BAL_-_Base_Access_List.pdf

PDF 47 KB Posted

Attached to
Burn Trainer Purchase and Installation with Propane Conversion Federal contract opportunity
Solicitation number
FA3030-15-R-0001
Issued by
Department of the Air Force Air Education and Training Command

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Base Access List

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FA FA3030-15-R-0001

Attachment 02

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

DATE

MEMORANDUM FOR 17 SFS/S5B

FROM: 17 CONS/LGCB

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 work at (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 (325) 654-XXXX.

SIGNATURE BLOCK

(MUST HAVE AUTHORIZED CAC CARD)

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