Base_Pass_Template.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Base Telecommunications Systems (BTS) Federal contract opportunity
Solicitation number
FA4861-14-R-C001
Issued by
Department of the Air Force Air Combat Command

About this file

Base Pass Template

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Other files for this federal contract opportunity

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FA4861-14-R-C001-0003.pdf PDF
Attachment_7-NV140001_10102014__NV1.pdf PDF
Q A_for_FA4861-14-R-C001.pdf PDF
Attachment_6-Nellis_Creech_Topology.pdf PDF
QA_from_Site_Visit.pdf PDF
FA4861-14-R-C001-0002.pdf PDF
Attachment_1-_PWS_Nellis-Creech_(Revision_10_Oct_2014).pdf PDF
Site_Visit_Attendee_Sheet.pdf PDF
Base_Pass_Template_(updated_29_Sep).xlsx XLSX spreadsheet
FA4861-14-R-C001-0001.pdf PDF
Attachment_1-_PWS_Nellis-Creech_Sept_2014.pdf PDF
Attachment_2-_EIPS_30_JULY_2014.pdf PDF
Attachment_3-Pricing_Table.xlsx XLSX spreadsheet
FA4861-14-R-C001.pdf PDF
Attachment_4-WD_05-2331_(Rev.-14).pdf PDF
Attachment_5-Past_Performance_Questionnaire-1.pdf PDF
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Text version

Sheet1

CA Name:
CA Signature:
Phone #:
CompanyLast NameFirst NameMICountry of CitizenshipDOBSSNDL #/StateLocationsValid DatesValid Days & Hrs
ABC BuildersDoeJohnAUS12/30/12XXX-XX-XXXX12345678 / TXNellis/Creech AFB10/7/147am-5pm

JUSTIFICATION: Site Visit for the Base Telecommunications Systems. POC-SSgt Derek Urban

Note: Specify in detail the justification requesting the person(s) listed above having unescorted access. (i.e. requires access 3 times a week to service the vending machines on Nellis AFB)

I certify, in accordance with FAR 52.222-54 "Employment Eligibility Verification" that I have performed checks on all above listed employees through the E-Verify system.

Printed Name Signature

(PRIMARY CONTRACTOR NAME)

(PROJECT # and TITLE)

The individuals listed below have been thoroughly briefed on entry procedures and conconduct while on Nellis/Creech AFB.

Sheet2

Sheet3

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