J-9_SFS_Appendix.PDF

FOR OFFICIAL USE ONLY

HQ 87 ABW (AMC)

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

APPENDIX 5 TO ANNEX C TO JB MDL JIDP

CONTRACTOR SECURITY APPENDIX

1. SITUATION. This annex provides the 87th Security Forces Squadron (SFS) appendix to all statements of work for JB MDL.

1.1. Enemy. Refer to Basic Plan.

1.2. Friendly. Refer to Basic Plan.

1.3. Assumptions. Refer to Annex C of this plan.

1.4. Limiting Factors. Not all members listed below will be monitoring the radio.

2. MISSION. To provide Installation entry control procedures for all contractors. The following appendix provides information from Air Force Instruction 31-101, AFMAN 31-113 and local supplements on requirements for entering and conducting business while on Joint Base McGuire-Dix- Lakehurst (JB MDL), New Jersey.

3. EXECUTION

3.1. Contract Award. JB MDL requires all visitors/contractors/vendors to conduct a criminal history background check and Wants/Warrants check prior to being issued an Installation Access Pass/Card.

This check is done at no expense to the contractor and will be accomplished at the Visitor Control

Center or Commercial Vehicle Inspection Area. This will be completed prior to any access credential for JB MDL being issued to the contractor personnel.

3.1.1 All personnel requesting an installation visitor pass must complete the JB MDL request for criminal history form at the Visitor Control Center or Commercial Vehicle Inspection facility. Failure to provide all required information may result in access to the installation being denied.

3.1.2 If the contractor requires access to the installation for more than 60 days and up to three years, Visitor Control Center personnel will conduct a QWA Person Inquiry and criminal record check prior to issuing a card. Prior to issuing another Pass/Card another QWA Person Inquiry and criminal record check will be conducted.

3.1.3 If the contractor requires access for less than a 60 day period, a QWA Person Inquiry and criminal history check will be conducted prior to the contractor/vendor being issued an Installation

Access Pass. Any subsequent request for entry will require another QWA Person Inquiry and criminal history background check to be accomplished.

3.1.4. The Visitor Control Center will conduct the required background checks, review the results and determine whether personnel will be authorized to enter JB MDL. The Visitor Control Center will forward any derogatory/disqualifying information to 87 SFS/S5R for debarment initiation. If no derogatory/disqualifying information is identified, any printed QWA Person Inquiries or criminal background checks will be destroyed immediately.

3.1.5. The Visitor Control Center will also notify the appropriate Administrative Contracting Office or

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

unit POC of those personnel who are being denied access to the installation due to derogatory information identified in the individual’s criminal background investigation. The disposition date (date the charges were finalized in court) is the date used to determine time frames. The below criminal history findings will automatically disqualify the person in question from being granted access to the installation:

3.1.5.1. There is a reasonable basis to believe based on an individual's criminal or dishonest history, that issuance of an access credential poses an unacceptable risk to the installation/mission.

3.1.5.2. Wanted by Federal or civil law enforcement authorities, regardless of offense or violation.

3.1.5.3. Immigration status is in question or cannot be verified.

3.1.5.4. US Citizenship or Social Security Account Number cannot be verified.

3.1.5.5. There is a reasonable basis to believe the individual has submitted fraudulent information concerning his or her identity.

3.1.5.6. There is a reasonable basis to believe the individual will attempt to gain unauthorized access to classified documents, information protected by the Privacy Act, information that is proprietary in nature, or other sensitive or protected information.

3.1.5.7. There is a reasonable basis to believe the individual will unlawfully or inappropriately use an access credential outside the workplace.

3.1.5.8. Barred from entry/access to any Federal installation or facility.

3.1.5.9. Wanted by federal or civil law enforcement authorities, regardless offense/violation.

3.1.5.10. Any conviction of firearms or explosives violation within the last 10 years.

3.1.5.11. Incarcerated for 12 months or longer within the past three years, regardless of the offense/violation. This can be a single incarceration or several combined which total 12 months.

3.1.5.12. Any conviction of espionage, sabotage, treason, terrorism or murder.

3.1.5.13. The individual is known to be or reasonably suspected of being a terrorist or belongs to an organization with known terrorism links/support.

3.1.5.14. The individual’s name appears on any Federal or State agency’s “watch list” or “hit list" for criminal behavior or terrorist activity.

3.1.5.15. The individual has been convicted of DUI manslaughter or involuntary manslaughter in the past 10 years.

3.1.5.16. The individual has been convicted of sexual assault, armed robbery, rape, child molestation, JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

child pornography, trafficking in humans, drug possession with intent to sell or drug distribution.

3.1.5.17. Any Felony conviction within the last 10 years

3.1.5.18. Any conviction of drug possession, or drug manufacture within the past 5 years, reviewable on a case-by-case basis.

3.1.5.19. There is a reasonable basis to believe, based on the individual's material, intentional false statement, deception, or fraud in connection with Federal or contract employment, that issuance of an access credential poses an unacceptable risk to the installation/mission.

3.1.5.20. There is a reasonable basis to believe, based on the nature or duration of the individual's alcohol abuse without evidence of substantial rehabilitation, that issuance of an access credential poses an unacceptable risk to the installation/mission.

3.1.5.21. There is a reasonable basis to believe, based on the nature or duration of the individual's illegal use of narcotics, drugs, or other controlled substances without evidence of substantial rehabilitation, that issuance of an access credential poses an unacceptable risk to the installation/mission.

3.1.5.22. A statutory or regulatory bar prevents the individual's contract employment; or would prevent

Federal employment under circumstances that furnish a reasonable basis to believe that issuance of a access credential poses an unacceptable risk to the installation/mission.

3.1.5.23. The individual has knowingly and willfully engaged in acts or activities designed to overthrow the U.S. Government by force.

3.1.5.24. Any person with a pending court resolution will be denied access for any offense listed above.

The disposition date (defined as the date the charges were finalized in court) is used to determine the d e barment period.

3.1.5.25. Any person with a pending court resolution for an offense not listed above will be issued a pass for two weeks at a time until the case is finalized in court. If the charges are dismissed the person will be considered to have a favorable criminal history.

3.1.6. The contractor will provide an Entry Authority List (EAL) (see attachment 5 for EAL requirements) to the administrative contracting office or installation Point of Contact (POC) (i.e. 87

CONS, US Army Corps of Engineers (USACE), 87 CES, etc.). The contracting office will provide a copy of the initial EAL to the 87 SFS/Visitor Control Center. The contracting office will maintain any required documentation until the contract has been completed or terminated for any reason.

3.1.6.1. The administrative contracting office or installation POC will authenticate and forward the

EAL to the 87 SFS Visitor Control Center, NLT 72 hours prior to contract start date.

3.1.6.2. If EALs are not accurate or contain fraudulent information, contractor identification badges

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

will not be issued.

3.1.6.3. Pen and ink changes for deletion purposes may be made to an EAL.

3.1.6.4. Pen and ink additions to an EAL will not be accepted. All additions must be made by initiating a new EAL.

3.1.6.5. The Master EAL will be resubmitted with the additions included. Individual letters for long term employees will not be accepted if the contract exceeds 60 days.

3.1.6.6. The Visitor Control Center will maintain a copy of the documents for 90 days after expiration for future reference.

3.1.6.7. Contractor/vendor Criminal History Record and Background Checks will be valid for a period not to exceed 3 years.

3.1.6.8. At the 3 year mark, the contractor/vendor is required to complete a new check for each individual still employed and working at JB MDL.

3.1.6.9. Background checks older than 3 years will be updated by accomplishing a new JB MDL

Criminal History Request Form. Records older than three years on file will be destroyed.

3.1.6.10. Holders of other federal credentials must have a validated need for installation access and will not be granted unlimited or unrestrained access to JB MDL. Therefore, identification credentials/tokens issued by other Federal departments, such as the Transportation Workers Identification Credential

(TWIC) [produced in accordance with the Maritime Transportation Security Act of 2002 and Security and Accountability for Every (SAFE) Port Act of 2006] or other Federal credentials, may be used as identity proofing only and the person must be vetted and issued an Installation Access Pass/Card. .

3.1.7. Contractor Visitor Passes for Entry to JB MDL. Contractors and vendors will be issued a computer generated or hand written Visitor Pass, or Defense Biometrics Identification System (DBIDS) card identifying them as a contractor authorized access to JB MDL.

3.1.7.1. A criminal history check will be conducted prior to issuing any pass or card, if a criminal history check has not been completed within the last 3 years.

3.1.7.2. Contractor and vendor visitor passes will be issued at a Visitor Control Center or the

Commercial Vehicle Inspection facility for all contractors or vendors who require access to the installation for less than 60 days in a year.

3.1.7.3. Visitor passes will be issued to contractors or vendors who do not access the installation at least three days per week.

3.1.7.4. Contractors and vendors who access the installation less than three days per week, but will access the installation for longer than one month will be included on an EAL with the date the contract expires. These personnel must stop at the Visitor Control Center each time they are needed to perform

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

work. They will be issued a Visitor Pass each time they need to enter the installation. These personnel will be identified on the EAL as requiring periodic access.

3.1.7.5. DBIDS Installation Access Cards will be only be issued to contractors or vendors requiring access at least 3 days a week for more than 30 days in a year. Personnel will only be issued an

Installation Access Card after all required Criminal History Checks are completed. Installation Access

Passes will only be issued at any of the Visitor Control Centers or Commercial Vehicle Inspection facilities for the entire JB MDL. These personnel will be identified on the EAL as requiring daily access.

3.1.7.5.1. Contractor passes will be updated annually at the Visitor Control Center or Checkpoint 9 for contracts lasting over 1 year.

3.1.7.5.2. Contractor passes will be issued for the duration of the contract, or the length of the option period not to exceed 3 years, whichever is less.

3.1.7.5.3. NON U.S. CITIZENS: All non-U.S. citizens must provide a Work Permit Visa or Alien

Registration Card with immigration number when requesting entry onto JB MDL. Upon completion of an approved Alien Immigration background check, the foreign national will be permitted to be sponsored onto the installation.

3.1.7.5.4. Foreign nationals requesting access onto Lakehurst must be initially authorize access and then be escorted to and from the required location.

3.1.7.5.5. Sponsors must meet their Foreign National visitor at the Lakehurst Visitor Control Center.

3.1.7.5.6. Non US citizens will not be issued an Installation Access Card for longer than their Work

Permit Visa is valid.

3.1.7.5.7. Those contractors working under the AF Industrial Security program will provide an EAL to the Visitor Control Center.

3.1.7.5.8. Those contractors under the AF Industrial Security program requiring access to the AF computer network may be issued a Common Access Card (CAC) in lieu of the normal contractor visitor pass.

3.1.7.5.9. Those contractors under the AF Industrial Security program who have not been issued a

CAC will be issued a contractor visitor pass if they will be on the installation less than 60 days. These

Contractors will be issued an Installation Access Card if they will be on the installation longer than 60 days.

3.1.7.5.10. Those contractors under the AF Industrial Security Program who maintain an active DoD security clearance shall provide a Joint Personnel Adjudication System (JPAS) printout in lieu of the required background checks.

3.1.7.6. Installation Access Cards or temporary visitor / vehicle passes are issued for a specific purpose.

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

It is not intended to allow unrestricted installation access and is to be used only when access is required for the stated purpose. Access Cards are the property of the government and must be returned to the issuing office when no longer authorized (termination, retirement, end of contract, expired, etc) or required. The misuse of an Access Card or a temporary pass may be cause for confiscation and barment from the installation. All visitors and contractors will be advised that the acceptance of an Access Card and or temporary pass will be considered implied consent to inspect passenger(s) and vehicle at any time while on the installation. When an Access Card, visitor or vehicle pass has expired, renewal is not automatic. The sponsor or requesting individual must resubmit required information.

3.2. Contractor Vehicle Passes for Entry to JB MDL. Contractor vehicle passes will be issued at any

Visitor Control Center or Commercial Vehicle Inspection Area .

3.2.1. All vehicles and drivers must have the following documentation prior to being issued a Visitor

Pass/Card and being granted access to JB MDL:

3.2.1.1. Valid state driver's license with photo.

3.2.1.2. Valid state driver’s license without photo with another government/state issued form of identification with photo.

3.2.1.3. Valid vehicle insurance.

3.2.1.4. Valid vehicle registration.

3.2.1.5. Bill of Lading (if available).

3.2.1.6. A JB MDL point of contact with a phone number.

3.2.1.7. Contractors will be issued Visitor Pass/Card for entry to JB MDL provided the required documentation listed in 3.2 is valid.

3.2.1.8. Commercial vehicles identified in Appendix 4 and issued a Visitor Pass/Card must enter the installation through a Commercial Vehicle Inspection Area

3.3. Contractor, Commercial and Oversized Vehicles. All contractors, commercial and oversized vehicles must enter JB MDL Main Base through Checkpoint-9 located on Saylor’s Pond Road.

3.3.1. All contractors, commercial and oversized vehicles must enter JB MDL Lakehurst through the

Commercial Vehicle Inspection (CVI) gate located on CR 547.

3.3.2. The following are considered “commercial and oversized” vehicles at JB MDL and these vehicles can only enter the installation IAW paragraph 3.3.1. & 3.3.2..

3.3.3. All vehicles registered and licensed for commercial purposes with “commercial” license plates, regardless of state of issue.

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

3.3.4. All vehicles, regardless of type, license plate, or size, having more than two (2) axles.

3.3.5. All vehicles used to carry tools, machinery, equipment, or other commercial related equipment onto the installation.

3.3.6. All vehicles displaying a commercial plaque, logo or emblem carrying tools, machinery, equipment, or other commercial related equipment onto the installation.

3.3.7. Pick-up trucks which have not been equipped with storage containers and are not loaded with material in the bed of truck may enter JB MDL through any gate.

3.4. Contractor vehicle and personnel processing requirements. Checkpoint - 9 is open for personnel and vehicle processing from 0600-1600 hours Monday through Friday and 0600-1400 hours Saturday, Closed on Sunday and some Holidays.

3.4.1. Contractor/Commercial vehicles requesting JB MDL Main Base entry from 1600-

0600 will not be allowed entry. Unusual circumstances will be handled on a case by case basis. Contact the Emergency Communication Center (ECC) at (609) 754-6001.

3.5. Lakehurst CVI is open for personnel and vehicle processing from 0700-1600 hours Monday through Friday.

3.5.1. Contractor/Commercial vehicles requesting JB MDL Lakehurst entry from 1600- 0700 or on weekends must be coordinated with the Operations Emergency Communication Center (ECC and

BDOC) at (609) 754-6001/2001 /2002.

3.6. Sub-Contractors. All subcontractors are required to follow the same instructions listed above for their subcontractor personnel.

3.6.1. Contractors with an immediate access requirement for a short-term subcontractor must coordinate with their Contracting Officer prior to authorization of access without following the normal procedures.

3.6.2. Short term Subcontractors will be issued a pass not to exceed 1 week.

3.7. Contractors. Contractors working in USAF Restricted Areas will comply with the following:

3.7.1. All contractors meeting the standard of visitor groups IAW AFI 31-501 will be issued line badges for working on the flight line and restricted areas. Those contractors must be working 90 or more consecutive days. All other contractors will require escort.

3.7.2. Each individual contractor (person) will be required to complete a Standard Form

85P - Questionnaire for Public Trust Position before accessing the Restricted Area. This is an investigation to determine the trustworthiness of the individual requiring access to the Restricted Area.

This is not the same type of investigation as the NJ or other state background checks required to be conducted to access JB MDL.

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

3.7.3. Each individual will work with the unit security manager the contractor is supporting to complete the SF 85P.

3.7.4. Upon completion, the contractor will submit to the unit security manager for review.

3.7.4.1. If the 85P package contains errors, the individual will work with the security manager to correct.

3.7.4.2. If unable to correct, the individual will not be allowed access to the restricted area and may be asked to leave the installation.

3.7.5. If the SF 85P package contains no errors, the unit security manager will complete an AF Form

2586 - Unescorted Entry Authorization Certificate for accessing the restricted area.

3.7.6. The unit security manager will make an appointment with 87 ABW/IPP Personnel Security office for contractor processing and turn-in AF Form 2586.

3.7.7. The contractor will meet 87 ABW/IPP personnel and submit the completed SF 85P. 87

ABW/IPP will review SF 85P for accuracy and completion. If the 85P package contains errors, the individual will work with the personnel security office to correct.

3.7.7.1. If unable to correct, the individual will not be allowed access to the restricted area and may be asked to leave the installation.

3.7.7.2. If no issues with 85P, the 87 SFS Reports and Analysis will conduct a local files check on the individual.

3.7.8. Upon local files check completion (no issues), contractor will be directed to the Pass &

Registration (Bldg 1738) where a restricted area badge can be issued on an interim basis based on submission of the 2586 to S-5B.

3.7.8.1. S-5B will review AF Form 2586 for accuracy and completion.

3.7.8.2. If there are no errors, then an AF Form 1199 - Restricted Area Badge will be produced for the contractor.

3.7.8.3. If there are errors on the AF Form 2586, the contractor will be directed to return to the unit security manager for re-accomplishment of the form.

3.7.9. If potential disqualifying information is discovered the file is forwarded to the 87th ABW IPP office. The IPP office will coordinate with the unit and appropriate wing to determine an appropriate status for the contractor. If the determination is unfavorable the IPP office will notify the 87th SFS and unescorted entry privileges to restricted areas and the flightline will be withdrawn automatically.

3.8. Any work on or near the flightline will be coordinated through the 87 SFS/S5 office. The S5

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

Resource Protection section (Bldg. 6049 / Room 8) and Plans Manager (Bldg. 6049 / Room 7) must review prior to start of any work in or around a Controlled/Restricted Area.

3.8.1. The S5 Resource Protection section will verify the need to access the restricted area and determine if a Free Zone must be established.

3.8.2. The S5 Plans Manager needs to review all Statements of Work, Blueprints, and Contracts to ensure all JB MDL Force Protection needs are met and any police support is identified.

3.9. Flightline Driving. Only authorized contracted or privately owned vehicles with colored cones/placards are authorized on the flightline and/or flightline road unless driving a government vehicle or under authorized escort.

3.9.1. Contractor personnel who are authorized to drive on the flightline will be issued a colored cone/placard from Airfield Management.

3.9.2. Cones/placards must be visible during operations of the vehicle when driving on the flightline and when parked on the flightline.

3.9.3. The cone/placard must be secured (put away) upon departure from the flightline.

3.10. Restricted Areas: Defined as an area delineated by ropes, red lines or barriers that contain

Protection Level resources (i.e. aircraft or equipment).

3.10.1. These areas require a certain level of protection, and entry is only allowed by authorized personnel wearing a restricted area badge or personnel under authorized escort.

3.10.2. Aircraft hangars are restricted areas when aircraft are present.

3.10.3. Signs are posted every 100 feet on the exterior of restricted area boundaries stating; "Deadly

Force is Authorized."

3.10.4. Contractors will never enter restricted areas unless properly escorted or authorized by the installation commander or designee through the issuance of a restricted area badge.

3.10.5. If the Security Forces or a military member detains a contractor or contract employee at any time or for any reason, the contractor will comply with their request and will not become combative or argumentative.

3.11. Miscellaneous Requirements. All requests for additional contractor personnel must meet the same requirements listed in para A1 above before Installation Access Passes will be issued.

3.11.1. The administrative contracting office will be notified when personnel leave the contractor company for any reason and provide that information to the Visitor Control Center.

3.11.2. The contractor company is responsible for the return of all contractor identification badges at the

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

end of the contract or when personnel depart for any reason. All badges and passes will be returned to the Visitor Control Center.

3.11.3. During increased Force Protection Conditions (FPCONs) there may be limited entry to the installation.

3.11.4. Retired military or government personnel may be allowed to enter the installation through any gate providing the vehicle operator has a current and valid base entry ID card.

3.11.5. Retired military or government personnel must be listed on the company EAL.

3.11.6. All retired military or government personnel will complete all Criminal History Record

Information/Background Check regardless of their military/government retired status.

3.11.7. All contractor vehicles entering must be registered at the Visitor Control Center or Commercial

Vehicle Inspection Facility.

3.11.8. Personnel authorized to receive a long term Access Pass will not be issued a vehicle pass. The vehicle information will be included in the bar code of the pass. Personnel entering JB MDL who do not qualify for a long term pass or are using a vehicle temporarily, will be issued an AF Form 75, Vehicle Pass.

3.12. Contractors are NOT normally authorized to Sponsor any personnel to enter JB MDL.

3.12.1. Exceptions to this rule will be addressed on an as needed basis through the Contracting Officer and the 87 SFS Visitor Control Center Supervisor.

3.12.1.1. The contractor must work through the Contracting Officer who in turn will contact the Visitor

Control Center Supervisor.

3.12.1.2. In the event the Visitor Control Center Supervisor is unavailable, the following personnel in the order listed may approve the contractor sponsorship authority:

3.12.1.2.1. 87 SFS Deputy Air Provost, Operations Officer, Operations Superintendent, or the on- duty flight chief as necessary.

3.12.1.2.2. Sponsoring personnel onto the installation is a limited privilege for emergent requirements only and cannot be used as a routine method to get subcontractors onto the installation.

3.12.1.2.3. Contractors granted sponsorship privileges may only sponsor a visitor pass a maximum of 7 calendar days. If the person being sponsored onto the installation requires a longer pass, the responsible contracting officer or base POC must submit the person on an EAL.

3.12.1.2.4. Contractors with Installation Access Sponsoring authority must contact the

Visitor Control Center Supervisor or Senior Clerk to coordinate each emergent requirement.

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

3.12.1.2.5. The sponsoring Contractor will be responsible for all individuals they sponsor onto the installation.

3.12.1.2.6. Contractor sponsorship privileges will be revoked if is determined the contractor is attempting to supersede normal installation access requirements.

3.12.1.2.7. No more than three personnel per prime contract EAL will be granted sponsorship privileges.

3.12.1.2.8. The Contracting Office or JB MDL point of contact will ensure this privilege is only granted to prime contractors who will not know in advance which personnel will be reporting for work.

3.12.1.2.9. Personnel granted sponsorship authority must have a criminal history background check completed prior to them authorized to be a sponsor.

3.12.2. Any contractor found in violation of these requirements will be escorted off the installation. They will be removed from the company entry authority list and will not be allowed to reenter JB MDL without the express written permission of the Installation Commander.

3.12.3. Contractors are required to obey all entry requirements, traffic rules and requirements of

JB MDL. Failure to comply will result in debarment from the installation.

3.12.4. Contractors are not authorized to utilize cell phones while operating a motor vehicle of any type while on JB MDL unless they can be operated hands free to include turning on, answering, speaking, and turning off.

3.13. Headsets are not authorized for use while operating a vehicle on JB MDL.

3.14. Questions or Problems. Questions on entry onto the installation may be directed to any one of the following locations: McGuire Gate Visitor Control Center – (609) 754-3197 or (609) 754-3003

Checkpoint 9 – (609) 562-3938 Lakehurst Visitor Control Center – (732) 323-2693

3.15. If a contractor has any problems while on JB MDL in any way related to base entry or security, the contractor should contact the Emergency Communication Center. (609)754-

6001/2001/2002/2003/2004.

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

ATTACHMENT 1 TO APPENDIX 4 TO ANNEX C TO JB MDL JIDP

JB MDL Request for Criminal History Check

87 Security Forces Squadron, JB McGuire/Dix/Lakehurst

REQUEST FOR CRIMINAL HISTORY RECORD INFORMATION

FOR A NONCRIMINAL PURPOSE

(TYPE OR PRINT ALL INFORMATION)

Date of Request

SUBJECT CONSENT OF THE REQUEST

NAME (Including Maiden Name)

(Last Name) (Maiden Name) (First Name) (Middle Name)

Home Address

Number and Street City State Zip Code

Date of Birth

Sex

Year Month Day Driver's License number State

Race

Social Security Number Country of Citizenship Passport Number (Required if Foreign National)

PURPOSE FOR REQUEST

Contractor Company Name (If applicable)

Vendor

Visitor

MWR Use

Volunteer

Non-Contracted Business

Other Describe Other

JB MDL, NJ 08641-5002

10 Jun 15

FOR OFFICIAL USE ONLY

Signature of Requester

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301.10 U.S.C. 8012 and 8034, and EO 9397

PRINCIPAL PURPOSE: To verify individual status and conduct any background checks to determine if access to Joint Base McGuire-Dix-Lakehurst(JB MDL) is warranted. ROUTINE USE: All information will be maintained in a central Security Forces database and may be disclosed to public affairs and security representatives to carry out official duties. Information will not be considered “Public Domain” and will be safeguarded by the end users. DISCLOSURE: Information collected on this form and your signature are voluntary. If you have no objection to these procedures fill out the form and sign your name. Failure to provide the requested information or a signature may lead to denial of access and privileges at JB MDL.

This section for Security Forces Use only

Control number Date Conducted

Derogatory (Y or N) Operator

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

ATTACHMENT 2 TO APPENDIX 5 TO ANNEX C TO JB MDL JIDP

Contractor Entry Authority List (EAL) Requirements

A2.1. The EAL must include the following information regarding the contractor:

A2.1.1. Company Name.

A2.1.2. Company Address.

A2.1.3. Company Point of Contact (POC).

A2.1.4. Company POC Phone number.

A2.1.5. Company On Site Contact name.

A2.1.6. Company On Site Phone number.

A2.1.7. Contract Number

A2.1.8. Purpose of contract.

A2.1.9. Duration of contract (Start and End Dates)

A2.1.10. Location where contract is to be performed.

A2.1.11. JB MDL Unit POC Name and Grade, A2.1.12. JB MDL Unit of Sponsor

A2.1.13. JB MDL Unit POC Phone number

A2.1.14. Administrative Contracting Officer POC

A2.1.15. Administrative Contracting Officer POC Phone Number

A2.1.16. Days of the week access is required (ie, Monday-Friday)

A2.1.17. Hours of the day access is required (ie 0600-1800)

A2.1.18. Alphabetical listing of all contractor personnel to include full name (LAST, First

Middle Initial).

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

A2.1.19. Social Security Number of all contractors.

A2.1.20. Date of Birth of all contractors.

A2.1.21. Alien Registration Number or passport number for all Non-U.S. legal immigrants.

A2.2.. Subcontractors must be processed in the same manner as a prime contractor.

A2.2.1. Subcontractors require all the above listed information and the following additional information which must be submitted:

A2.2.1.1. Sub contractor company Name, A2.2.1.2. Sub contractor company Address, A2.2.1.3. Sub contractor company Point of Contact (POC), A2.2.1.4. Sub contractor company POC Phone number, NOTE: Any military ID card holder working as a contractor must be included on the EAL.

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

YOUR COMPANY LETTERHEAD

DATE

FROM: (Your Company Address Information)

MEMORANDUM FOR 87th Security Forces Squadron Visitor Control Center

SUBJECT: Entry Authority List (EAL)

1. The (Your Company Name) will be working on Contract Number (Example: F12958-06- C-0092) for the purpose of building the new Temporary Lodging Facility near Bldg. 2717 from 1 May 2009 through 31 May

2011.

2. My onsite POC will be (Example) John J. Johnson, and his on-site phone number is

(Example: (123) 456-7890).

3. The JB MDL Unit POC is (Example: Lt Tom T. Thompson) from the (insert unit name

Ex: SFS, 819 GRS, 87th CES), his phone number is (Example: (456)789-0123).

4. The Procurement/Administrative Contracting Officer is (Example: Mrs. Joan J. Jett) and her phone number is (Example: (789) 012-3456).

5. The following personnel will be required to access JB MDL on a daily basis for the length of the contract.

LAST, First, MI SSAN Date of

Birth

Days of Week

Access Required

Hours of Day

Access Required

THUMB, Thomas J. 123-45-6789 1 Jan 1981 M-F 0600-1800

PLUMMER, Patricia M. 456-78-9012 25 Dec 1986 Tues only 1200-1600

KRAVER, Gregory A. 789-01-2345 4 Jul 1976 Sun-Sat (7 days/week)

24 hours

MORPHIUS, Neo D. 123-98-7654 31 Dec 1982 Mon & Wed only 0800-1200

6. If there are any questions, please contact me at (098) 765-4321.

st

Endorsement, Contracting Officer

Signature Block of Company

Approving Official Signature Block of Procurement/

Administrative Contracting Officer

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

ATTACHMENT 5 TO APPENDIX 4 TO ANNEX C TO JB MDL JIDP

Contractor Free Zone Requirements and Procedures

A3.1. Free zones are temporary zones without protection level resources that are created within restricted areas when construction projects and similar activities make normal circulation controls inappropriate.

A3.1.1. Requests to establish free zones must be coordinated with those agencies involved in the project, including the unit commander or staff agency chief having immediate responsibility for the operational resources of the area, the 87 SFS/CC and

87 SFS/S-3ISR.

A3.1.2. Free zones are limited in size to the minimum necessary for the contract work to be completed. The free zone must seclude the construction area from the restricted area.

A3.1.3. The Integrated Defense Council (IDC) approves free zone establishment and concept of operations. Free zone approval must be in writing and is maintained by 87 SFS/S-3ISR and the organization most responsible for the project.

A3.2. Requests to establish free zones will be submitted by letter to the IDC voting membership after routing through the unit commander having immediate responsibility for the operational resources of the area, the restricted area OPR, and the 87 SFS/CC.

A3.2.1. Projects within or adjacent to flight line controlled areas must be routed through

305 OSS/OSAM and Flight Safety (87 ABW/SE) prior to submittal to the IDC.

A3.2.2. The 87 ABW/CV is the final approving authority.

A3.2.3. Written requests for free zone establishment must contain the following information:

A3.2.4. Estimated start and completion dates of the project.

A3.2.5. Physical description of the area. A3.2.6.

Prohibited areas.

A3.2.7. A map indicating the requested free zone area and access routes to or from the free zone.

A3.2.8. An outline of security procedures to be used to ensure restricted area integrity.

A3.3. If a contractor is completing the work, the installation contracting officer gives the contractor a letter signed by the installation commander or the group commander responsible for the security of the area, outlining the contractor’s security responsibilities.

A3.4. The USAF organization or agency most directly associated with the project must watch the free zone boundary, provide escorts, and prevent unauthorized entry into the restricted area.

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

Ensure sufficient personnel are available to provide constant surveillance for the entire free zone boundary.

A3.5. Entry control to restricted areas containing free zones will not be delegated to contractors.

A3.6. The USAF organization or agency most directly associated with the project ensures the free zone boundary is clearly marked with an elevated rope, barrier, fencing, or other suitable material, clearly delineating it from the restricted area. Normally, the provision and placement of boundary materials and markers are included in the contract as a contractor responsibility.

A3.6.1. Signs identifying the free zone should face away from the free zone, so that they are visible upon approaching the free zone.

A3.6.2. Restricted area signs will be placed every 100 feet on the inside of the free zone boundary, visible to workers inside the free zone, clearly marking the restricted area boundary where it adjoins the free zone.

A3.6.3. Security forces will provide technical assistance in marking and maintaining the free zone boundary. (Note: Free zones WILL NOT be granted to replace, or granted as a convenience in place of, the need for escort officials and escorts.)

A3.6.4. The free zone will be closed and secured at the end of working hours each day.

A3.6.5. ECC will be notified by owner/user prior to opening/closing/securing the freezone.

A3.6.6. Security forces must conduct a sweep of the free zone area when closed for the day in areas containing PL1 and 2 resources.

A3.7. Free Zones for Protection Level 4 Resources (Controlled Areas).

A3.7.1. Free zones are established within controlled areas when construction projects and similar activities make it inappropriate/impractical to apply normal circulation controls.

A3.7.2. Establish a free zone corridor from some point on the controlled area boundary to the work project to aid in moving personnel and equipment.

A3.8. Controlled Area Free Zones. Establish free zones when construction projects or other temporary work activities make escort procedures impractical. Follow these general guidelines.

A3.8.1. Allow entry to the project work area at some point on the boundary of the controlled area with a free zone corridor.

A3.8.2. Ensure that the responsible activity maintains surveillance over the boundary of the free zone.

JB MDL, NJ 08641-5002

01 Jun 15

FOR OFFICIAL USE ONLY

A3.8.3. Close the free zone and secure the controlled area after normal work project hours.

A3.8.4. If the temporary free zone inside a CA requires contractors to complete work around sensitive equipment or materials, owner/user personnel will be present any time contractors are in the area or will have the sensitive equipment or materials removed from the area.