DBIDS_Access_Request_Form_(5500).docx
DOCX document 712 KB Posted
- Attached to
- DESIGN-BID-BUILD P1901 DLA CONSOLIDATED WAREHOUSE, PORTSMOUTH NAVAL SHIPYARD, KITTERY, ME
- Solicitation number
- N4008519R9002
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DBIDS_Access_Request_Form_(5500).docx
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Text version
DBIDS ACCESS REQUEST FORM (NAVSHIPYD PTSMH 5500)
SUBMISSION INFORMATION
1. Requester full name:
2. Title:
3. Phone Number :
4. COMPANY NAME :
DBIDS INFORMATION
Is the company requesting access to the installation the primary Contractor Yes☐ No☐ If no, who do they subcontract for:
COMPANY REQUESTING ACCESS INFORMATION
Company Name (Corporate Legal name):
Company Address :
Company Phone Number(Corporate Office):
Company Local POC:
Email and Phone:
For access to: PORTSMOUTH NAVAL SHIPYARD
Timeframe of Access Required: ☐ 0600-1800 ☐ 1400-2300 ☐ 24 Hours
☐ All Week ☐ M-F only ☐ Weekends Only
SPONSOR INFORMATION (MUST BE SHIPYARD PERSONNEL)
Sponsor Name:
Sponsor Organization:
Sponsor Title:
Sponsor Phone Number:
Sponsor Email Address:
Contract or project number:
Contract or Project ACCESS EXPIRATION Date:
Only ONE request for Company access should be submitted to; PNSDBIDS@navy.mil (all requests for employees are on the 5512 and are carried by the employee to pass and ID once the company is approved) image1.jpeg
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