Attachment 3 - Base Access Request EAL.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Fire Suppression Services - Wet Chemical
Solicitation number
FA481925Q0025
Issued by

About this file

This is a base access request form template (Attachment 3) for coordinating site visits related to solicitation FA481924R0009. The Excel spreadsheet requires visitor information including full name, date of birth, social security number, driver's license details, citizenship status, and other identifying information. It specifies access parameters such as which side of Tyndall Air Force Base visitors need access to, days/hours of access, whether escort privileges are needed, and expiration dates. The form is to be submitted to Security Manager David Hackney for processing.

The related opportunity (FA481925Q0025) is for wet chemical fire suppression services at Tyndall AFB, requiring contractor personnel to perform inspection, testing, recharging, and maintenance of installed systems. A site visit is scheduled for January 16th, 2025 at 8:00 AM CST, limited to two personnel per contractor, with 48-hour advance notice required. The contractor must be certified for pre-engineered fire suppression system maintenance per manufacturer requirements and licensed under Florida Statutes Title XXXVII, Section 633, and Rule 69A-21. Questions from the site visit must be submitted by January 21st, 2025 at 4:30 PM CST.

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Text version

BACKGROUND CHECK

CONR-1 AF ASSC

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

Date19-Mar-24
Security ManagerName/Contact InfoDavid Hackney, david.hackney.1@us.af.milSite Visit for ASSC FA481924R0009
CompanyLast, First MIDOB (YYYYMMDD)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX:19991215 SSN (###-##-###)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Full social with dashes xxx-xx-xxxx UNIT (325 CES) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY DL / State ID Number State / Place of Issuance Sex (M/F) Place of Birth (City / State or Country) US Citizen (Y/N) *Passport/USCIS#

DBIDS PERMISSIONS

PERMISSIONS
LAST, FIRST MISIDE(S) OF BASE (TAFB ALL or SOUTHSIDE)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

TAFB ALL or SOUTHSIDE DAYS SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Ex: Mon-Fri HOURS LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS: LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS:

Ex: 0600-1800 ESCORT (Y/N) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Will they need to escort others onto the installation? EXPIRATION (MM/DD/YY) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX: 01-DEC-2021 UNIT (325 CES)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

TAFB ALL N 325 CES

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