NRL_Visitor_Pass_Request.pdf
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- Solicitation number
- N4008018R0001
About this file
This document is a visitor pass request form for the Naval Research Laboratory (NRL). The form requires visitors to provide their name, signature, building and room to visit, phone number, purpose of visit, any vehicles to be driven on site including make, model, year and color, and to show identification and their temporary badge to the gate guard. NRL personnel completing the form are to provide the visitor's badge number, any issued vehicle pass numbers, and date. Spaces are included to note if the visitor will be carrying items such as briefcases, laptops, recorders, cameras, packages, or weapons. The receptionist receiving and clearing the form is also to sign and date.
The related federal contract opportunity is a pre-solicitation for an Indefinite Delivery/Indefinite Quantity contract for small business set-aside multiple award construction contract vehicle. Services will include new construction, repair, and renovation work at various facilities for the Public Works Department at Washington Navy Yard, Naval Support Facility Bethesda, and Marine Corps Base Quantico for the Naval Facilities Engineering Command.
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Text version
VISITOR CARRYING
CAR PASS MUST BE DISPLAYED IN WINDSHIELD.
MUST SHOW ID AND TEMPORARY BADGE TO GUARD AT GATE.
NRLNOTE 5510 OF 7 JULY 2010
HQ-NRL 5512/2 (Rev. 4-10)
TO SEE (Point of Contact)
RECEPTIONIST
REPRESENTING (Organization Name/Location: City, State)
CITIZENSHIP (Country)
I hereby certify that the information contained hereon is true and complete. I agree to abide by the regulations of the Naval Research Laboratory and to subject myself and any property under my control to any search or detention necessary for the protection of information and property. I agree not to take photographs unless authorized by NRL management.
NRL VISITOR PASS REQUEST
INSTRUCTIONS: THIS PORTION TO BE COMPLETED BY VISITOR. (Please print)
USA OTHER
PRINT NAME (Last, First MI)
SIGNATURE
BLDG/RM PHONE NUMBER
PURPOSE OF VISIT (Be specific: e.g., Interview, Job Title, Topic/Title of Meeting, Conference Name, etc.)
VEHICLE TO BE DRIVEN ON NRL (Make, Model, Year, Color) - VISITOR MUST SHOW DRIVER'S LICENSE AT CHECK-IN
THIS PORTION TO BE COMPLETED BY NRL PERSONNEL.
BADGE NO. ISSUED VEHICLE PASS NO. ISSUED DATE
BRIEFCASE LAPTOP RECORDER CAMERA PACKAGE
WEAPON OTHER
| NAME: |
| C1: Off |
| COUNTRY: |
| SIGNATURE: |
| REPRESENTING: |
| TO SEE: |
| BLDG/RM: |
| PHONE: |
| PURPOSE OF VISIT: |
| VEHICLE: |
| V1: Off |
| V2: Off |
| V3: Off |
| V4: Off |
| V5: Off |
| V6: Off |
| V7: Off |
| OTHER: |
| BADGE NUMBER: |
| VEHICLE PASS NUMBER: |
| RECEPTIONIST: |
| DATE: |
| CLEAR: |
File details come from the government source that posted it. Updated .