Exhibit C - ASG-KU DES FORM 190-16.01 ENCLOSURES 1A-2-3-4-5-6-7-8.pdf
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- Attached to
- Heavy Lift 9 - Commercial Line Haul and Personnel Transportation throughout CENTCOM - Amendment 0006
- Solicitation number
- W519TC-23-R-0002
About this file
This solicitation requests proposals for line haul, heavy lift, and personnel transportation services throughout the U.S. Central Command area of responsibility in support of the 1st Theater Sustainment Command. Services include personnel, equipment, tools, materials, supervision, and non-personal services to perform commercial line haul, heavy lift, and personnel transportation as defined in the performance work statement. The contractor will provide commercial line haul transportation for movement of equipment, cargo, and personnel within the CENTCOM area of responsibility, operating vehicles and equipment safely and maintaining them in accordance with the performance work statement, contract, local laws, and regulations. Trained operators will transport cargo quickly and safely as directed, recover disabled equipment and cargo, and repair or replace disabled equipment.
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Enclosure 1A - Instructions for ASG-KU DES Form 190-16.01 (Access Applications- 17 Jul 2016)
INSTRUCTIONS FOR COMPLETING THE ASG-KU DES FORM 190-16.01
ENCLOSURE 1 – Required for all applicants requesting Access
Section I – Demographics:
Blocks 1 – 3: Last Name, First Name, and Middle Name/Suffix Self Explanatory
Block 4: Passport Number and Expiration Self Explanatory
Block 5: Foreign Identification Number Kuwait Civil Identification Number or Country of Origin Identification Number
Block 6: Date of Birth Self Explanatory
Block 7: Height Enter height in inches
Block 8: Weight Enter weight in pounds
Block 9: Gender Self Explanatory
Block 10: Eye Color Self Explanatory
Block 11: Hair Color Self Explanatory
Block 12: Title/Position Enter exact Job Title
Block 13: Rank/Grade i.e. GS-11E or Contractor
Block 14: Citizenship/Nationality Enter country of citizenship. If holds dual citizenship, the applicant must list BOTH countries Block 15: Race
Enter one of the following:
A – Asian / Pacific Islander / anyone from the Asian continent or Pacific Islands B – Black N – Native American / Alaskan Native W – White / Caucasian / Anglo / European Descent U - Unknown
Block 16: Address Type Enter the type of address that will be listed in Blocks 17 –
Blocks 17 – 19: Address, City, State, Zip Code and Country
Enter the address of the type checked in Block 16 Block 20: Home Phone Number
Enter the Land Line Phone Number (if applicable) Block 21: Mobile Phone Number
Self Explanatory Block 22: Work Phone Number
Enter phone number of the applicant’s work or office Block 23: DSN Phone Number
Enter DSN Number (if applicable)
Section II – Access Information
Block 24: Purpose of Application Mark the box that applies to the applicant
Blocks 25 – 27: Work Hours, Dates Requested and Work Days Self Explanatory
Section III – Company/Contract Information
Block 28: Employer Enter the primary company that the applicant is employed with Block 29: Department/Section
Enter the Department and/or Section of the applicant is assigned to Block 30: Work Location of Employee
Enter the location where the applicant works, i.e. Building Number, Zone Location, etc Block 31: Project Name/Task Order
Enter all information as applicable Blocks 32 – 33: Supervisor Name and Work Number
Enter the name of the applicant’s immediate supervisor and the contact number Block 34: US Military Contract Number
Enter the complete contract number Block 35: Contract Expiration Date
Self Explanatory Block 36: Contract Period
Base year of contract plus option years (i.e. Contract expires 30Sep2011, plus 3 option years: Expiration 30Sep2014) Block 37: Primary Contract Company
Enter the Primary Contract Company Name Block 38: Primary Contract Company Contact Information
Enter Telephone number, email and/or mailing address of Primary Contract Company Block 39: Name of Primary Contract Company Representative
Print name of individual that can be contacted for questions concerning the contract Block 40: Signature of Primary Contract Company Representative
Signature of individual who has reviewed application for Prime Contractor Block 41: Subcontract Number (If applicable) Block 42: Point of Contact (POC) for Subcontract Company (if applicable)
Section IV – Appointed Authority (AA) Information and Recommendation
Blocks 43 – 49: AA Last Name, First and Middle Name, Rank/Grade or Equivalent, Unit/Organization, Work Number, Mobile Number and E-Mail Address
Enter the information for the Directorate/Contracting Officer Representative (COR) for the applicant.
Block 50: Signature and Date
The signature must be of the individual listed in Blocks 43
– 49, must be original and match the Signature Card the IAO has on file.
Block 51: Areas of Access
Mark those areas the applicant is authorized to have access to based on the terms of the contract or orders. The AA must initial all areas required. Then line through all areas not authorized. (AA initials required).
Block 52: Personnel Access during FPCON
Indicate Charlie or Delta access and initial. Delta access requires Enclosure 2C Block 53: Vehicle Privileges
Indicate Yes, OR No if Applicant is authorized driving privileges. In order to request driving privileges during FPCON Delta Enclosure 2C must accompany the application. (AA Initial is required)
Enclosure 1A - Instructions for ASG-KU DES Form 190-16.01 (Access Applications- 17 Jul 2016)
Block 54 Escort Privileges Mark whether or not individual has escort privileges (AA initials required). OCNs require Enclosure 7, BATS Enrollment and DES Approval.
Block 55: AA Recommended IA Badge Expiration
Date COR/AA recommends IA Badge to expire (AA initials required)
Section V – Installation Access (IA) Card Holder Acknowledgement
Blocks 56 – 59: Names (Printed), Signature and Date Applicant must read and acknowledge IA Card Holder
Responsibilities, then print, sign and date before IA Card can be issued
Section VI – Access Office Use Only
Blocks 60 – 73: DO NOT WRITE IN THIS AREA
Section VII – Screening Office Use Only
Blocks 74 – 76: DO NOT WRITE IN THIS AREA
ADDITIONAL INFORMATION:
1. If you are a Western Contractor, DES recommends you begin your renewal process with Installation Access 30 days before the expiration date of your IA card.
2. If you are a Foreign National Contractor, DES recommends you begin your renewal process with Installation Access 45-60 days before the expiration of your IA card.
3. All Foreign Nationals must have an interview by the ASG-KU S2/CI BATS Combined Screening Team (CST) prior to being processed for access.
4. All signatures and initials of Company and COR/AA must be present on the application before anyone can be processed for access.
5. The applicant is responsible to provide all documents IAW Enclosure 2 at the time of processing or the application will be denied.
6. Original Passport must be presented at the time of processing.
7. Escorted Access Requests must be turned in 3 business days in advance for processing.
8. Contractor CAC TDY requests are recommended to be turned in 72 hours in advance for processing
9. Exceptions to Policy may require additional screening and/or interview.
10. Exceptions to Policy may take an extended period to process depending on the authority (US Military) that must approve it.
1 July 2022 ASG‐KU DES IA SOP: Enclosure 2
ANY REQUESTS FOR EXCEPTIONS TO POLICY WILL BE ROUTED THROUGH DES TO/FOR THE ASG-KU COMMANDER. THIS PROCESS MAY REQUIRE
UP TO 60 DAYS OR MORE FOR APPROVAL, DENIAL, OR CLARIFICATION OF REQUEST.
Required Supplemental Documentation Checklist by Person Category This documentation must be submitted to the Installation Access Office (IAO) at the time of processing.
If for any reason the application packet is missing any of the required documents or the copies are not legible the packet will be rejected.
All information on SPOT LOA, Travel Orders, or Enclosure 4 of DES SOP must be current and correct.
Individuals/situations not addressed below are not permitted access to the Installation.
1) Contractors from U.S., Canada, Australia, Great Britain, New Zealand, and OCNs with a valid USCIS Form I-551 (Green Card):
a. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
b. Original passport must be presented at the time of badging.
c. Copy of passport photo and data pages.
d. Copy of SPOT LOA. Enclosure 4 – Copy of Prime Contracting Company LOI.
e. Copy of SPOT LOA. Enclosure 4 – Copy of Sub-Contracting Company LOI if applicable.
f. Copy of valid U.S. Driver’s License, International Driver’s Permit (IDP) or Kuwait/Gulf Cooperation Council (GCC) Driver’s License if on an Entry
Visa (Visa 14). Copy of valid Kuwait/Gulf Cooperation Council (GCC) Driver’s License if on a Visa 17/18 if requesting Vehicle Privileges.
g. Copy of Entry Visa or Kuwait entry stamp Or Copy of Kuwait Civil ID Or Kuwait Mobile ID App Or Copy of Visa 17/18 Residency page from passport.
h. Original valid USCIS Form I-551 (Green Card) must be presented at the time of badging, if applicable.
i. Copy of valid USCIS Form I-551 (Green Card), if applicable.
2) Military/DoD Civilian/Contractors CAC Registration/Renewal:
a. Copy of orders/amendments/LOA/LOI
b. Original CAC must be presented at time of DBIDS registration.
3) Other Country National (OCN) IA Badge Requests (VISA 17/18) Registration/Renewal:
a. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
b. Original passport must be presented at time of badging.
c. Clear copy of passport and data pages.
d. Copy of Kuwait Civil ID Or Kuwait Mobile ID App
e. Enclosure 4 – Copy of Prime Contracting Company LOI
f. Enclosure 4 – Copy of Sub-Contracting Company LOI if applicable
g. Enclosure 5 – Copy of Sponsoring Company Letter of Identification (LOI)
h. Copy of Kuwaiti Visa Sponsor’s Active Kuwait Chamber of Commerce and Industry (KCCI) registration with barcode.
i. Copy of valid Kuwait/Gulf Cooperation Council (GCC) Driver’s License if requesting Vehicle Privileges.
j. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations (Countries of Concern)
k. Enclosure 10 - Exception to Policy Form completed and signed by COR/Appointed Authority and routed through the DES for approval (Countries of Concern)
ANY REQUESTS FOR EXCEPTIONS TO POLICY WILL BE ROUTED THROUGH DES TO/FOR THE ASG-KU COMMANDER. THIS PROCESS MAY REQUIRE
UP TO 60 DAYS OR MORE FOR APPROVAL, DENIAL, OR CLARIFICATION OF REQUEST.
4) U.S. Embassy-Kuwait, Office of Military Cooperation Kuwait (OMCK), or Department of State (DoS) Personnel (U.S. Citizens):
a. Americans assigned to the U.S. Embassy will be issued a green badge to access ASG- KU Camps. Spouses of personnel can apply in the same way for a
Green Badge. Personnel will also be able to escort their dependents under the age of 18 onto ASG-KU Installations.
i. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
ii. Copy of Embassy Badge
iii. Clear Copy of Passport
iv. Copy of Driver’s License
v. Copy of Entry Visa or Kuwait entry stamp Or Copy of Kuwait Civil ID Or Kuwait Mobile ID App Or Copy of Visa 17/18 Residency page from passport
b. Other Country Nationals (OCN) who are employed by the Embassy and have a need to be on ASG-KU camps can apply for a Visitor Badge (Yellow). Their badges will be restricted to work purposes only and they will need to complete the BATS interview process.
i. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
ii. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations
iii. Clear copy of passport and data pages
iv. Copy of Entry Visa or Kuwait entry stamp Or Copy of Kuwait Civil ID Or Kuwait Mobile ID App Or Copy of Visa 17/18 Residency page from passport
v. Copy of Embassy Badge
vi. Copy of valid International Driver’s Permit (IDP) or Kuwait/Gulf Cooperation Council (GCC) Driver’s License
5) Host Nations Government Agency (Kuwaiti Citizens): Military members may escort their host nation counterpart on ASG - KU camps.
a. Enclosure 11- Access Application completed and signed by COR/Appointed Authority
b. Copy of Kuwait Civil ID
c. Original Kuwait Civil ID must be presented at time of badging.
d. Copy of valid Kuwait Driver’s License if requesting Vehicle Privileges.
e. Copy of Kuwait Government ID Card.
f. Justification Memorandum approved by the Post Commander for authorization to be badged
g. Application must be approved by ASG-KU DES (stamp).
6) Host Nations Government Agency (Non-Kuwaiti Citizens. Must Have Visa 17): Military members may escort their host nation counterpart on ASG-KU.
a. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
b. Original passport must be presented at time of badging.
c. Copy of passport picture and data pages.
d. Copy of Kuwait Civil ID Or Kuwait Mobile ID App Or Copy of Visa 17/18 Residency page from passport
e. Copy of valid Kuwait/Gulf Cooperation Council (GCC) Driver’s License if requesting Vehicle Privileges.
f. Copy of Kuwait Government ID Card (KMOI, KMOD, etc.).
g. Application must be approved by ASG-KU DES (stamp).
ANY REQUESTS FOR EXCEPTIONS TO POLICY WILL BE ROUTED THROUGH DES TO/FOR THE ASG-KU COMMANDER. THIS PROCESS MAY REQUIRE
UP TO 60 DAYS OR MORE FOR APPROVAL, DENIAL, OR CLARIFICATION OF REQUEST.
7) Escorted Access List (EAL) Must be submitted a minimum of 3 business days in advance for processing. Individual may only be placed on EAL a maximum of 15 days every 60 days. CoC are allowed a maximum of 5 days every 90 days.
a. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required.
b. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations.
c. Enclosure 12 – Acknowledgment of EAL Rules and Procedures
d. Copy of passport photo and data pages.
e. Copy of Entry Visa or Kuwait entry stamp Or Copy of Kuwait Civil ID Or Kuwait Mobile ID App Or Copy of Visa 17/18 Residency page from passport.
f. Copy of Kuwaiti Visa Sponsor’s Active Kuwait Chamber of Commerce and Industry (KCCI) registration with barcode
g. Copy of valid U.S., International Driver’s Permit (IDP) or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration) if requesting Vehicle Privileges.
h. Enclosure 10 - Exception to Policy Form completed and signed by COR/Appointed Authority (Country of Concern)
i. BATS/NRTIO biometric data including an iris scan, fingerprints, facial photographs, hand geometry and personal information for DBIDS registration will be completed prior to submitting a COC EAL request
NOTE: Those individuals with an active or expired IA Badge of less than 30 days will not be placed on the Escorted Access List (EAL). Temporary Vehicle privileges for EAL’s must be stated in the request. The original registration must be present at the time the EAL is picked up and processed along with driver’s license and passport.
8) IA Badge Upgrades (IA Screening and BATS Enrollment not required. Upgrades will not be granted within 45 days of existing IA card expiration):
a. Vehicle Privileges Upgrade:
i. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
ii. Copy of valid U.S., International Driver’s Permit (IDP) or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s
DBIDS registration).
iii. Copy of current badge.
b. Additional Camps Upgrade:
i. Enclosure 1 - Access Application completed and signed by COR/Appointed Authority. Digital Signature Required.
ii. Enclosure 4 – Copy of Prime Contracting Company LOI
iii. Enclosure 4 – Copy of Sub-Contracting Company LOI if applicable
iv. Copy of current badge.
c. Prohibited Items Upgrade:
i. Enclosure 1 – Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
ii. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations
iii. Enclosure 10 - Exception to Policy Form completed and signed by COR/Appointed Authority and routed through the DES for approval
iv. Enclosure 13 – Smart Device Supplemental Form if applicable
v. Clear copy of Kuwaiti visa sponsor’s active Kuwait Chamber of Commerce and Industry (KCCI) registration with barcode
vi. Copy of current badge.
vii. Clear copy of passport
ANY REQUESTS FOR EXCEPTIONS TO POLICY WILL BE ROUTED THROUGH DES TO/FOR THE ASG-KU COMMANDER. THIS PROCESS MAY REQUIRE
UP TO 60 DAYS OR MORE FOR APPROVAL, DENIAL, OR CLARIFICATION OF REQUEST.
d. OCN Escort Privilege Upgrade:
i. Enclosure 1 – Access Application completed and signed by COR/Appointed Authority. Digital Signature Required
ii. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations
iii. Enclosure 10 - Exception to Policy Form completed and signed by COR/Appointed Authority and routed through the DES for approval
iv. Copy of current badge.
9) Vehicle Registration:
a. Transportation Motor Pool (TMP) Issued Vehicles (Green Placard if US Government driver, White Placard if Contractor driver):
i. One Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority.
ii. Spreadsheet identifying fleet vehicles with the following information: full name of Fleet Manager, vehicle license plate number, vehicle VIN number, vehicle manufacturer, vehicle model, color of vehicle, year of vehicle, and contract expiration date (base plus option years). Includes COR signature.
iii. Clear legible copy of vehicle registration card. Original registration required for initial.
iv. Copy of valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration) of Fleet Manager/Primary Driver NOTE: For All U.S. Military/DoD Civilian operated vehicles (Green Placard), that are not TMP vehicles, use “Transportation Motor Pool (TMP) Issued Vehicles” procedure above without the spreadsheet requirement.
b. Contractor Vehicles (Company with a FLEET - White Placard):
i. Company memorandum identifying the fleet manager and signed by the COR. Fleet applications will only be accepted if delivered by the fleet manager.
Only one fleet sheet will be allowed to be delivered per company, per day. Two fleet managers can be designated.
ii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority.
iii. Spreadsheet identifying fleet vehicles with the following information: full name of Fleet Manager, vehicle license plate number, vehicle VIN number, vehicle manufacturer, vehicle model, color of vehicle, year of vehicle, and contract expiration date (base plus option years). This spreadsheet must be approved (signed) by COR/Appointed Authority.
iv. Clear legible copy of vehicle registration cards of all vehicles. Original vehicle registration.
v. Copy of lease/rental agreement (on leasing/rental company letter head) stating vehicle(s) are leased/rented to a Company or separate copy of vehicle insurance in Companies name (on insurance company letterhead). Must list all applicable vehicles.
vi. Copy of valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s
DBIDS registration) of Company Fleet Manager.
vii. Clear Copy of Fleet Managers IA Badge
c. Contractor Vehicles (Company WITHOUT a fleet - White Placard):
i. Enclosure 8 - Contracting Company – COR Authorization Letter for Vehicle. Digital Signature
ii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority.
iii. Clear legible copy of vehicle registration cards of all vehicles. Original vehicle registration for initial issue.
iv. Copy of lease/rental agreement (on leasing/rental company letterhead) stating vehicle(s) are leased/rented to a Company or separate copy of vehicle insurance in Company’s name (on insurance company letterhead).
v. Copy of valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration) of Primary Driver.
ANY REQUESTS FOR EXCEPTIONS TO POLICY WILL BE ROUTED THROUGH DES TO/FOR THE ASG-KU COMMANDER. THIS PROCESS MAY REQUIRE
UP TO 60 DAYS OR MORE FOR APPROVAL, DENIAL, OR CLARIFICATION OF REQUEST.
d. Personally Owned Vehicles (POV) (For Company use - White Placard):
i. Enclosure 8 - Contracting Company – COR Authorization Letter for Vehicle. Digital Signature
ii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority.
iii. Clear legible copy of vehicle registration card. Original vehicle registration card for initial registrations.
iv. Copy of lease/rental agreement (on leasing/rental company letterhead)
v. Copy of vehicle insurance (on insurance company letterhead).
vi. Copy of valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration) of vehicle owner.
vii. Clear copy of IA Card
e. Personally Owned Vehicles (POV) (For personal use accessing Arifjan – White):
i. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations
ii. Enclosure 8 - Contracting Company – COR Authorization Letter for Vehicle. Digital Signature
iii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority.
iv. Enclosure 10 - Exception to Policy Form completed and signed by Appointed Authority and routed to the DES for approval.
(Arifjan requests are routed through the Welcome Center while the Buehring requests are routed through the BSB-N PMO for approval.)
v. Clear legible copy of vehicle registration card. Original vehicle registration card for initial registrations.
vi. Copy of lease/rental agreement (on leasing/rental company letterhead) and separate copy of vehicle insurance (on insurance company letterhead).
vii. Copy of valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration) of vehicle owner.
viii. Copy of IA Badge and LOA if applicable
10) Temporary Vehicle Pass:
a. TDY (This includes U.S. Military/DoD Civilians and Contractors on TDY status):
i. U.S. Military/DoD Civilians must present orders clearly stating they are authorized a vehicle while in Kuwait.
ii. Present original vehicle registration card.
iii. Present valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s
DBIDS registration).
iv. Temporary Vehicle Pass will be issued for the duration of approved TDY access.
b. Vehicle Change Out: (Allowed one time pass for 30 days maximum)
i. Enclosure 8 - Contracting Company – COR Authorization Letter for Vehicle. Digital Signature
ii. Present Vehicle Change-Out Form (loaner vehicle).
iii. Present original vehicle registration and original loaner vehicle registration.
iv. Present valid U.S., International Driver’s Permit (IDP), or Kuwait/Gulf Cooperation Council (GCC) Driver’s License (depending on customer’s DBIDS registration).
Request for KCID Background Investigation (Must be on Prime Company Letterhead)
Enclosure 3 - Company Request for KCID Background Investigation Check Example (17 Jul 2016)
MEMORANDUM FOR RECORD
DATE:
THRU: The Directorate of Emergency Services
FOR: ASG-KU Ministry of Interior Liaison Officer
SUBJECT: Local Agency Criminal Background Check
I am requesting a local background check to be conducted on the following individual:
NAME:
DOB:
NATIONALITY:
CIVIL ID #:
PASSPORT #:
COMPANY:
VISA EXP:
The background check is required for Installation Access.
The Point of Contact (POC) for this request is:
NAME:
EMAIL:
PHONE #:
Directorate/Company/Project Manager Acknowledgement and Signature
(Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)
Letter of Identification for Access to ASG-KU Installations (Must be on Company Letterhead)
Enclosure 4 - Company Letter of Identification- Authorization (LOI-LOA) Example (1 July 2022)
DATE:
TO: Area Support Group – Kuwait (ASG-KU)
ATTN: Director of Emergency Services (DES)/Installation Access
The following individual is authorized access per contract to the following ASG-KU Installations: (LIST SPECIFIC CAMPS)
The Contract Company listed below acknowledges and accepts full responsibility for the conduct and actions of the employee while working on ASG-KU Installations and will comply with all rules and regulations for access.
1.) NAME (Last, First, Middle):
2.) Passport Number:
3.) Kuwait Civil ID #:
4.) Primary Contract Company:
5.) US Military Contract Number:
6.) End of Contract (yyyy/mmm/dd):
7.) Subcontract Company (if Applicable):
8.) Subcontract # (if Applicable):
I hereby acknowledge and accept responsibility for the conduct and actions of the above named employee.
Directorate/Company/Project Manager Acknowledgement and Signature (Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)
*NOTE: Personnel employed by a Sub-Contract Company are required to have a LOI/LOA from the Primary Contractor IN ADDITION TO one from the Sub-contract Company.
Letter of Identification for Access to ASG-KU Installations (Must be on Sponsoring Company Letterhead)
DATE:
TO: Area Support Group – Kuwait (ASG-KU)
ATTN: Director of Emergency Services (DES)/Installation Access
The following individual is authorized access per contract to the following ASG-KU Installations: (LIST SPECIFIC CAMPS)
The Sponsoring Company listed below acknowledges and accepts full responsibility for the conduct and actions of the employee while working on ASG-KU Installations and will comply with all rules and regulations for access.
1.) NAME (Last, First, Middle):
2.) Passport Number:
3.) Kuwait Civil ID #:
4.) Primary Contract Company:
5.) US Military Contract Number:
6.) End of Contract (yyyy/mmm/dd):
7.) Subcontract Company (if Applicable):
8.) Subcontract # (if Applicable):
I hereby acknowledge and accept responsibility for the conduct and actions of the above named employee.
SIGNATURE ON THIS DOCUMENT MUST MATCH AT LEAST ONE OF THE
SIGNATURES ON THE SPONSOR’S ACTIVE KUWAIT CHAMBER OF COMMERCE
AND INDUSTRY (KCCI) REGISTRATION WITH BARCODE
(Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)
KCCI REGISTRATION BARCODE NUMBER:___________
Enclosure 5 - Sponsoring Company Letter of Identification- Authorization (LOI-LOA) Example (1 July 2022)
Force Protection Condition (FPCON) DELTA Access Request (Must be on Company Letterhead)
DES USE ONLY
Enclosure 6 - FPCON DELTA Access Request Example (17 Jul 2016)
DATE:
TO: Area Support Group – Kuwait (ASG-KU)
ATTN: Director of Emergency Services (DES)
Request that the following individual be authorized FPCON DELTA access (Specify with or without Vehicle Privileges during FPCON DELTA):
1.) NAME (Last, First, Middle):
2.) Passport Number:
3.) Kuwait Civil ID #:
I hereby confirm that the above employee will be required to perform their job duties as [list job title] during FPCON DELTA. Their job duties include: [provide justification].
Directorate/Company/Project Manager Signature
(Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature, and Date)
Requesting Authority (COR) Signature
(Please ensure that the Signature Block includes Full Name, Rank/Grade, Unit/Organization, Signature, and Date)
*NOTE:
• Not Applicable to those personnel from Emergency Services (e.g. Fire Dept, Force Protection, EMS, K9, etc.).
• Number of personnel with FPCON DELTA cannot exceed 10% of those on a specific contract.
APPROVED / DISAPPROVED
Enclosure 7 - Company (PRIME) Justification Memo For Exception to Policy Example (1 July 2022)
Justification Memo for Exception to Policy (Must be on Prime Company Letterhead)
DATE:
TO: Area Support Group – Kuwait (ASG-KU)
ATTN: Director of Emergency Services (DES)/Installation Access Office
The following individual is authorized the following (Provide exceptions authorized and the justification for those exceptions):
Example:
(Contract Company) requests authorization for (Individual’s name, Passport/Kuwait Civil ID #) to work under (Contract #) which provides services (Brief explanation on contract services provided) to ASG-KU. Individual is of (nationality) which (state why the request is an exception to policy for access).
Please clearly explain why this individual requires this privilege. This needs to include the capabilities of prohibited items that are requested. Examples: photos, Internet, email
The Contract Company listed below acknowledges and accepts full responsibility for the conduct and action of the employee while working on ASG-KU Installations and will comply with all rules and regulations for access. The Contract Company acknowledges that exceptions may require additional screening, interview and background checks. The Contract Company acknowledges that upon entering, exiting or while on any ASG-KU Installation the individuals and their prohibited item(s), including all contents, are subject to search at the discretion of the U.S. Government, its designate or the issuing agency. The Contract Company acknowledges that individuals with an Approved Prohibited Item Exceptions for smart devices are required to provide full access to the smart device(s) (i.e. password/ passcode or other login information) upon request.
I hereby acknowledge and accept responsibility for the conduct and actions of the above named employee.
Appointed Authority (COR) Signature (Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
Prime Company Project/Deputy Project Manager Acknowledgement and Signature
(Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
Sub Company Project/Deputy Project Manager Acknowledgement and Signature (IF APPLICABLE) (Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
Appointed Authority (COR) Signature (Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
Company/COR Authorization Letter - Vehicle for Company Use (Must be on Prime Company Letterhead)
DATE:
TO: Area Support Group – Kuwait (ASG-KU)
ATTN: Director of Emergency Services (DES)
SUBJECT: Company/COR Authorization Letter - Vehicle for Company use.
I hereby confirm the following vehicle is leased, rented or owned by the individual below for company use. (Provide a justification for the usage of a POV):
LICENSE PLATE #: EMPLOYEE NAME:
VEHICLE MAKE: MOBILE #:
VEHICLE MODEL: DODID #:
VIN #: USDL #:
YEAR: KDL #:
COLOR:
Prime Company Project/Deputy Project Manager Acknowledgement and Signature (Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
Sub Company Project/Deputy Project Manager Acknowledgement and Signature (IF APPLICABLE) (Please ensure that the Signature Block includes Full Name, Title, Company Name, Signature and Date)
NOTE:
• Applicable for those utilizing vehicles owned leased/rented by individuals for company use.
• Applicable for companies without a fleet.
DES USE ONLY: APPROVED / DISAPPROVED
Enclosure 8 - Contracting Company/COR Authorization Letter - Vehicle for Company use (1 July 2022)
| Enclosure 1A - Instructions for ASG-KU DES Form 190-16.01 (17 Jul 2016) |
| Enclosure 02 - Required Supplemental Documentation Checklist (1 July 2022) |
| Required Supplemental Documentation Checklist by Person Category |
| 2) Military/DoD Civilian/Contractors CAC Registration/Renewal: |
| 3) Other Country National (OCN) IA Badge Requests (VISA 17/18) Registration/Renewal: |
| 4) U.S. Embassy-Kuwait, Office of Military Cooperation Kuwait (OMCK), or Department of State (DoS) Personnel (U.S. Citizens): |
| 7) Escorted Access List (EAL) Must be submitted a minimum of 3 business days in advance for processing. Individual may only be placed on EAL a maximum of 15 days every 60 days. CoC are allowed a maximum of 5 days every 90 days. |
| b. Additional Camps Upgrade: |
| c. Prohibited Items Upgrade: |
| d. OCN Escort Privilege Upgrade: |
| 9) Vehicle Registration: |
| NOTE: For All U.S. Military/DoD Civilian operated vehicles (Green Placard), that are not TMP vehicles, |
| c. Contractor Vehicles (Company WITHOUT a fleet - White Placard): |
| ii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority. |
| d. Personally Owned Vehicles (POV) (For Company use - White Placard): |
| e. Personally Owned Vehicles (POV) (For personal use accessing Arifjan – White): |
| i. Enclosure 7 - Company Justification Memo signed by all required parties and requesting access to the ASG-KU Installations |
| iii. Enclosure 9 – Vehicle Application completed and signed by COR/Appointed Authority. |
| 10) Temporary Vehicle Pass: |
| a. TDY (This includes U.S. Military/DoD Civilians and Contractors on TDY status): |
| b. Vehicle Change Out: (Allowed one time pass for 30 days maximum) |
| Enclosure 03 - Company Request for KCID Background Investigation Check Example (17 Jul 2016) |
| Enclosure 04 - Company Letter of Identification- Authorization (LOI-LOA) (1 July 2022) |
| Enclosure 05 - Sponsoring Company Letter of Identification- Authorization (LOI-LOA) (1 July 2022) |
| Enclosure 06 - FPCON DELTA Access Request Example (17 Jul 2016) |
| Enclosure 07 - Company (PRIME) Justification Memo For Exception to Policy (1 July 2022) |
| Enclosure 08 - Contracting Company-COR Authorization Letter for Vehicle (1 July 2022) |
File details come from the government source that posted it. Updated .