Base_Access_Request_Form_Attachment_P3.doc

DOC document 51 KB Posted

Attached to
AIR-4. 11, N00421-15-R-0002 Communications Systems Integration Support (CSIS) supporting AD-4. 11. 3
Solicitation number
N00421-15-R-0002
Issued by

About this file

This document contains a draft solicitation for communications systems integration support services and associated attachments. The Naval Air Warfare Center Aircraft Division at Patuxent River, Maryland is seeking to procure engineering, integration, technical, and logistical services to support the AIR-4.11.3 Ship and Air Integrated Warfare Communications Systems Integration Division. Specifically, the services include local integration support, advanced research and development, engineering and technical support, logistical and quality management support, and technical management of end products supporting the Program Executive Office for Ships, Naval Sea Systems Command, Naval Air Systems Command, Program Executive Office for Command, Control, Communications, Computers and Intelligence, and other federal agencies for C4I programs. The solicitation number is N00421-15-R-0002 and responses are due by the date and time specified in the final solicitation when released on the Federal Business Opportunities website.

P3 Base Access Request Form

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Text version

BASE ACCESS REQUEST

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

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

· Information to:

Attn: Benjamen Morgan, Amy Davis

Email: Benjamen.Morgan@Navy.Mil, Amy.G.Davis@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: USA
Citizenship:
Citizenship:
Position/Title:
Position/Title:
Position/Title:
Date of Arrival:
GS Rate:
Branch of Service:
Date of Departure:
Date of Arrival:
Rank/Rate:
Purpose of Visit: Review Specifications/Drawings for Solicitation
Date of Departure:

Date of Arrival:

Building/Buildings to be visited:

#8225 Purpose of Visit:

Date of Departure:

Government Point of Contact:

Nicole Downs 301-995-6270 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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