Attachmnet 7 -Base Pass Template v2.0.pdf

PDF 374 KB Posted

Attached to
Vertical Transportation Equipment (VTE)/Elevator Maintenance Services
Solicitation number
FA483024Q0016
Issued by

About this file

This document is a Request for Installation Access Personnel Pass for Moody Air Force Base. It provides a template for requesting base access passes for up to five individuals, including their full name, organization, Social Security number/date of birth, and the purpose of the pass, which is identified as "Elevator Maintenance Service Site-Visit" under a contract with the number FA4830-24-Q-0016. The pass duration is from April 17, 2024, to April 17, 2024. The sponsor information is provided, including the rank, name, duty title, email, and duty phone of the Contracting Officer, SrA Shanterial Williamson.

The related federal contract opportunity is a Request for Quote (RFQ) for Vertical Transportation Equipment (VTE)/Elevator Maintenance Services at Moody AFB. The purpose is to obtain these services, and the detailed requirements are provided in the Performance of Work Statement (PWS) attached to the RFQ. The Government will select the contractor whose quotation provides the best overall value, considering both price and technical factors.

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Text version

FOR OFFICIAL USE ONLY

DEPARTMENT OF THE AIR FORCE

23D CONTRACTING SQUADRON (ACC)

MOODY AIR FORCE BASE GEORGIA

Attack ∙ Rescue ∙ Prevail The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties

MEMORANDUM FOR 23 SFS/SFOXI

FROM: 23 CONS

SUBJECT: Request for Installation Access Personnel Pass

1. Request pass for the following person(s) to Moody AFB:

2. If you have any questions or concerns, please contact the undersigned:

Contract Number:

Prime Contractor:

Duration of Pass:

(NTE 1 Year)

Purpose:

Full Name Organization/CompanySSN/DOB*

*Write N/A if contractor declined to provide information. Be advised that SSN/DOB information is required for base access.

Security Forces will ask for it at the Visitor's Center if not detailed in this form.

Sponsor Info: Rank, Name; Duty Title; Email; Duty Phone

Date1_af_date:
Contract #: FA4830-24-Q-0016
Contractor Name:
Duartion of Pass: 17 April 2024- 17 April 2024
Contract Purpose: Elevator Maintenance Service Site-Visit
FullName1:
FullName2:
FullName3:
FullName4:
FullName5:
SSNDOB1:
SSNDOB2:
SSNDOB3:
SSNDOB4:
SSNDOB5:
Org1:
Org2:
Org3:
Org4:
Org5:
SponsorInfo: SrA Shanterial Williamson,Contracting Officer,shanterial.williamson@us.af.mil,(229)257-9752
Clear Form:

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