Blank CSFS VAR.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
Surveillance Camera Equipment and Installation Federal contract opportunity
Solicitation number
FA500424Q0036
Issued by
Department of the Air Force Pacific Air Forces

About this file

This document is a visit request worksheet for the Clear Space Force Station (CSFS) in Alaska. The worksheet must be filled out completely, with sensitive personal information protected, to request access for individuals to the CSFS facilities, including any required lodging and restricted area access. The purpose of the visit is for LRDR M-Demo/Endurance Testing. The worksheet collects key details such as the visitor's name, date of birth, social security number, driver's license information, company/organization, dates of required access, and whether lodging and restricted area access is needed. All information on the worksheet is considered sensitive and protected under the Privacy Act.

The related federal contract opportunity is for the requirement to furnish and install a new security camera system in multiple buildings at the CSFS, including the Unaccompanied Housing/Dormitory facilities and Morale, Welfare & Recreation facility. The contractor shall provide all necessary personnel, equipment, and services for the installation of the new Network Video Recorder (NVR) system with future expansion capability. The solicitation number is FA500424Q0036 and the contracting agency is the Department of the Air Force Pacific Air Forces.

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Other files for this federal contract opportunity

Other files attached to Surveillance Camera Equipment and Installation, newest first.
File Type Posted
Solicitation Amendment FA500424Q00360001 SF 30.pdf PDF
Solicitation Amendment - FA500424Q0036.pdf PDF
Attachment 1 - PWS 27 Aug 24 V3.pdf PDF
Dorm Cameras Q_A List.xlsx XLSX spreadsheet
Attachment 3 Building Floor Plans.pdf PDF
Attachment 2 - SCA Wage Determination.pdf PDF
Attachment 1 - PWS 9 Aug 2024.pdf PDF
Solicitation - FA500424Q0036.pdf PDF

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Text version

READ FIRST

Please ensure all blocks are filled. Failure to completely fill in the entire document will lead to delays in processing or possible return to sender for corrections.

BE SURE TO ENCRYPT THE WORKSHEET IN YOUR EMAIL IF YOU HAVE THE CAPABILITY.
IF YOU CANNOT ENCRYPT, THEN PASSWORD PROTECT THE WORKSHEET AND SEND BACK. IN A SEPARATE EMAIL, SEND ME THE PASSWORD.

Or you can use AMRDEC at https://safe.amrdec.army.mil/safe/Welcome.aspx (Available to all)

YOU MAY ADD ROWS ONLY TO ACCOMMODATE NAMES. OTHERWISE - DO NOT ALTER THE SPREADSHEET IN ANY WAY!!!!
SHEET PROTECT PASSWORD: CAFS

Visit Request Spreadsheet

Clear SFS POC:
DAVIS, DAVID J TSgt USAF AFSPC 213 SWS/S3OA: POC Must Have Sponsor AuthorityStacy Isaacson
Clear SFS POC Phone Number:907/585-6360 | 907/978-0445
Project Name:N/A
Visit Purpose:LRDR M-Demo/Endurance Testing
Visit Request Worksheet
First NameMiddle Name(s)Last Name(s)AliasesDate of BirthSocial Security Number
: Protected IAW the Privacy Act of 1974Driver's License NumberDriver's License State of IssueCompany

or Organization : The company or organization this person works for.

First Day of Required Access
: This is not necessarily todays date. Remember there is a max turnaround of two weeks from date submitted to Pass & ID officeLast Day of Required Access
DAVIS, DAVID J TSgt USAF AFSPC 213 SWS/S3OA: No More Than One Year From First Day Required.Require Lodging
Y/NRequire Restricted Area Access
Y/NCurrent Security Clearance
Y/NDOD ID Card
Y/NDBIDS Card
Y/NEquipment Required in Restricted Area (Type, Make, Model, Serial Number)
***Insert additional lines as needed***
All information is protected IAW the Privacy Act of 1974, DoD Directive 5400.11, "Department of Defense Privacy Act Program", and is considered sensitive For Official Use Only (FOUO).

The unlawful use of this information may result in CIVIL and CRIMINAL penalties.

S5 Use Only
Date Vetted:
Method:
Vetter:

&G

Page &P of &N

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