Attachment_2_Base_Access_Form_R1.doc

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Attached to
NAWC AD Communication Systems Integration Support (CSIS)
Solicitation number
N00421-15-R-0002
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This sources sought notice requests capability statements for integration support services for communications and information systems at the Naval Air Warfare Center Aircraft Division in Maryland. Interested parties are requested to submit no more than a 10-page capability statement by December 3rd addressing relevant experience, technical skills, and ability to perform the work described in the statement of work involving engineering services for electronics and communications systems including radio, network, and C4ISR systems. The resultant contract is anticipated to have a period of performance from April 2016 to April 2021 with a total level of effort estimated at 1.29 million hours using both cost-plus-fixed-fee and firm-fixed price contract types. The agency will consider set-aside opportunities for small businesses. The notice provides details on an industry day, security requirements, place of performance, and evaluation criteria.

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Attachment 2 - Base Access Form for CSIS revised

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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:11/19/14
GS Rate:
Branch of Service:
Date of Departure: 11/19/14
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

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