Attachment 4 EAL Request for site visit.doc

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Attached to
Hangar Floor Epoxy Coating
Solicitation number
FA4625-12-R-0015
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NOTICE TO OFFERORS ATTENDING SITE VISIT THIS FORM MUST BE COMPLETED AND SUBMITTED AS PER SECTION L OF THIS SOLICITATION. Attachment 4 - Entry Authorization List (EAL)

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Attachment 4 Please provide the following information for our Entry Authorization Lists (EAL) for entry into Whiteman AFB to include restricted areas PL2 and WSA..

Please only list individuals actually requiring entry into restricted areas for work on a “regular” basis. This list is not for individuals who may desire entry occasionally. We can accomplish a separate EAL for those individuals as the need arises.

Any question contact John Olmeda at (660) 687-2533 or Roger Williams at (660) 687-2530

PERSONNEL LIST

(Organization, Firm, or Team Name/Dates of Visit)

Full Name

LAST, FIRST MIDDLE (ALL CAPS)

DOB

Controlled Picture ID #. This is the only ID that will be used for restricted areas
Drivers license #. (If not in previous column
Full Social security number
Has individual ever had a security clearance
U.S, Citizen (yes or no)

Notes:

1. Full Name: The name must be printed exactly as the controlled picture Id shows. If ID shows the first name as Robert then the name in column 1 must read Robert, NOT Bob. If the name has a full middle name then the full middle name must be used. If Jr. or II is on the ID then this must be included also.

2. Controlled Picture ID: Examples of IDs: any a state driver’s license, any state issued ID card with unique number, retired military ID, passport, or other government issued ID with number. The number on the card must match exactly along with the name in column 1. The number DOES NOT have to be your social security number. Many states no long use SS# for driver’s licenses.

3. The social Security number provided is required for prescreening of all individuals and will only be used for entry if listed as The “controlled picture ID Number”.Vehicles:

Year
Make/Model
License # & State
Color

Name of individual supplying information: _________________________________

For official use only

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