JL-7_AAFB_1. Base Access Form - Contractor Memo.pdf
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- Solicitation number
- N4019225R5000
About this file
This is a Base Access Form memo template for contractor access to Andersen Air Force Base, submitted to the 36 SFS/S5/Visitor Control Center. The form requests base access for contractors during the period of 1 February 2015 to 1 February 2016, with access hours from 0700 to 1600.
The document includes fields for tracking number, company/base agency information, and requires both a company representative signature (from CEO Bulldoser Inc.) and an authorized contracting officer signature. The form indicates that individuals listed on an attached log will be issued passes with the specified dates and times. Contact information is provided via email (123@email.com) and phone (671-123-4567) for any questions or concerns.
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Text version
Company Logo
TRACKING#
DATE:
Memorandum for 36 SFS/S5/VISITOR CONTROL CENTER
From: Company/Base Agency
Subject: Request for Contractor Pass/ NTC 400-300-D-2000X.
1. The request is for Andersen Air Force Base access.
REQUESTED DATES
START: 1 FEB 2015
END: (max 1 year) 1 FEB 2016
DAYS (check all that apply)
□ Su □ Mo □ Tu □ We □ Th □ Fr □ Sa □ 24/7
TIMES ACCESS DAYS/TIMES
START: 0700
END: 1600
2. The request includes the following individuals. (See Attached Log Information). Individuals listed on the log will be issued a pass with the appropriate dates/times listed above.
3. If you have any questions or concerns, contact 123@email.com or 671-123-4567
///COMPANY REPRESENATIVE SIGNATURE///
SIGN AND PRINT NAME
CEO BULLDOSER INC.
Phone Number
///AUTHORIZED SIGNATURE///
SIGN AND PRINT NAME
CONTRACTING OFFICER
Phone Number mailto:123@email.com
File details come from the government source that posted it. Updated .