Attachment_33_-_Base_Access_Instructions.pdf

DEPARTMENT OF THE AIR FORCE

56TH FIGHTER WING (AETC)

LUKE AIR FORCE BASE, ARIZONA 85309-1629

22 Jan 13

MEMORANDUM FOR DISTRIBUTION A

FROM: 56 SFS/S5

SUBJECT: Procedures for Contractor Employee Requesting Installation Access

1. Process for every Contractor requesting access to Luke AFB. All requests for contractor employee installation access must be made in writing to the “Sponsoring Organization.” The following steps will assist you in completing the required package for any contractor requesting access to Luke AFB.

(1) Each contractor is required to completely fill-out and sign the Luke AFB Form 330, Contractor Access Affidavit (Atch #1)

(2) Two clear legible photo copies of personal identification must be attached with each Contractor Access Affidavit. The only acceptable types of identification allowed are those listed on the bottom of the Contractor Access Affidavit.

(3) Verification of Employee’s E-Verify status. Luke AFB requires verification of E- Verify for every contractor requesting access despite the value of the contract awarded. This requirement is based on the intent of Homeland Security Presidential Directive (HSPD) 12.

Therefore, every contractor must attach a copy of the E-Verify “Case Detail by Individual.”

Employer generates this report within E-Verify; each report will list employee’s name, DOB, and results of E-Verify.

(4) The background package (i.e., documents listed in step 1-3 above) will be turned into the contractor’s sponsor (i.e.., Trusted Agent on Luke AFB). Once the sponsor has collected all required documents, they will generate a Sponsor Letter (Atch #2, Sponsor Letter Template), and attach the entire background package into 56 SFS/S5AB, located at the South Visitors Center (i.e., each package MUST be hand carried; no email/fax packages will be accepted).

(5) 56 SFS will verify each package has been completed correctly prior to accepting.

Once verified, each package will be signed-in and processed in the order received. Authorized 56 SFS personnel will initiate a background check utilizing the Arizona Criminal Justice Information System (ACJIS) to include any other state/federal law enforcement databases. Each background check is valid for only 1 year.

(6) A Contractor DBIDS pass has “NO ESCORT” authority. Furthermore, no personnel are authorized to circumvent these “Access Control Standards” by escorting a contractor on base using their DoD Identification. Violators will be subject to prosecution and/or debarment action.

(7) A completed Luke Contractor Access Affidavit package will allow issuance of a DBIDS Card valid for up to 1 year from completion of the ACJIS check. Employee’s requiring access for more than 1 year must re-accomplish a Luke Contractor Access Affidavit package annually.

2. Process for Contractor’s requesting CAC Identification. Only 56 SFS/S5 can determine if a contractor (needing access to Luke for more than 1 year) qualifies for a Contractor CAC Identification. Once a determination is made, the following procedures will be adhered to:

(1) Contractor will report to the 56th Fighter Wing Information Protection Office (56 FW/IPO), bldg 453, room 159, to request a Contractor Security Clearance Verification Letter.

(2) 56 FW/IPO will provide the contractor with a checklist detailing the appropriate procedures for initiating a National Agency Check and Inquires (NACI), obtaining fingerprints, and process for submitting the appropriate paperwork to their Trusted Agent.

(3) Ms. Lissette Fernandez, 56 CONS, is responsible for assigning Trusted Agents associated with Luke AFB. Only approved Trusted Agents are granted access to input contractors into the Contractor Verification System (CVS).

(4) No contractor will be entered into CVS without verification from 56 SFS/S5.

(5) Those contractors issued CAC Identification that have their card lost, stolen, or expired, will not be reissued a new CAC until they complete the 56 FW/IPO Memo, Contractor Security Clearance Verification Letter (Atch 3).

(6) Once the Trusted Agent loads the contractor into CVS, the contractor will report to 56 FSS (ID Cards Section), bldg 1150, 2nd floor, in order to have their Contractor CAC Identification issued.

(7) Trusted Agents are responsible for retrieving Contractor CACs for those personnel no longer authorized.

(8) All contractor employees are subject to the Arizona Criminal Justice Information

System (ACJIS) background checks and must provide verification of employee’s E-Verify status (Employer generates this report within E-Verify; report will list employee’s name, DOB, and results of E-Verify).

3. The information provided by contractor employees will be collected in accordance with federal law, permitting the installation commander to limit access to the installation for security reasons. This data will be used to screen individuals who have or are seeking access to Luke AFB. The Privacy Act Statement will apply throughout the duration of the Air Force contract while serving in the capacity of contractor.

4. Any contractor may be denied access if convicted of a misdemeanor offense within the last 5 years, a felony offense within the last 10 years, or based on pertinent information obtained during the background check.

5. Please contact the following individuals is you have any questions or concerns:

• For questions regarding issuance of DBIDS Cards please contact MSgt Helm, South Visitor’s Reception Center, building 897 Mon-Fri 0730-1630

(623) 856-4758

• For questions regarding issuance of CAC Cards please contact

Mr. Adams 56 SFS/S5 Superintendent Mon-Fri 0730-1630

(623) 856-9618

JAMES F. ADAMS, JR., GS-11, DAF

Administrative Security Superintendent 56th Security Forces Squadron

3 Attachments:

1. Luke AFB Form 330, Contractor Access Affidavit

2. Sponsor Letter Template

3. Contractor Security Clearance Verification Letter

CONTRACTOR ACCESS AFFIDAVIT

Luke Air Force Base, Arizona

AUTHORITY: 5 U.S.C. 301 Departmental regulations; 10 U.S.C. 113, Secretary of Defense, Note at Pub.L. 106-65; 10 U.S.C. 136, Under Secretary of Defense for Personnel and Readiness; 18 U.S.C. 1029, Fraud and related activity in connection with access devices; 18 U.S.C. 1030, Fraud and related activity in connection with computers; 40 U.S.C. Chapter 25, Information technology management; 50 U.S.C. Chapter 23, Internal Security; Pub.L. 106-398, Government Information Security Act; Pub.L. 100-235, Computer Security Act of 1987; Pub. L. 99-474, Computer Fraud and Abuse Act; E.O. 12958, Classified National Security Information as amended by E.O.13142 and 13292; E.O. 10450, Security Requirements for Government Employees; and E.O. 9397 (SSN).

PRINCIPAL PURPOSE: The records are maintained to support DoD physical security and information assurance programs and are used for identity verification purposes, to record personal property registered with the Department, and for producing facility management reports.

ROUTINE USE: DISCLOSURE WHEN REQUESTING INFORMATION ROUTINE USE: A record from a system of records maintained by this component may be as a routine use to a Federal, state, or local agency maintaining civil, criminal, or other relevant enforcement information or other pertinent information, such as current licenses, if necessary to obtain information relevant to a component decision concerning the hiring or retention of an employee, the issuance of a security clearance, the letting of a contract, or the issuance of a license, grant or other benefit.

LAW ENFORCEMENT ROUTINE USE: In the event that a system of records maintained by this component to carry out its functions indicates a violation or potential violation of law, whether civil, criminal or regulatory in nature, and whether arising by general statute or by regulation, rule or order issued pursuant thereto, the relevant records in the system of records may be referred, as a routine use, to the appropriate agency, whether Federal, state, local, or foreign, charged with the responsibility of investigating or prosecuting such violation or charged with enforcing or implementing the statute, rule, regulation or order issued pursuant thereto.

DISCLOSURE: Voluntary; however failure to provide complete and accurate information may result in you denied access to Luke AFB.

SPONSORING AGENCY/PHONE NUMBER: CONTRACT NUMBER: PRIMARY CONTRACTOR:

APPLICANTS EMPLOYER/SUB-CONTRACTOR/PHONE NUMBER (if applicable):

3 LAST NAME: FIRST: MIDDLE INITIAL:

OTHER NAMES ALSO USED (if none, write “NONE”)

SOCIAL SECURITY:

DATE OF BIRTH (Month/Day/Year):5

DRIVER LICENSE NO:6 STATE OR COUNTRY:

7 STREET ADDRESS (No P.O. BOXES):

8 CITY:

STATE: COUNTRY:

COUNTRY OF CITIZENSHIP:

RESIDENT ALIEN NO. OR IMMIGRATION DOCUMENT NO. AND DESCRIPTION (if applicable):

BIRTHPLACE: (CITY) (STATE): (COUNTRY):

12 MALE: FEMALE: RACE:

13 HAIR COLOR: EYE COLOR: HEIGHT:

14 VEHICLE MAKE: MODEL: COLOR: PLATE#: STATE:

Have you ever been arrested/convicted in any jurisdiction or country of a Misdemeanor or Felony crime (Excluding Minor Traffic Citations)? YES NO

(IF YOU ANSWERED YES, PLEASE PROVIDE A FULL EXPLANATION/YEAR) The information you provide will be verified through state and federal criminal history record checks:

I understand that willfully falsifying this application can result in barment and/or denied access to the installation.

Applicant Signature Date:

56 SFS Officer: Date:

**NOTE**: Sponsor(s) must attach and return the completed package to 56 SFS (South Gate/Visitor Reception Center or by email at 56sfs.pr@luke.af.mil ), along with a copy of the E-verify "Case Detail by Individual" and 2 forms of identification: (1) Valid state issued driver's license or Identification Card; (2) - INS registration, Social Security Card, or Official Passport. Vehicle operators require current vehicle registration and certificate of automobile insurance.

Luke AFB Form 330, 20110117

1033792880C Typewritten Text Attachment 1

1033792880C Typewritten Text

1033792880C Typewritten Text

1033792880C Typewritten Text

1033792880C Typewritten Text

56TH XXXX SQUADRON (AETC)

LUKE AIR FORCE BASE ARIZONA

28 Jun 12

MEMORANDUM FOR 56 SFS/S5AB

FROM: UNIT/OFFICE SYMBOL

SUBJECT: Request for Long Term Pass

1. Request that a long term visitor’s pass be issued through DD MMM YYYY for the following individuals:

Last, First MI SSN Last 4

2. The above individual(s) will need access to Luke AFB for family care issues.

3. Direct any questions/comments to me at DSN 896-xxxx / Cell XXX-XXX-XXXX.

4. Include the days of the week and the hours of the day you are allowing each individual access to the installation.

FIRST LAST NAME, Rank, USAF Squadron

1033792880C Typewritten Text Attachment 2

1033792880C Typewritten Text

1033792880C Typewritten Text

-FOR OFFICIAL FOR USE ONLY-

DATE

MEMORANDUM FOR 56 CONS/LGCA

MEMORANDUM FOR 56 SFS/S5

FROM: 56 FW/IP

SUBJECT: Contractor Security Clearance Verification Letter Re: Common Access Card (CAC) Issuance

1. Per SAF/AAP Memorandum, dated 8 April 2010, Joint Clearance and Access Verification System (JCAVS) Person Summary reports are not authorized release for clearance verification purposes. Security clearances will now be verified using this memorandum, which will be verified by 56 FW/IP personnel via the Joint Personnel Adjudication System (JPAS).

2. I certify that LAST NAME, FIRST M.I. has completed and submitted their SECRET security clearance /Background investigation package and meets the minimum local requirements for CAC issuance:

a. Investigation Type: NACI/ANACI

b. Adjudication Date (if applicable):

c. Fingerprints Submission (SAC) Date:

d. Initial Investigation/Periodic Reinvestigation Open Date (if applicable):

e. SFMIS Security Police Records Check Completed on:

Signature/Stamp Date

f. ACJIS Check Completed on:

Signature/Stamp Date

56TH FIGHTER WING (AETC)

LUKE AIR FORCE BASE, ARIZONA

1033792880C

Attachment 3

-FOR OFFICIAL FOR USE ONLY-

3. CAC issuance is only authorized when the abovementioned information is provided along with e-Verify (I-9) information submission verified by 56 SFS. The Trusted Agent (TA) must contact Mr. James Adams at 6-9618 to verify compliance with e-Verify requirements.

4. This memorandum is to be utilized for clearance verification and CAC issuance purposes only. The clearance information provided in this memorandum is valid for a period of 3 days from the date of signature. If CAC issuance is not completed within this time frame, you must contact 56 FW/IP office for re-verification of security clearance. Upon completion, forward this memorandum to Ms. Lissette Fernandez, 56 CONS LGCA.

5. This memorandum contains FOR OFFICIAL USE ONLY (FOUO) information which must be protected under the Privacy Act of 1974 and IAW AFI 33-332.

ELANA D. BARAJAS, MSgt, USAF Chief, Information Protection

Attachment:

1. Contractor Security Clearance Verification Letter Routing Checklist

Attachment 1

Contractor Security Clearance Verification Letter Routing/Processing Checklist 56th Fighter Wing Information Protection (56 FW/IP) Office

OPR: MSgt Barajas, IP Chief, 6-3734 Page 1 of 1

NOTE: You will need to read the following information for step-by-step instructions on routing this form for the applicable signatures, prior to providing this document to the 56th Contracting Squadron (56 CONS) or your Trusted Agent (TA) for Common Access Card (CAC) issuance (Mandatory process for all “initial” and “recurring” Contractor CAC issuance).

1. Required Steps For Contract Employee:

a. ____________ (Security Manager initial & date) Contact your group Security Manager to verify your security clearance/background investigation via JPAS. Security manager will initiate an eQip questionnaire if you are not in JPAS. If you have a current/open investigation in JPAS, the Security Manager will fill out the required Contractor Security Verification Letter.

b. _____________ (56 SFS/S5AB initial and date) Take the Contractor Security Verification Letter to the South Gate Visitor Center to have the Arizona Criminal Justice Information System (ACJIS) check on the memorandum.

c. _____________ (56 SFS/S5AR initial and date) After the S5AB check, take the Contractor Security Verification Letter to Mr. Randy Felciano/Reports and Analysis (ext 6-9619) at the 56th Security Forces Squadron (building 179) for the Security Forces Management Information System (SFMIS) check on the memorandum.

d. _____________ (56 SFS/S5 initial and date) Take the Contractor Security Verification Letter to Mr. Adams 56th Security Forces, S5 Superintendent for verification.

e. Return the completed memorandum and checklist to 56 CONS or your trusted agent.

2. Required Steps For 56 CONS and/or TAs:

NOTE: The following instructions apply to the 56 CONS or the TA. Please ensure this memorandum is completed and this information is verified prior to loading the member in the Contractor Verification System (CVS) for CAC issuance.

a. Review this Contractor Security Clearance Verification Letter to ensure all required information is supplied and complete.

b. Contact Mr. James Adams, 56 SFS/S5 Superintendent (ext. 6-9618) to verify compliance with the E-Verify (I-9) requirements.

c. Upon approval, upload the member into the CVS and send them to the 2nd floor of the Block House (Building 1150/FSS ID Card Section) for CAC issuance.

d. Send all Contractor Security Clearance Verification Letters and checklist to Ms. Lissette Fernandez, 56 CONS/LGCA and the 56 FW IP Chief, Information Protection for filing.

3. If you have any questions or concerns, feel free to contact the 56 FW/IP at ext. 6-3734, 3735, or 5981.

Attachment 3a

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