Attachment_(G)_-_EPIC_Master_Template_Rev_5_-_09AUG06.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
MSC Fleet Wide Paint PRogram Federal contract opportunity
Solicitation number
N00033-13-R-8010
Issued by
Department of the Navy Military Sealift Command

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Attachment G to RFP N00033-13-R-8010

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Attachment_(F)_Rate_Table_10-9-12_LOCKED.xls XLS spreadsheet
8010RFP_Released.doc DOC document

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Sheet1

Ship Name:MSC/EPIC FORCE PROTECTION CREWLIST SUBMISSION TEMPLATE (Revision 5 - 09AUG2006)
Ship Flag:FOUO-PRIVACY SENSITIVE. ANY MISUSE OR UNAUTHORIZED DISCLOSURE MAY RESULT IN BOTH CIVIL AND CRIMINAL PENALTIES
Submission Date:EMAIL SUBJECT LINE to read: EPIC - PM[#] [PM POC (first 3 letters)] - [SHIP NAME] - [list TYPE (ie CREW, CONTractors, etc)].
Submitted by:Examples: EPIC - PM5 HUR - WRATH - CREW ; EPIC - MSFSC JON - DEIHL - CONT
PRIVACY ACT STATEMENT (1974)
AUTHORITY:SECNAVINST 5211.5D, E0 9397.
PRINCIPAL PURPOSE(S):To enable NCIS and the U.S. Navy (MSC) to screen personnel with unrestricted access to MSC personnel facilities, resources and/or DOD cargo over which MSC has control against relevant databases.
ROUTINE USE(S):The information will be used to ensure Force Protection of MSC and DOD personnel and assets, and may be furnished to other Navy personnel or other components of DOD who have a need for the Information in the performance of their duties.
DISCLOSURE:Voluntary; however, failure to provide information may affect clearance to work under MSC contracts.
LAST NAME 1LAST NAME 2FIRST NAMEMIDDLE NAMEDATE OFSSN

CDR Buck McDermott: Social Security Number

PASSPORTNATIONALITYRATING orMISC INFO
(no spaces, no dashes)(leave blank if(complete with(NMN - if noBIRTH(no spaces,NUMBER(Country listedPOSITION
not applicable)no initials)middle name)(MMDDYYYY)no dashes)(no spaces,on Passport)(if applicable)
no dashes)
0/SAMPLESMITHROBERTNMN12301981%MISCSN123456789$123456789USAABPre-employment screening
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Sheet2

Sheet3

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