Substation_NCIC Screening Pass Request.pdf

PDF 361 KB Posted Jul 29, 2024

Attached to: Repair Switchgear Substations, Offutt AFB
Solicitation number: FA460024R0014
Issued by: Department of the Air Force Air Combat Command

About this file

Written by GovTribe AI · Jul 29, 2024

This document is a Request for Proposals (RFP) for the Repair Switchgear Substations contract at Offutt AFB, Nebraska. The Air Combat Command is soliciting this single-award, firm-fixed price contract as a 100% small business set-aside. The Contractor will be responsible for providing all materials, labor, transportation, and supervision to replace existing switchgear, transformers, fuses, enclosures, relays, controls, and cabling for substations 1, 2, and 3 at Building 457. The work also includes installation of equipment to monitor critical heater circuits and connect to the base EMCS system. The magnitude of the proposed construction is between $1,000,000 and $5,000,000. A pre-proposal site visit is scheduled for August 7, 2024. The North American Industry Classification System (NAICS) code is 236210 with a $45 million size standard, and the Product Service Code (PSC) is Z2PZ. Responses will be evaluated using Best Value, Tradeoff procedures.

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Full Name U.S. Citizen Last, First, MI Year Month Day Drivers License/ID # State SSAN Days Hrs Dates (MMDDYYY) Yes / No

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:

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Work Schedule

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Sponsoring Unit Security Manager or Commander Signature Block/Signature

Offutt AFB Sponsoring Agency Unit: 55 Contracting Squation

Company Name: Company

Base Sponsors Name: Michael Madison

Company Address: Address

Base Sponsors Phone: 402-232-0845

Company Representative Name: Name

Request Date: 07 August 2024

Last First MIRow1: Name

YearRow1: 19XX

MonthRow1: MAY

DayRow1: XX

Drivers LicenseID Row1: G59XXXXX

StateRow1: NE

SSANRow1: xxx-xx-xxxx

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Dates MMDDYYYRow1: 11152016-05252017

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Contract #: Sol: FA460024R0014

Contract End Date: N/A

Company Phone #:

File details come from the government source that posted it. Updated Jul 29, 2024.