Attachment_21_-_Data_Request_Form__LIDAR.xls
XLS spreadsheet 57 KB Posted
- Attached to
- 4 Bridges Federal contract opportunity
- Solicitation number
- FA468619RA002
About this file
Attachment 21: Data Request Form LIDAR.
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Text version
Work Request Form
| Installation Geospatial Information & Services (IGI&S) Office | Installation Geospatial Information & Services (IGI&S) Office | |||||||||||
| GeoBase Data Request | GeoBase Data Disclaimer | |||||||||||
| 9th Civil Engineer Squadron | 9th Civil Engineer Squadron | |||||||||||
| Requestor’s Name | Rank/Grade | Org/Office Symbol | Work Phone | |||||||||
| Mitch Monroe | Civilian GS-12 | 9 CES/CEN | 634-2668 | Disclaimer to be signed before release of any electronic Beale GIS data. | ||||||||
| Email Address | Project Manager: | |||||||||||
| mahasringha.monroe.1@us.af.mil | Mitch Monroe | |||||||||||
| Request Date | Due Date | Request Type | ||||||||||
| 2/22/19 | 2/25/19 | Aerial Photo | CD | Map | Other | Although every effort has been made to ensure the accuracy of | ||||||
| information, errors and conditions originating from physical sources | ||||||||||||
| Description: (please be as specific as possible so that your work may be processed expediently) | used to develop the database maybe reflected in the data supplied. | |||||||||||
| LIDAR Data for 4 Bridges Project Area, where Gavin Mandery Drive crosses Best Slough and Dry Creek. | The end user must be aware of the data conditions and ultimately | |||||||||||
| bear responsibility and the appropriate use of the information with | ||||||||||||
| respect to possible errors, original map scale, collection methodology, | ||||||||||||
| currency of data, and other conditions specific to certain data. | ||||||||||||
| LIMITED DISTRIBUTION | ||||||||||||
| Distribution authorized to DoD, IAW 10 U.S.C. §130 & 455. Release | ||||||||||||
| authorized to U.S. DoD contractors IAW 48 C.F.R. §252.245-7000. | ||||||||||||
| Justification: (include Project and/or Work Order Number request is in support of) | Removal of this caveat is prohibited. | |||||||||||
| This data will be used as a basis for topography to generate conceptual design drawings and calculate quantities for bidding puposes. | ||||||||||||
| This material is For Official Use Only. Unauthorized reproduction, | ||||||||||||
| distribution, publication, or exhibition of this material is | ||||||||||||
| STRICTLY PROHIBITED. Refer other requests to 9CES/CEP. | ||||||||||||
| Destroy as For Official Use Only. 9CES/CEP shall not be liable | ||||||||||||
| for any errors, omissions, or damages that result from noncompliance | ||||||||||||
| *CONTRACTORS MUST READ AND SIGN REVERSE OF THIS PAGE* | of this message. | |||||||||||
| Office Use Only | Upon completion of the project, the data shall be returned | |||||||||||
| Project Assigned To: | to the base or destroyed as For Official Use Only. | |||||||||||
| Project Approved By: | Completed By: | I have read and agree to abide by the above data disclaimer. | ||||||||||
| Completion Date/Project Length | Date Notified of Status | Delivery Date/Time | Name of Company | |||||||||
| Notes | Method | |||||||||||
| E-Mail Phone | User Pick-up | Name of Contractor | ||||||||||
| Signed | Date | |||||||||||
| Recipient's Signature at time of Pick-up (not required if emailed) | ||||||||||||
| N/A | ||||||||||||
| Date Returned or Destroyed |
x xxxxxx mahasringha.monroe.1@us.af.mil
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