Base_Pass_Template_(updated_29_Sep).xlsx

XLSX spreadsheet 16 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

From the source

Please use this updated base pass template. All contractors must verify their employees using the link at the bottom of the template and then print name and sign in the bottom block of the template.

View the file

Other files for this federal contract opportunity

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FA4861-14-R-C001-0006.pdf PDF
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FA4861-14-R-C001-0005.PDF PDF
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Attachment_7-NV140004_10102014_NV4.pdf PDF
FA4861-14-R-C001-0004.pdf PDF
FA4861-14-R-C001-0003.pdf PDF
Attachment_7-NV140001_10102014__NV1.pdf PDF
Q A_for_FA4861-14-R-C001.pdf PDF
FA4861-14-R-C001-0002.pdf PDF
Attachment_1-_PWS_Nellis-Creech_(Revision_10_Oct_2014).pdf PDF
Attachment_6-Nellis_Creech_Topology.pdf PDF
QA_from_Site_Visit.pdf PDF
Site_Visit_Attendee_Sheet.pdf PDF
FA4861-14-R-C001-0001.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_1-_PWS_Nellis-Creech_Sept_2014.pdf PDF
Base_Pass_Template.xlsx XLSX spreadsheet
Attachment_5-Past_Performance_Questionnaire-1.pdf PDF
Show all 25

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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 on October 7th from 0700-1700. Contractors will require access to Nellis and Creech on this day. POC-SSgt Derek Urban- 99th Contracting Sq Contract Administrator

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

To fill out the bottom block, please use http://www.uscis.gov/e-verify to verify your individuals

(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 .