Attachment_2_Base_Access_Form.doc

DOC document 63 KB Posted

Attached to
NAWC AD Communication Systems Integration Support (CSIS)
Solicitation number
N00421-15-R-0002
Issued by

About this file

This sources sought notice requests capability statements from companies interested in providing integration communications and information systems support services to the Naval Air Warfare Center Aircraft Division under a cost-plus-fixed-fee contract with an estimated period of performance from April 2016 to April 2021. Services include local integration support, advanced research and development, engineering, logistics, quality management, and technical management for military radio systems, networks, command and control systems, and unmanned aerial systems. Responses are due by 2pm EST on December 3, 2014 and must demonstrate relevant past performance, management experience, technical skills, and the ability to perform at least 50% of the work. The notice also describes an upcoming industry day on November 19, 2014 to provide additional information on requirements.

Attachment 2 - CSIS Base Access Form

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Attachment (2)

4.11.3 BASE ACCESS REQUEST

The following information is required for a visitor to be scheduled in BASICS.

· ALL VISITORS to St. Inigoes/Webster Field who DO NOT have a Common Access Card must be entered/scheduled in BASICS.

· Fax or Email Information to:

Attn: Dawn Churchill Fax:

301-995-0651 Email: Dawn.Churchill@navy.mil

Contractor
Government
Military
Name:
Name:
Name:
SSN:
SSN:
SSN:
Date of Birth:
Date of Birth:
Date of Birth:
Place of Birth:
Place of Birth:
Place of Birth:
Citizenship:
Citizenship:
Citizenship:
Position/Title:
Position/Title:
Position/Title:
Date of Arrival:11/18/14
GS Rate:
Branch of Service:
Date of Departure: 11/18/14
Date of Arrival:
Rank/Rate:
Purpose of Visit: ICIS and Communications and Information Systems Support operations.
Date of Departure:

Date of Arrival:

Building/Buildings to be visited: #8225, #8165

Purpose of Visit:

Date of Departure:

Government Point of Contact:

Dawn Churchill Building/Buildings to be visited:

Purpose of Visit:

Home Address:
Government Point of Contact:

Building/Buildings to be visited:

Home Phone Number:
Home Address:

Government Point of Contact:

Company Name:
Home Phone Number:

Home Address:

Company Address:

Home Phone Number:

Cage Code:

Company Phone #:

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_1398603393

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