dmdc.mil/#!/register (Individuals that don't self enroll will be required to submit SSN also)
Last NameFirst NameFull Middle NameRankDate of Birth (mm/dd/yyyy)State of DL issueDL #Company / OrganizationAccess Start DateAccess End DateDBIDS Self-Enroll DateDBIDS 6 Digit ID#

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