Instructions_for_DD_Form_2875_CAVAF.pdf
DoD Form PDF 96 KB Posted
- Solicitation number
- FA8524-18-R-0015
About this file
This document provides instructions for completing DD Form 2875, the System Authorization Access Request form, to access the CAV AF system for contractors meeting contractual requirements. Contractors must fill out blocks with user information, provide annual IA training certificates, and digital signature. The justification must state accessing CAV AF to meet contract compliance and include user type of CFM, GFM or ICP DODAAC. Blocks require supervisor signature and authorization. For repair suppliers, the form requires PKI certification date and level, and facility security officer signature. Completed forms and training certificates should be emailed to the applicable ALC for account activation.
The related federal contract opportunity is a pre-solicitation for a firm fixed price requirements contract to repair and overhaul aircraft-mounted winches, aircraft drum winches, and internal rescue hoists applicable to the HH-60G and UH-1N helicopter fleets. The solicitation number is provided along with a description of the nouns to be repaired. The contracting agency is listed as the Department of the Air Force Materiel Command Lifecycle Management Center at Robins Air Force Base.
Instructions for Contractor Users
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Text version
DD Form 2875, System Authorization Access Request (SAAR)
Instructions for Contractor Users.
Version 3.0 15 May 2014
Note: Completion of all blocks is mandatory on the DD Form 2875 unless otherwise noted:
Header
Select Type of Request (Initial, Modification (have User ID (inactive), must list), Deactivate), User ID (If known)
Input Date, use YYYYMMDD format
System Name: CAV AF
Location: Wright-Patterson AFB
Part I Blocks
1 – 9 Must be filled out with user information.
10 - Information Assurance (IA) Awareness Training Requirements MUST be met annually:
http://iase.disa.mil/eta/cyberchallenge/launchPage.htm Click on Launch new Cyberawareness Challenge
Dept of Defense version (Provide Course Completion Certificate along with DD Form 2875 and AF User
Agreement Statement, AF Form 4394, for account activation). Fill in completion date using training certificate date. NOTE: Following initial course completion certificate submission, thereafter all annual course completion certificates shall be sent directly to following email address: hqafmc.a4nl@us.af.mil
Product Functionality Caution: To meet technical functionality requirements, this awareness product was developed to function with Windows operating systems (Windows 7, VISTA, and XP, when configured correctly) using either the Internet Explorer (IE) or Firefox browsers. Users employing another
OS or browser may experience difficulties and may not be able to complete the training or print the certificate of completion. The Cyberawareness Challenge course completions is a contractual requirement and must be complied with.
11 – 12 User Digital Signature Only and Date
Part II Blocks
13 - Justification input “To Access CAV AF System to meet contractual compliance requirement for reporting of Air Force assets”, plus User Type based on type of contract: contractor furnished material
(CFM) or government furnished material (GFM) and inventory control point (ICP) DODAAC.
14 - Check “Authorized”.
15 - Check “Unclassified”.
16 - Check box.
16a - Contractors must fill with information for each contract being requested access to; Company Name, Contract Number, Expiration Date, DODAAC (EZXXXX) – Please use block 27 for continuation if necessary.
17 - 20b These must be completed and signed by Supervisor.
http://iase.disa.mil/eta/cyberchallenge/launchPage.htm mailto:hqafmc.a4nl@us.af.mil
DD Form 2875, System Authorization Access Request (SAAR)
Instructions for Contractor Users.
Version 3.0 15 May 2014
21 -25 Contractors must leave blank.
22 – 25 Signed by CAV AF IAO/IAM
26a - Same as Block 1.
27 - Continuation of block 16a contract information for requested access to, if applicable.
Part III
For Repair Suppliers:
Please enter required PKI information
28 - Enter: “PKI certification through: (EX: VERISIGN, INDENTRUST, ORC, or DoD)
28a - Enter date of investigation
28b - Leave blank
28c - Check Level II or Level III based on below:
Level II: Read / Write type access normally for government contract monitors/ and contractors
Level III: Read only access for view only access
29 – 32 Completed and Signed by vendor FSO, Facility Security Officer or applicable equivalent
Part IV Leave blank
For account activation, email Cyber Awareness Certificate, completed DD Form 2875 and AF User
Agreement Statement, AF Form 4394 to applicable ALC email address:
a. Warner Robins AFB, GA, (478) 327-6602 or 327-6603, email:
406scms.cav.af.ar@us.af.mil
File details come from the government source that posted it. Updated .