2a.__Gate_Pass_Req.pdf
PDF 172 KB Posted
- Attached to
- Spreader Feeder Machine Federal contract opportunity
- Solicitation number
- FA520918Q0155
About this file
Notice to Offerors - Atch 1 - Gate Pass Request Form
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF30_Document.pdf | ||
| 2._Notice_to_Offeror_DS_-_Amend_0001.pdf | ||
| 2._Notice_to_Offeror_DS_-_Amend_0001.pdf | ||
| FA520918Q0155_Amend_0001.pdf | ||
| 4._FA520918Q0155_Atch_1_-_Specs.pdf | ||
| 5._FA520918Q0155_Atch_2_-_Map.pdf | ||
| 2._Notice_to_Offeror_DS.pdf | ||
| 3._FA520918P0155.pdf | ||
| 1.__Business_w_US_Govt.pdf |
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Text version
ONE TIME/MULTIPLE ACCESS ROSTER
Information for Form USAG-J 1529
Company Name (社名):
Solicitataion No.
(入札書番号)
Select 1, 2 or 3
Name（名前） 1 Driver License No.
Nationality（国籍） 2 Passport No.
3 Other
YOKOTA, TARO 1 xxxxxxxxxxxx TAMA xxx XX xx-xx
Japan (or Bass Pass Holder/Escort Not Required)
1 運転免許証番号
2 パスポート番号
If you are base pass holder(s) and do not require an escort to gain access on the insatllation, please enter "Base Pass Holder/Escort Not Required" instead of filling these 3 boxes
Vehicle Plate No.Telephone No.Address（住所）Kanji（漢字）
注：どちらかをお選び
ください
横田太郎 xxxx, xxxxx-cho, xxxx-shi, Kanagawa-ken, Japan xxx-xxx-xxxx
FA5209-18-Q-0XXX
S A M P L E
(a) Gate Pass Request Form （ゲートパス 申請書）
(b) Copy of valid official ID w/photo of all participants (ex. driver's license, passport, etc.)
（参加者全員の公的な写真付き身分証明書のコピー、運転免許証・パスポートなど）
(c) Copy of certificates of Automobile Inspection of the vehicle to drive （乗り入れる車両の車検証のコピー）
(d) Copy of Automobile Liability Insurance of the vehicle （乗り入れ車両の自賠責保険のコピー）
(e) Copy of Voluntary Insurance of the vehicle (乗り入れ車両の任意保険のコピー）
GATE PASS REQUEST GUIDE TO CAMP ZAMA, SHA, SGD AND YND
(座間基地、相模原住宅、相模原補給廠、横浜ノースドックのゲートパス リクエストガイド）
1. Please provide the following documents to the government contract specialist in order to participate in the site visit and/or pre‐ proposal conference. (現場説明会・入札説明会に参加される場合は、以下の書類を入札担当者にご提出ください。）
2. All the participants need to bring the same IDs as you listed in the Gate Pass Request Form. If using a driver's license as the ID, you will need 2 sets of 4‐digit PIINs of the license when entering the base. If you do not remember your PIINs, pleae check with your local police prior to attending the site visit/conference.
(参加者はGate Pass Request Formに記載の身分証明書(ID)をご持参ください。 運転免許証をIDとして使用される場合は入門の際に運転免許証の暗証番号4桁ｘ２セットの入力も必要になります。 もし番号をお忘れの場合は、事前に警察でご確認ください。）
3. The participants' IDs are kept at the security office while they are on base. Therefore, the driver needs 2 IDs (driver's license for driving & another ID to leave at security office).
(在日米軍施設内は、参加者の身分証明書はセキュリティオフィスで一時預かりになります。そのため、車両運転者は、車両運転用の免許証と一
時預かり用IDの２点必要 になります。)
4. Any vehicles driving in the U.S. Forces Japan installations must have a liability insurance that covers at least Y30,000,000 for bodily injury and Y3,000,000 for property damage.
(在日米軍施設内を走行する車両は、対人保障3,000万円以上、対物保証300万円以上の補償額の任意保険が必要です。）
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