SOW Att 01_Appointment of Security Representative Template 496.docx

DOCX document 101 KB Posted

Attached to
WWYK150185 - REPAIR ROADWAYS, PARKING AT MUNITIONS AREA & WWYK190230 - REPAIR ARNOLD AVE BETWEEN H AVE AND M AVE
Solicitation number
FA813726R0027
Issued by

About this file

This is a template memorandum for appointing security representatives to Tinker Air Force Base. The document serves as an official designation letter from the 72nd Air Base Wing (72 ABW/CENM) to the 72 Security Forces Visitor Control Center, authorizing contractor personnel to serve as Security Representatives for a specific contract at Tinker AFB in Oklahoma. The template includes fields for contract number, validity dates (from and to), and up to six personnel listings with rank, name, and signature lines. Security Representatives designated under this memorandum are authorized to sign AFMC Form 496, act as requesting officials, designate sponsorship and escorts, and are exempt from requiring a DD Form 577 on file. The memorandum indicates it supersedes all previous appointment letters and includes contact information for the Government Point of Contact/Contracting Officer's Representative (COR) from the 72nd Civil Engineering Directorate, with distribution to relevant civil engineering offices. This template is used in conjunction with federal construction contracts at Tinker AFB, such as roadway and parking area repair projects.

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Text version

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 72 AIR BASE WING (AFMC)

TINKER AIR FORCE BASE OKLAHOMA

MEMORANDUM FOR 72 SECURITY FORCES VISITOR CONTROL CENTER

FROM: 72 ABW/CENM – Company Name

SUBJECT: Appointment of Security Representatives

1. The listed personnel below are hereby designated as Security Representatives for COMPANY, contract #XXXXXXXXXXXXXX, valid from DD MMM YYYY to DD MMM YYYY; they are authorized to sign AFMC Form 496 as requesting officials/designate sponsorship/escorts and will not require a DD Form 577 on file.

P/A
Rank/Last, First MI
SIGNATURE
P
LAST, FIRST M.
A
LAST, FIRST M.
A
LAST, FIRST M.
A
LAST, FIRST M.
A
LAST, FIRST M.

2. This letter supersedes all previous letters, same subject. If you have any questions, please contact Government POC/COR at phone number.

COR NAME
Discipline Engineer/COR
72d Civil Engineering Directorate

cc:

72ABW/CEEN/CEED (Tepa Companies)

AFSC/PZIOC

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