Gate Pass Form YAB.pdf
PDF 247 KB Posted
- Solicitation number
- FA520922Q0030
About this file
This document contains a gate pass form and related federal contract opportunity for grease trap cleaning services at Yokota Airbase and Tama Annex in Japan. The gate pass form requests documentation for site visit participants, including a valid photo ID, vehicle registration, and proof of automobile liability and voluntary insurance. The federal contract opportunity is a solicitation to provide grease trap cleaning services at the two bases. The contractor will be responsible for removing waste from grease traps, transporting and disposing of collected waste according to Japanese law, and ensuring all required business permits and licenses are current. The contractor must flush, disinfect, and recharge grease traps to restore proper operation and report any issues within 24 hours.
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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's License No.
Nationality（国籍） 2 Passport No.
3 Other
YOKOTA, TARO
Japan
1 運転免許証番号
2 パスポート番号
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 4-56-78, Asahi-chi, Yamato-shi, Kanagawa-ken, Yokota Condominium, Room 505 046-111-1111 SAGAMI 520
HO 45-98１ 456789123456
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+residence certificate with permanent address, 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+本籍地記載住民票・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 YOKOTA AIR BASE
(横田基地へ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.
(参加者はGate Pass Request Form に記載の身分証明書(ID)をご持参してください。
3. 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。）
File details come from the government source that posted it. Updated .