Atch__15_-_AF_Form_2586_Flightline_Driving_Request.pdf
PDF 94 KB Posted
- Attached to
- CEMACC II Federal contract opportunity
- Solicitation number
- FA8501-19-B-A001
About this file
This solicitation is for an Indefinite-Delivery Indefinite-Quantity construction contract called CEMACC II to be awarded by Robins Air Force Base. Work will include new construction, alteration, repair, and maintenance of facilities, structures, airfields, utilities and other real property at Robins AFB. The contract has a one year base period and four option years with a maximum value of $95 million to be awarded to multiple small disadvantaged veteran-owned small businesses. Task orders will typically range from $250,000 to $3 million but may be higher or lower. The contractor must provide all materials, equipment, labor and general conditions for each task order. Bonds will be required on task orders over $35,000. Registration in the System for Award Management is required prior to award.
Atch #15 AF Form 2586 Flightline Driving Request
View the file
Other files for this federal contract opportunity
Show all 50
CEMACC II has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PREVIOUS EDITIONS ARE OBSOLETE.AF IMT 2586, 19 9 81001, V2
UNESCORTED ENTRY AUTH ORIZATION CERTIFICATE
PRIVACY ACT STATEMENT
I. IDENTIFICATION
II. CERTIFICATION OFREQUESTING OFFICIAL
III. DUTY
IV. RESTRICTED/CONTROLLED AREA COORDINATION
NAME
ORGANIZATION OR FIRM
GRADE ControlNumber(Last, First, MiddleInitial)
AUTH O RITY:
PRINCIPALPURPOSE(S):
ROUTINE USE(S):
10 U.S.C. 8013, 44 U.S.C. 3101, andEO 9 39 7.
TorecordpersonalinformationonanindividualwhosedutyperformancerequiresentryintoAirForcerestrictedandcontrolledareasin ordertocoordinatewiththeappropriateofficialanddeterminewhenandwhattypeofentrycredentialtouse.
ControlNumberisusedforindividualidentification. (Mustbefrom government-issuedID suchasCAC, driverlicense, passport, etc.)
None.
DISCLO SURE: Disclosureisvoluntaryhowever, failuretodiscloseinformationandSSN wouldresultinnotbeingallowedentryintotheseareas.
IcertifythattheindividualwhosenameappearsabovehasbeenthesubjectofafavorableinvestigationwhichmeetstherequirementsofAFIs31-101, 31-209 and
31-501, whenapplicable, forunescortedentryintorestrictedorcontrolledareas. Ifurthercertify, intheeventtheabovenamedindividualisanon-US national, that noUS nationalscanbemadeavailabletofillthispositionduringtheperiodindicatedabove, andthatthegrantingofunescortedentryrepresentsanexceptional requirementessentialtotheproperexecutionoftheCommand'smission. SuchunescortedentrywillnotinfringeupontheprohibiteddutiesoutlinedinAFPD 31
-seriesdirectives, andisclearlyconsistentwiththeinterestofnationalsecurity.
CAMPBELL, MARVIN G
78TH CIVIL ENGINEER GROUP
CONTRACTOR
COLOR H AIR
BLACK
CO LO R EYES
BROWN
W EIGH T
H EIGH T
5'10"
CITIZENSH IP (CheckOne)
(Describedutiesthatrequireunescortedentryintotheareasindicated)
US CITIZEN ALIEN IMMIGRANT NON-US NATIONAL
NAME, GRADE AND TITLE (Typed)
LOUIS BOUFFARD, SECURITY MANAGER
COMPANY NAME: XXXXXX
CONTRACT NUMBER:XXXXXX
PERFORMANCE START DATE:
PERFORMANCE END DATE:
PROGRAM MANAGER: TERRY R STINSON
PM OFFICE SYMBOL:78 CEG/CENME
PM DUTY PHONE:478-258-2507
PM BUILDING#280
DATE
05/16/2016
SIGNATURE
NUMBER OFFICIAL
AREA
LASSITER.TONYA.M.1284045382
ESCO RT
TYPE AREA
CONCUR
DATE
OFFICIAL'S SIGNATURE
COORDINATING/APPROVING
YES NO
NAME (Last, First, MiddleInitial)NAMENAME
H EIGH T W EIGH T CO LO R EYES COLOR H AIR
AFIMT2586, 19 9 81001, V2 (REVERSE)
IV. RESTRICTED/CONTROLLED AREA COORDINATION
V. RESTRICTED/CONTROLLED AREA BADGE ISSUE
NUMBER OFFICIAL
AREA
TRANSACTION
BASIC BADGE
EXCH ANGE BADGE #1
EXCH ANGE BADGE #2
CARD NUMBERFO RM TYPE BADGE NUMBER
ESCO RT
TYPE AREA
CONCUR
DATE
OFFICIAL'S SIGNATURE
COORDINATING/APPROVING
YES NO
EXCH ANGE BADGE #3
REISSUE #1
REISSUE #2
REISSUE #3
REISSUE #4
REISSUE #5
BADGE ISSUING OFFICIAL
REMARK S
(TypedNameandSignature) APPLICANT VERIFYING RECEIPT OF BADGE DATE(Signature)
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
| Text6: |
| Text7: |
File details come from the government source that posted it. Updated .