Attachment 05 EAL Access Request Form.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- FA468624R0022
About this file
This document appears to be an Attachment 05 EAL Access Request Form related to a federal contract opportunity. The form details the requirements for contractor personnel to gain access to Beale AFB in order to participate in the site visit and perform work on the contract. Key details include:
The project is for the B5700 Backflow Preventer Replacement at the Medical Clinic at Beale AFB, CA. The contract opportunity has a solicitation number of FA468624R0022 and an estimated value between $100,000 and $250,000. It is a 100% small business set-aside, with a NAICS code of 237110. The period of performance is 60 calendar days, factoring in 0 weather days. A mandatory site visit is scheduled for June 27, 2024, and RFI questions are due by July 1, 2024. Proposals are due by July 15, 2024. Access to the base for the site visit requires completion of the EAL Access Request Form by June 20, 2024.
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Text version
Sheet1
| CONTRACTOR ENTRY ACCESS LIST FORM | |
| Effective 15 Aug 2016 the USAF will implement REAL ID Act requirements IAW Public Law 109-13 and the Code of Federal Regulations (CFR) Title 6, Part 37 | |
| Note: Personnel will be placed on an EAL for no longer than 29 Days and 15 Business days to receive there DBIDS Card. Any longer will require an 1172 form to get a base pass or a memo from contracting. Handwritten/PDF submittals will not be processed. | |
| NOTE: SSN is used to positively identify individuals. Failure to identify individuals is automatic denial to Beale AFB. | |
| Employee's LEGAL Last Name | |
| Christopher.Fleury: No nicknames must be full legal last name as it appears on their drivers license. Nicknames listed will be rejected | Employee's LEGAL First Name |
| Christopher.Fleury: No nicknames must be full lega firstl name as it appears on their drivers license. Nicknames listed will be rejected | DOB |
Christopher.Fleury: Format as dd-mon-yy Ex: 01-Jan-99
| Drivers License Number | Issuning State | |
| Christopher.Fleury: Must be the issuing State of the DL | Start Date | |
| Christopher.Fleury: Start date of DBIDS Badge or Pass must be a future date | Expiration Date |
Christopher.Fleury: Expiration date of pass not to exceed 30 Days.
| 15 Business Days to pick up a DBIDS badge up to 1 year max | Sponsor Name/DOB | ||
| Christopher.Fleury: This is the name of the individual submitting the request who will act as the contractor sponsor | Sponsor Phone Number | Sponsors DOD ID/ EDIPI | Destination |
| Christopher.Fleury: Where the Employee will be working while on the installation | Company Name | Authorized Entry Times/ Days | Contract Number |
Christopher.Fleury: Contract number so we can verify contract with the Sponsor Christopher.Fleury: No nicknames must be full legal last name as it appears on their drivers license. Nicknames listed will be rejected Christopher.Fleury: No nicknames must be full lega firstl name as it appears on their drivers license. Nicknames listed will be rejected Christopher.Fleury: Format as dd-mon-yy Ex: 01-Jan-99
Christopher.Fleury: Must be the issuing State of the DL Christopher.Fleury: Start date of DBIDS Badge or Pass must be a future date Christopher.Fleury: Expiration date of pass not to exceed 30 Days.
15 Business Days to pick up a DBIDS badge up to 1 year max Christopher.Fleury: This is the name of the individual submitting the request who will act as the contractor sponsor
| Christopher.Fleury: Where the Employee will be working while on the installation | SSN | AL | |||||||
| 27-Jun-24 | 27-Jun-24 | Gabriel Fickel, Civ, DAF | 530-634-3369 | N/A | B5700 | 0800-1300/Thursday | FA468624R0022 |
File details come from the government source that posted it. Updated .