Attach_9_Site_Visit_Authorization_Letter_-Fillable.pdf

PDF 378 KB Posted

Attached to
Range and Operations Support Federal contract opportunity
Solicitation number
FA4819-17-R-5002
Issued by
Department of the Air Force Air Combat Command

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Site Visit Authorization Form

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DEPARTMENT OF THE AIR FORCE

325TH CONTRACTING SQUADRON (ACC)

TYNDALL AIR FORCE BASE, FLORIDA

NOTE TO GOVERNMENT PERSONNEL:

CAC-card holders can escort a max of 6 personnel, who must remain with you at all times.

Site visits in restricted areas require advance notification to BDOC & require line badge holders to conduct the site visit.

MEMORANDUM FOR RECORD

SUBJECT: SITE VISIT AUTHORIZATION LETTER

1. The following contractor personnel have requested access to Tyndall AFB for the purpose of a site visit. They will be escorted at all times by government personnel.

First Name Last Name Company

2. Escorted base access shall only be granted for the above individuals for the purpose of a site visit to the:

Contract name: _____________________________

Contract site: _______________________________

Located on the following side of base: ___________________________

Site visit hours: (start) ___________ hours – (end) ____________ hours

Site visit date: _______________

3. All individuals are aware that they must bring a valid driver’s license or government issued photo identification to be granted access to the installation.

4. Further questions regarding this authorization should be directed to the 325 CONS Security Manager, Ms Amber Muniz, DSN 523-8640 or e-mail at amber.muniz.1@us.af.mil.

Contracting Officer mailto:amber.muniz.1@us.af.mil 1125284384C Rectangle

1125284384C Rectangle

1125284384C Typewritten Text contract specialist SrA Matthew Lahr, matthew.lahr.1@us.af.mil.

1125284384C Rectangle

1125284384C Typewritten Text

FA4819-17-R-5002

First Name 1:
First Name 2:
First Name 3:
First Name 4:
First Name 5:
First Name 6:
First Name 7:
First Name 8:
First Name 9:
First Name 10:
Last Name 1:
Last Name 2:
Last Name 3:
Last Name 4:
Last Name 5:
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Last Name 7:
Last Name 8:
Last Name 9:
Last Name 10:
Company 1:
Company 2:
Company 3:
Company 4:
Company 5:
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Company 7:
Company 8:
Company 9:
Company 10:
Date: 3 April 2017
Contract Name: AFCEC RANGE AND OPERATIONS SUPPORT
Contract Site: Tyndall AFB
Flightline, Support side (or other TAFB): AFCEC and 9700 area
start hrs: 1400
end hrs: 1600
Site visit date: 13 Apr 2017
CO first name:
CO MI:
CO last name:
2017-04-03T10:10:56-0500
NATAL.REBECCA.1125284384

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