Atch 9-Base Access Template (CAO Jul 24).docx
DOCX document 87 KB Posted
- Solicitation number
- FA480325B0011
About this file
The attached document is a Base Access Template for the 20th Fighter Wing at Shaw Air Force Base, South Carolina, designed to process Criminal Background History Checks for base access. The template requires detailed personal information including full legal name, date of birth, social security number, driver's license details, and citizenship status. The sponsor completing the form assumes responsibility for ensuring proper pass management and notification to security forces if an individual's access needs to be terminated.
The related federal contract opportunity (Solicitation FA480325B0011) is for repairing Well 3 and Well 5 with SCADA Automation at Shaw AFB. The project involves installing process equipment, control systems, and remote SCADA access using Allen Bradley systems. The contract is valued between $500,000 and $1,000,000, with a site visit scheduled for 18 April 2025 and bid submissions due by 20 May 2025 at 2:00 PM EST. Only electronic bids will be accepted through SAM.gov, with bid opening procedures beginning on 22 May 2025. The project must meet guidelines from Shaw AFB Design and Construction Standards, ANSI, AWWA, NEC, and UPC.
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Text version
DEPARTMENT OF THE AIR FORCE
20th FIGHTER WING (ACC)
SHAW AIR FORCE BASE SOUTH CAROLINA
DATE:
FROM:
SUBJECT:
WHO:
WHAT FOR:
WHERE:
If base wide give justification:
WHEN:
SPONSOR NAME:
DOD EDPI:
CONTACT INFO:
The information below is protected under Privacy Act 1974 and will only be used to process Criminal Background History Checks to grant or deny access to Shaw AFB. It is further understood that anyone abusing approved privileges could, at a minimum, lose said privilege and possibly face criminal charges.
Full Legal Name (Last, First MI) Date Of Birth (Year/Mo/Day) Social Security Number
ST-DL #
(REAL ID Y/N)
U.S.
Citizen (Y/N)
I UNDERSTAND THAT AS THE SPONSOR I AM RESPONSIBLE FOR THE PERSON(S) LISTED ON THIS FORM, AND FOR ENSURING THE ABOVE NAME INDIVIDUAL(S) TURNS IN THE DBIDS PASS OR RETRIEVE THE PASS ONCE THE INDIVIDUAL(S) ARE TERMINATED, QUIT, OR NO LONGER REQUIRES ACCESS. IF I AM NOT ABLE TO RETRIEVE THE PASS, I WILL NOTIFY SECURITY FORCES TO HAVE THE INDIVIDUAL(S) PASS DEACTIVATED IN DBIDS.
This form must be sent by the sponsor from their government email and received at the email addresses/fax number listed above in the 20 SFS/S-5V section.
CUI
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File details come from the government source that posted it. Updated .