Attachment K - 5500 DBIDS Form.docx
DOCX document 716 KB Posted
- Solicitation number
- N4008523R2622
About this file
This document contains a DBIDS access request form for Portsmouth Naval Shipyard. The form requests company information including name, address, phone number, and point of contact. It also requests individual employee information including name, title, phone number, and whether any personnel are foreign nationals. The form requires sponsorship information from a Shipyard employee including name, organization, title, phone number, and email. It requests the timeframe and days of access needed as well as the contract or project number and expiration date the access is related to. Submitted requests should be emailed to PNSDBIDS@navy.mil and include any attached employee lists.
The related federal contract opportunity is a solicitation from the Department of the Navy Naval Facilities Engineering Command for bridge structural repairs at Portsmouth Naval Shipyard in Kittery, Maine. The solicitation number and name are provided, along with the type of opportunity and a brief description stating to see the solicitation and applicable attachments.
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Text version
DBIDS ACCESS REQUEST FORM (NAVSHIPYD PTSMH 5500)
SUBMISSION INFORMATION
1. Access Requested For (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:
(IF REQUEST IS FOR MORE THAN ONE PERSON PLEASE ATTACH EMPLOYEE LIST)
COMPANY REQUESTING ACCESS INFORMATION
Company Name (Corporate Legal name):
Company Address :
Company Phone Number (Corporate Office):
Company Local POC:
Email and Phone:
Are Any Personnel Foreign Nationals?
Yes ☐ No ☐ (If Yes provide separate list of Names)
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) Revision 12/16/19
EMPLOYEES LIST
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File details come from the government source that posted it. Updated .