Atch_12-_Site_Visit_EAL_Request.doc

DOC document 44 KB Posted

Attached to
Single-Award IDIQ Task Order Contract
Solicitation number
FA2521-15-R-0031
Issued by

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Site Visit Entry Access List

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Text version

FA2521-15-R-0031

Single-Award, Indefinite-Delivery, Indefinite-Quantity Task Order Contract, Patrick AFB, FL

Entry Authority List Request TO: 45th Security Forces

FROM: ________________________________________________

DATE(S) REQUESTING ENTRY: ______

TIMES REQUESTING ENTRY: _____

TYPE OF EVENT: ____________________________

The following are the individuals I am requesting access for:

NAME
D.O.B.
Driver’s License Number
Issuing State
SSN

(if not Florida)

If you have any questions concerning this matter, please call the Contract Specialist, Kimberly Horner at 321-494-0447

**45th Security Forces Use Only**

APPROVAL DATE:

AUTHENTICATED BY:

Attachment 12

FA2521-15-R-0031

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