Attachment_5_-_CMAFS_EAL.docx

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Attached to
Security Barriers Preventative Maintenenace Federal contract opportunity
Solicitation number
FA2517-17-Q-5002
Issued by
Department of the Air Force Space Command

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Attachment_3_-_Offerors_CLIN_Pricing.xls XLS spreadsheet
Combined_Synopsis_Security_Barriers_T&M.pdf PDF

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Text version

FOR OFFICIAL USE ONLY

ATTACHMENT 5 ~ CMAFS Security Barriers Entry Authority List (EAL)

PRIVACY ACT

Authority: AFI 31-101, Integrated Defense Purpose: Verification of authority to enter a designated area.

SSN: Is used for further identification of an individual.

Routine Use(s): Entry Controllers will use the SSN or Controlled Picture ID (CPID) number as a means to verify a person is allowed to enter a designated area.

Disclosure: Disclosure is voluntary. Failure to disclose required information will result in that person not being allowed to enter a designated area.

BLOCK I. Personal Data

Last Name
First Name
MI.
Rank

(OFF/ENL/CIV)

Date of Birth yyyymmdd SSN and CPID (if issued) Badge # (AF1199/AFECC) / Place of Issue

Clearance Access Codes

CONTRACTOR

& Phone #

EXAMPLE
JOHN
P
CIV
19500101
123-45-6789
N/A
Secret
N/A
Local Company 719-886-1111
LAST
ENTRY

****IMPORTANT- In the row immediately following the last name, type “LAST ENTRY” in the “Last Name” field****

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties

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