EAL.pdf
PDF 123 KB Posted
- Attached to
- Repair Refueler Parking
- Solicitation number
- W50S6N-21-B-0005
About this file
This document contains an Entry Authority List (EAL) form and details of a related federal contract opportunity for repair and refueler parking at Dannelly Field in Montgomery, Alabama. The EAL form lists the names, identification information, and dates of 20 individuals authorized to access the airfield for an unspecified event from an unspecified date and time range. It requires digital or ink signatures from an authorizing official and POC to validate the listed personnel.
The solicitation is for project number FAKZ182104 to extend an existing covered parking shelter, add two parking spaces for refueling vehicles, install new concrete foundations and floor slabs, modify site paving, add an underground fuel containment system, and extend electrical systems. The magnitude is between $500,000 and $1,000,000. It is classified under NAICS 236210 with a small business size standard of $39.5 million. The award is 100% set aside for small business. Responses are due to the Department of the Army Alabama Army National Guard.
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Text version
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS, 187TH FIGHTER WING, 5187 SELMA HWY,
MONTGOMERY AL 36108-4824
FOR OFFICIAL USE ONLY / FOUO
EAL Form v1.0 March 2019
187 FW ENTRY AUTHORITY LIST (EAL)
Event (or Company/Org.):
Location:
Date(s):
Time(s):
Event POC/Sponsor (Name, Org., Phone):
Name (Last, First M.)
State and ID or Driver License Number
Date of Birth (mm/dd/yyyy)
SSAN
(If no ID available)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
13.
14.
15.
16.
17.
18.
19.
20.
- The above listed individuals, having been vetted and approved as indicated by the Validating Official’s signature below, are authorized to access Dannelly Air Field during the date(s)/time(s) listed above. This document is not valid without the Validating Official’s digital signature, or ink signature accompanied by printed rank/name/organization and date/time. Additional authorized personnel must be placed on an additional EAL form which must bear the Validating Official’s signature as well.
- Individuals seeking access under this authority must provide identification matching the information listed above. This form only grants installation access to the individual and does not relieve anyone of the responsibility to possess a valid driver’s license and proof of vehicle insurance and registration in order to operate a motor vehicle on Dannelly Field, or from complying with any other applicable rules, laws, or regulations. All individuals and items in their possession may be subject to search and access to the installation may be revoked.
POC Signature: Vetted/Cleared By:
Date:
Validating Official's Signature:
*Remove PII before signing/posting*
| Name Last First M1: |
| State and ID or Driver License Number1: |
| Date of Birth mmddyyyy1: |
| SSAN If no ID available1: |
| Name Last First M2: |
| State and ID or Driver License Number2: |
| Date of Birth mmddyyyy2: |
| SSAN If no ID available2: |
| Name Last First M3: |
| State and ID or Driver License Number3: |
| Date of Birth mmddyyyy3: |
| SSAN If no ID available3: |
| Name Last First M4: |
| State and ID or Driver License Number4: |
| Date of Birth mmddyyyy4: |
| SSAN If no ID available4: |
| Name Last First M5: |
| State and ID or Driver License Number5: |
| Date of Birth mmddyyyy5: |
| SSAN If no ID available5: |
| Name Last First M6: |
| State and ID or Driver License Number6: |
| Date of Birth mmddyyyy6: |
| SSAN If no ID available6: |
| Name Last First M7: |
| State and ID or Driver License Number7: |
| Date of Birth mmddyyyy7: |
| SSAN If no ID available7: |
| Name Last First M8: |
| State and ID or Driver License Number8: |
| Date of Birth mmddyyyy8: |
| SSAN If no ID available8: |
| Name Last First M9: |
| State and ID or Driver License Number9: |
| Date of Birth mmddyyyy9: |
| SSAN If no ID available9: |
| Name Last First M10: |
| State and ID or Driver License Number10: |
| Date of Birth mmddyyyy10: |
| SSAN If no ID available10: |
| Name Last First M11: |
| State and ID or Driver License Number11: |
| Date of Birth mmddyyyy11: |
| SSAN If no ID available11: |
| Name Last First M13: |
| State and ID or Driver License Number13: |
| Date of Birth mmddyyyy13: |
| SSAN If no ID available13: |
| Name Last First M14: |
| State and ID or Driver License Number14: |
| Date of Birth mmddyyyy14: |
| SSAN If no ID available14: |
| Name Last First M15: |
| State and ID or Driver License Number15: |
| Date of Birth mmddyyyy15: |
| SSAN If no ID available15: |
| Name Last First M16: |
| State and ID or Driver License Number16: |
| Date of Birth mmddyyyy16: |
| SSAN If no ID available16: |
| Name Last First M17: |
| State and ID or Driver License Number17: |
| Date of Birth mmddyyyy17: |
| SSAN If no ID available17: |
| Name Last First M18: |
| State and ID or Driver License Number18: |
| Date of Birth mmddyyyy18: |
| SSAN If no ID available18: |
| Name Last First M19: |
| State and ID or Driver License Number19: |
| Date of Birth mmddyyyy19: |
| SSAN If no ID available19: |
| Name Last First M20: |
| State and ID or Driver License Number20: |
| Date of Birth mmddyyyy20: |
| SSAN If no ID available20: |
| Location: Dannelly Field, 5187 Selma Hwy, Montgomery, AL 36108 |
| Times: |
| Event: |
| POC: |
| Dates: |
| Vetted By: |
| Vetted Date: |
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