Attachment__5_-_Base_Access_Letter.pdf

Attachment 4

FA3030-14-R-0004

This memorandum is For Official Use Only (FOUO). It contains information subject to the Privacy Act (PA) of 1974, as amended, and requires certain management protections directed by DoD 5400.11-R, AFI 33-332.

Do not disclose Privacy Act information to someone not entitled to the information.

DEPARTMENT OF THE AIR FORCE

17TH TRAINING WING (AETC)

GOODFELLOW AIR FORCE BASE TEXAS

MEMORANDUM FOR 17 SFS/S5B Date

FROM: 17 CONS/LGCA

SUBJECT: Request for Base Access Pass

1. The following contractor, (Name of Prime Contractor, Buisness phone number) has non-ID card holding personnel requiring access to the base for construction work (Location Working).

Company/School Type of Services/Course Contract/Course # Location Visiting

2. Request access to Goodfellow AFB for the following individuals

Name DOB State/DL # Dates of Entry Days/Hours

3. I will ensure above personnel are briefed that only properly licensed visitors appropriately covered by vehicle insurance, will operate a vehicle on Goodfellow AFB. Authorized vehicle operators will have in their possession a valid driver’s license, current vehicle registration and a valid insurance certificate at all times when operating a vehicle on the installation.

4. Upon completion or termination of this visit, or expiration of the issued identification pass, I will ensure all passes are returned to the Visitor Control Center.

5. If you have any questions, please contact me at (Contract Administrator or Contracting Officer -Authorized CAC Card holders Phone Number (325) 654-XXXX. )

SIGNATURE BLOCK

(MUST HAVE AUTHORIZED CAC CARD)