EAL Site Visit Form.docx

DOCX document 34 KB Posted

Attached to
Non-Resettable Flow Meter
Solicitation number
FA460026Q0036
Issued by

About this file

This is an Entry Authority Listing (EAL) site visit form for Offutt Air Force Base, controlled by the 55th Security Forces Squadron. The form is used by Security Forces personnel to authorize installation entry for visitors and collect required personal information including legal name, sex, date of birth, driver's license or passport information, and citizenship.

The form is directly associated with solicitation FA460026Q0036 for the installation of a non-resettable flow meter on propane fuel supply lines at Offutt Air Force Base. Contractors interested in this project must submit a completed EAL form by Monday, 4 May 2026 at 11:00 AM CST if they intend to conduct a site visit. The site visit is scheduled for Wednesday, 6 May 2026 at 9:00 AM CST. The solicitation requires quotes to be submitted by Wednesday, 13 May 2026 at 11:00 AM CST to TSgt Jennifer Prestridge and Daniel Kuchar. The scope of work includes installation of the flow meter on the distribution line from the propane tank to the fire department aircraft training tower, all required electrical hookups, and provision of all necessary tools, materials, equipment, and permits. Questions regarding the solicitation must be submitted by Thursday, 7 May 2026 at 11:00 AM CST, with answers to be provided by Friday, 8 May 2026 at 11:00 AM CST.

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Text version

CUI

OFFUTT AIR FORCE BASE ENTRY AUTHORITY LISTING (EAL)

DO NOT MODIFY EAL FORMAT **

Event Name

Start and End Time for Each Day of Event

Monday Time Period Tuesday Time Period Wednesday Time Period Thursday Time Period Friday Time Period Saturday Time Period Sunday Time Period

Date(s) of Event (Expires Immediately After Event)
Location of Event
Sponsor’s Name and Rank
Sponsor’s Phone Number(s)

CUI

This document contains CONTROLLED UNCLASSIFED INFORMATION (CUI) 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 author of this message unless the recipient has a need to know in the performance of official duties. If you have received this message in error, please notify the sender and delete all copies of this message.

Purpose: Information collected by Security Forces personnel will be used to authorize installation entry to persons shown on the entry authority listing for the specific purpose provided by the sponsor. Information will also be used to notify person(s) designated as the visitor sponsor of arrival and other pertinent information relating to entry on the installation.

Routine Uses: Records may be disclosed to applicable Federal, State, or local agency charged with the responsibility of investigating or prosecuting a violation or enforcing/implementing a statute, rule, regulation, order issued pursuant thereto.

Disclosure: Disclosure of requested information is voluntary. Failure to provide all or parts of information requested can result in denial of installation entry.

Controlled By: USAF

CONTROLED BY: 55 SFS/MAP

CUI CATEGORY: PRVCY

DISTRIBUTION/DESSEMINATION CONTROL: FEDCON

POC: Chief, Pass and Registration (402) 232-7339 Approval Stamp (55 SFS Use Only)

Signature of Authenticator (55 SFS Use Only)

Legal Name of Guest:

(Last, First, MI)

Sex:

Male (M) Female (F)

DOB:

(YYYYMMDD)

Driver’s License# / State FNV Passport# or Immigration ID#
Citizenship

(Country)

Page of CUI 55 SFS Form 31 (8 Jan 2026)

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