Atch__21_-_Form20SP.STANDARDSensitiveEquipmentPropertyRequest.Revised15July2016.pdf
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- Attached to
- Mechanical Electrical IDIQ Federal contract opportunity
- Solicitation number
- FA8501-18-R-0003
About this file
This document contains a Standard Sensitive Equipment/Property Request form and information about the Mechanical Electrical IDIQ federal contract opportunity at Robins Air Force Base.
The Sensitive Equipment/Property Request form is used to request authorization to remove sensitive equipment or property from Robins Air Force Base for up to one year. It requires information about the requester including name, organization, security clearance level, and duties requiring the permit. It also requires details about the specific sensitive equipment, property, or media being removed including make, model, serial numbers, and associated cables and power cords. Signatures are required from the permit user, authorizing official, and Robins AFB security representative.
The Mechanical Electrical IDIQ contract opportunity will provide mechanical and electrical maintenance support at Robins Air Force Base, Georgia. Work will include repairs, renovations, upgrades, and new construction for HVAC, fuel distribution, boiler, airfield lighting, fire suppression and alarm, and other systems. The contractor will provide all material, equipment, labor, and general conditions for each task order. The solicitation number is FA8501-18-R-0003 and was issued by the Department of the Air Force Materiel Command Lifecycle Management Center located at Robins Air Force Base.
Attachment #21 - Form 20SP
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Text version
STANDARD - SENSITIVE EQUIPMENT/PROPERTY REQUEST (SNL Use Only)
I. USE AND REMOVAL No.
Name: Sponsoring Org.: SS#: XXX-XX- Clearance Level
(Last) (First) (Middle Initial) Q L
Location of Work: ROBINS AFB Duties Requiring Permit: End Date: Top Secret Not to exceed one year Secret
Uncleared
DISTRIBUTION: MAIN GATE
II. SENSITIVE EQUIPMENT
Make, Model and Serial/Property Number(s) Make, Model and Serial/Property Number(s) Binoculars/Range Finders: Other- please specify
Laptop/Computer (no camera):
Associated Media:
Electronic Equipment Cell/Smart Phones (no camera)
--includes all associated cables, power cords and peripherals
IV. SIGNATURES
Permit User Signature: Date:
Authorizing Official: Date:
Robins AFB Representative
Approved: Date: Revised 05/17/2016
Robins AFB Security Representative RAFB FORM #20 - Standard
III. PROPERTY/NON-SENSITIVE EQUIPMENT/MEDICAL DEVICES
ROBINS AIR FORCE BASE
WARNER ROBINS, GEORGIA
INSTRUCTIONS FOR COMPLETING AND SUBMITTING THE FOLLOWING
SENSITIVE EQUIPMENT/PROPERTY REQUEST - RAFB#20S/P:
Self-explanatory and must be filled out completely, legibly, and signed by the “Permit User”. Faxed forms will only be accepted if typed in a compatible font or completed in legible handwriting. This form is processed for authorizations to include any type of government or company-owned sensitive/non-sensitive equipment or property as well as associated media required in the performance of official duties.
Personal property is NOT authorized; however, exceptions for medical devices will be authorized on a case-by-case basis.
This form is not applicable for equipment or associated media with enabled camera/video functions.
A permanent laminated ‘‘white’’ card will be issued for requests exceeding 90-days. All other requests will be processed and authorized as a ‘‘HANDCARRY’’ ; hardcopy form will be carried throughout the visit duration.
The SNL Security Representative will verify form information is complete; incomplete forms will be returned to the permit user and/or authorizing organization for correction.
File details come from the government source that posted it. Updated .