Warhawk Kitchen - Pre-Bid Site Visit - NCIC Screening and Pass Request.pdf

PDF 207 KB Posted

Attached to
Warhawk Kitchen One-Time Cleaning and Restoration, Offutt AFB Federal contract opportunity
Solicitation number
FA460024Q0017
Issued by
Department of the Air Force Air Combat Command

About this file

Written by GovTribe AI ·

This document is a Contractor/Vendor NCIC Screening and Pass Request Spreadsheet for a federal contract opportunity at Offutt Air Force Base. It collects personally identifiable information for contractor/vendor personnel who require access to the installation, including name, date of birth, driver's license/ID, Social Security number, citizenship, and work schedule details. The information is collected under the authority of 10 U.S.C. 8013 and DoD 5200.2R to perform security clearances and grant installation access.

The related federal contract opportunity is for a one-time cleaning and restoration service for the Warhawk Kitchen facility at Offutt AFB (Solicitation Number FA460024Q0017). The work includes cleaning and restoring commercial refrigerators, tile/grout areas, walls, tables, and appliances, to be performed in accordance with OSHA and other federal/state regulations. The structure is approximately 4,000 square feet and may contain mold, live electrical contacts, dirt, and other hazards. The work must be completed to pass public health inspection.

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Other files for this federal contract opportunity

Other files attached to Warhawk Kitchen One-Time Cleaning and Restoration, Offutt AFB, newest first.
File Type Posted
AMENDMENT 0002 - Warhawk Kitchen - QA Responses - 5.3.24.pdf PDF
WARHAWK KITCHEN - SOLICITATION DOCUMENT - AMENDMENT 0001 - 4.30.24.pdf PDF
WARHAWK KITCHEN - SOLICITATION DOCUMENT - 4.29.24.pdf PDF
Warhawk Kitchen - Performance Work Statement - 4.12.24.pdf PDF
Service Contract Act WD 2015-5005.pdf PDF

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Contract#:

Contract Start/End Dates: Unit Commander or Security Manager Sig Block

Full Name Country of Last, First, MI Year Month Day Drivers License/ID # State SSAN Days Hrs Start Date - End Date (MMDDYYYY) Citizenship

Personally Identifying Information (PII) being collected by this form is authorized for collection under provisions of 10 U.S.C. 8013, Secretary of the Air Force, DoD 5200.2R, DoD Personnel Security Program; AFI 33-202, Computer Security, Information will be maintained by local Security Forces Authority while access requirements exist. Information access is restricted to personnel responsible for contract administration, or otherwise needed in the performance of official DoD duties. Information will be properly disposed of when its required use has been concluded.

Providing this information is voluntary; however, failure to provide all of the required data shown on the spreadsheet will result in denial of entry to the installation. This information is exempt from OMB licensing under provisions of AFI 33-324, Information Collections and Reports Management Program; Controlling Internal, Public, and Interagency Air Force Collections, paragraphs 3.16.11 and 3.16.16.3.

55 SFS CONTRACTOR/VENDOR NCIC SCREENING & PASS REQUEST SPREADSHEET

Date of Birth

Offutt AFB Sponsoring Agency / Unit:

Base Sponsor's Name:

Base Sponsor's Phone #:

Request Date:

Work Schedule

Company Name:

Company Address:

Company Representative Name:

Company Representative Phone Number:

NOTE:

Security Manager will ensure all listed personnel are briefed that they must present a REAL ID ACT compliant drivers license, or state ID, or an approved alternate form of photo identification upon arrival at Offutt AFB Visitor Control Center.

Contract Start/End Dates: Unit Commander or Security Manager Sig Block 55 WG/IP Sig Block - Needed For Non U.S. Visitors

Contract Start/End Dates: Unit Commander or Security Manager Sig Block 55 WG/IP Sig Block - Needed For Non U.S. Visitors

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Sponsoring Squadron: 595C2G
Sponsor's Name: Robert Stevens
Sponsor's Phone Number: 4023052636
Request Date: 3 May 24
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