Base Entry Authorization Letter.pdf

PDF 87 KB Posted

Attached to
FY24 Bldg 618 Sprinkler System
Solicitation number
FA446024Q0255
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About this file

This document is a Base Entry Authorization Letter for an individual to enter Little Rock Air Force Base. The letter states that the individual is authorized to enter the base from July 15, 2024 to July 23, 2024 for the purpose of conducting business with their employer. The individual must initial statements acknowledging they do not have shopping privileges, are subject to background verification, and are responsible for their conduct on the base. The letter also indicates whether the individual is authorized for access to the flight line, designated as a flight line escort, and authorized for sponsorship privileges. This authorization letter is related to a federal contract opportunity for the FY24 Bldg 618 Sprinkler System at Little Rock AFB, which requires the contractor to provide all necessary personnel, transportation, tools, equipment, materials, and services to add fire suppression to the new mezzanine at Building 618 within 90 days of contract award.

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Other files

File Type Posted
PWS_Fire Suppression Mezzanine B618.docx DOCX document
FA446024Q0255-Provisions and Clauses.pdf PDF
FA446024Q0255-Combo.pdf PDF
FA446024Q0255-SCA WD.pdf PDF
FA446024Q0255-52.212-1 & 2 Addendum.docx DOCX document

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Text version

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 19TH AIRLIFT WING (AMC)

LITTLE ROCK AIR FORCE BASE, ARKANSAS

Ready Warriors!

15 July 2024

MEMORANDUM FOR 19 SFS/S5B

FROM: 19 CONS/PKA

SUBJECT: (FOUO) Base Entry Authorization

1. Requesting the individual named below be issued an AF Fm 75 (Visitor pass) that will have an expiration date of:

23 July 2024, 4:00 PM CST

Full Name:

SSN:

DOB:

Height:

Weight:

Hair Color:

Eye Color:

Home Address:

Phone Number:

Company Name/Duty Title:

Driver’s License # and State of Issue:

Days/Times Authorized:

2. Visitor will read and initial after each statement listed below.

a) It is my responsibility to return my DBIDS ID Card into Pass & Registration or my sponsor upon the termination of my need to enter the installation. _______________

b) I understand that I do not have shopping privileges on base. I am restricted from purchasing gas, cigarettes, magazines, and other non-food items. I am not authorized to purchase meals, drinks, or snacks at any AAFES facilities with a credit/debit card. ________________

c) I understand that I am responsible for my conduct while on base and that my entry is solely for conducting business with my employer or other official need to enter Little Rock AFB. I am aware that weapons, drugs, and other illegal items are prohibited on this installation. _______________

d) I understand that I am subject to random background verification at any time. ______________

3. Access to Flight Line Drive/IMC is required by this individual. Yes/No

4. This individual is designated as a Flight Line Drive Escort Official. Yes/No

5. This individual is authorized sponsorship privileges. Yes/No

Signature of Visitor Name of Visitor/Phone Number

Signature of Authorized Sponsor Personnel

_______SrA TRENTON SIKUTE/987-3691_________ Name of Authorized Sponsor Personnel/Phone Number

_____________________N/A___________________ __________________N/A_______________________ Commander Signature Authorizing Flightline Dr/IMC Printed Name Authorizing Flightline Dr/IMC

1542709339A Highlight

Check Box2:
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1: Yes
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1: Yes
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File details come from the government source that posted it. Updated .