FA303020B0002 BAL Request Form.docx

DOCX document 224 KB Posted

Attached to
Construct Splash Park at Goodfellow AFB Federal contract opportunity
Solicitation number
FA3030
Issued by
Department of the Air Force Air Education and Training Command

About this file

This memorandum requests base access passes for non-ID cardholding contractor personnel to perform work under contract FA3030 at Goodfellow Air Force Base in Texas. The contractor will provide services for construction of a splash park between $250,000 to $500,000. The request lists the names, dates of entry, and hours of access required for individual contractor employees. It specifies that only properly licensed vehicle operators with valid documentation will be permitted on base and that all passes must be returned upon completion of work.

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Text version

DEPARTMENT OF THE AIR FORCE

17TH TRAINING WING (AETC)

GOODFELLOW AIR FORCE BASE TEXAS

FOR OFFICIAL USE ONLY

MEMORANDUM FOR 17 SFS/S5B 22 Apr 2019

FROM: 17 CONS/LGCA

SUBJECT: Request for Base Access Pass

1. The following contractor,[Insert Company Name], has non-ID card holding personnel requiring access to the base for work at 460 Kearney Blvd, Goodfellow AFB, TX. 76908 (Civil Engineering).

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

[Insert Company Name Here] *Electronic Submission only* *Hand written information will not be accepted*

Service required by contract
FA3030….
Unit or Building number

2. Request access to Goodfellow AFB for the following individuals

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

[Individual Name] *Electronic Submission only* *Hand written information will not be accepted*

Range of dates access is needed

(ex. 1May19 – 10May19) Days of the week and hours access is needed (ex M,W,F 0730 – 1630)

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) 654-4420.

RYAN C. LAFEVER, SSgt, USAF
Contracting Officer

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

FOR OFFICIAL USE ONLY

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