IV AMAG Request Form.xls
XLS spreadsheet 37 KB Posted
- Attached to
- HVAC MAINTENANCE SERVICES Federal contract opportunity
- Solicitation number
- N6945021Q0012
About this file
This document contains an AMAG access request form and details of a related federal contract opportunity. The AMAG form requests information on an individual seeking site access to Naval Air Station Jacksonville for a vital HVAC contract site visit from March 11-11, 2021. The related federal solicitation seeks HVAC maintenance services for critical facilities at Naval Air Station Jacksonville. Services include maintenance, repairs, and alterations to HVAC systems including boilers excluding central utility plant boilers. The solicitation was issued by the Naval Facilities Engineering Command Department of the Navy.
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Text version
Sheet1
| AMAG | ||
| Access Management System | ||
| This information will be entered into AMAG in preparation for your arrival - passes picked up at BLDG. 9. | ||
| "FOR OFFICIAL USE ONLY" | ||
| Last Name: | First Name (no nicknames): | Middle Name (mandatory): |
| US Citizen | Yes/No | |
| Lawful Permanent Resident | Alien Registration # | |
| An Alien with Employment Authorization Document (EAD) # | ||
| If your visitor does not qualify with any of the above, you must contact base Security | ||
| Bernardo Santana | ||
| Company Name: | Drivers License No: | Telephone number |
| Home Address: | ||
| City: | State: | Zip Code: |
| NAVFAC SE CIVILIAN SPONSOR: Leonard Lampp | ||
| PHONE NUMBER: 904-542-4526 | ||
| Purpose of Pass: Vital HVAC Contract Site Visit | ||
| Start Date: | End Date: | |
| 3/11/21 | 3/11/21 | |
| ***Maximum of 30 days | ||
| Signature: | DATE | |
| ***Typed name in Signature line will suffice*** | ||
| Authority: 5 U.S.C. 522A, and Privacy Act of 1974 | ||
| Principle Purpose: To readily identify all personnel via numerical system of records that list individuals who are allowed to access the | ||
| military reservation, known as Naval Air Station, Jacksonville in furtherance of the stations mission; and to comply verify and update | ||
| the stations authorized user list in support of administrative and security measures. | ||
| Routine Uses: To numerically identify and account for persons aboard Naval Air Station Jacksonville, their entrance, exit and authorized locations. | ||
| "For Official Use Only" | ||
| Revised: February 27, 2014 |
Sheet2
Sheet3
File details come from the government source that posted it. Updated .