Attachment D - Expected Visitor Form Steam B.docx

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Attached to
DESIGN-BUILD, STEAM B BOILER REPLACEMENT, NAVAL SUPPORT FACILITY, INDIAN HEAD, MARYLAND
Solicitation number
N4008023R0010
Issued by

About this file

This document contains an expected visitor form and a related federal contract opportunity solicitation. The expected visitor form is for submitting information on visitors requiring access to restricted and administrative areas at the Naval Support Facility in Indian Head, Maryland. It requests details such as the visitor's name, citizenship, company represented, dates of visit, and building numbers to be accessed.

The related federal contract opportunity is solicitation number N4008023R0010 to provide design-build services for the replacement of the Steam B boiler plant at the Naval Support Facility in Indian Head, Maryland. The project aims to partially rehabilitate the facility's steam system. Offerors must submit responses to Phase I of the solicitation. The Naval Facilities Engineering Command is the contracting agency. The response deadline and award dates are not specified.

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Text version

ATTACHMENT D

EXPECTED VISITOR(S)

Can Only Be Submitted By Authorized Personnel To either: DAHLGREN: PassID.NSASP-DLGR.fcm@navy.mil OR INDIAN HEAD: PassID.NSASP-INHD.fcm@navy.mil

General Information (POC provide this form to Person Authorized by your command to submit it)

MARK ONLY ONE

Persons without one of the following, MUST fill out Vetting Form SECNAV 5512/1 Form

Date(s) of Visit Visitor Last Name Visitor First Name & Middle Initial

Citizen-ship
Representing Company
Visit Bldg #
Restricted Area / Admin Area

CAC

In

JPAS

GOV

PIV

Date vetting completed

5/25/2023

712 & 3162
Restricted & Admin

POC

POC Phone #

Jeremy Taylor
301-744-2190

NSASP 5512/17V

Revision August 2020

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