Access_blank_form_full_SSAN.xls

XLS spreadsheet 60 KB Posted

Attached to
Operation and Maintenance Federal contract opportunity
Solicitation number
GS-11-P-17-YE-C-0009
Issued by
General Services Administration Public Buildings Service National Capital Region

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Other files for this federal contract opportunity

Other files attached to Operation and Maintenance, newest first.
File Type Posted
CBA_addendum_one_page_(1).pdf PDF
Instructions_to_Offerors_and_Evaluation_Factors_(1)_(3).docx DOCX document
amendment0001.pdf PDF
amendment0005.pdf PDF
amendment0004.pdf PDF
clarificationnew.docx DOCX document
GS-11-P-17-YE-C-0009__Formnew1.pdf PDF
amendment0002.pdf PDF
amendment0003.pdf PDF
additionalquestionsNAC.docx DOCX document
recentCBA.pdf PDF
sims_response_to_last_4_questions.docx DOCX document
fridayafternoonquestions.pdf PDF
Collective_Bargining_Agreement.pdf PDF
ocidocument.doc DOC document
AppendixG_Universal_Waste_Guide_(4).pdf PDF
Links_for_O&M_Documents.docx DOCX document
AppendixH_RefrigMng_Guide_(2).pdf PDF
AppendixI_UST_Guide_(3).pdf PDF
GSA_PM_Guide_Final_Oct_2012_rev_3.pdf PDF
TOTAL_EQUIPMENT_COUNT_NO8.pdf PDF
GS-11-P-17-YE-C-0009__Form1449.pdf PDF
O&M_Template__vr4-20-17_Final_Final_Final_(3).pdf PDF
Instructions_to_Offerors_and_Evaluation_Factors_(1).docx DOCX document
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Text version

Personnel

Personnel Access Request (updated March 2010)
COMPANY NAME:New Requests - One (1) week lead time required
DHS POC:Chris Litseyl/Tom PassagaluppiExtension Requests - Two (2) weeks lead time required
POC PHONE#:202-282-1080Please indicate action to be taken
Bldg(s)DC1432NA Campus WideYour office will be notifed of anyone not eligible for access
Privacy Act:
In accordance with 5 U.S.C. Section 552 and Executive Order 9397 personal data sufficient to identify the individual submitting requests is required. The purpose is to ensure that the records of individuals who are the subject of U.S. Department of Homeland Security systems of records are not wrongfully disclosed by the Department. Failure to furnish this information will result in no action being taken on the request. False information on this form may subject the requester to criminal penalties under 18 U.S.C. Section 1001 and/or 5 U.S.C. 552a (i) (3). Providing your social security number is voluntary. You are asked to provide your social security number to facilitate the identification of records relating to you. Without your social security number, the Department may be unable to admit you onto the NAC Campus.
LASTFIRSTMIDDLESSN xxx-xx-xxxxDOB mm/dd/yyyySEXStart DateEnd DateINDICATE ACTION: ADD/EXTEND/ REMOVE

Vehicle

Vehicle Access Request
COMPANY NAME:New Requests - One (1) week lead time required
DHS POC:John Durrell / Mike DehartExtension Requests - Two (2) weeks lead time required
POC PHONE#:202-282-1080Please indicate action to be taken
Personal vehicles (POVs) are not allowed inside parking
MAKEMODELYEARTAG#STATECOLORStart DateEnd DateLast Name(s) of Driver(s)Middle Name(s) of Driver(s)INDICATE ACTION: ADD/EXTEND/ REMOVE

Contractor Instructions

GSA Contractor
Processing Guidelines for Guest Worker Requests
1. Company Name should appear in subject line of email. This makes it easier to search should your office require us to look up a request. Also, it will help you to keep track of completed requests
2. Indicate date of first visit.
3. Access length should be for the duration of the contract or 180 days, whichever is shorter. It is advisable to give all workers and vehicles from the same company on the same contract the same expiration date. This makes it easier for you should the time come to request extensions.
4. Action to be taken by this office (Add/Extend/Remove/Deny) must be indicated in status column for each person. Only personnel with an action indicated will be processed.
5. Requests must be submitted not later than one (1) week prior to date/time of visit. Massive lists for extension must be submitted not less than one (2) calendar weeks prior to first date of extension.
6. Employee names should be formatted as follows: Last Name, First Name Middle Name and should be added to the top of the list. No nicknames.
7. Verify all information prior to submitting it to GSA. Improper information will hold up or stop the access process.
8. It is advisable to maintain one master list
9. GSA is to be notified immediately if someone is terminated or quits.
10. Copy others in your office so that they are aware of your submission. This will ensure that our office does not receive duplicate requests.

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