_J-7_Work_Pass_Format_Form.pdf
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- Attached to
- BASE OPERATIONS SUPPORT (BOS) SERVICES AT U. S. NAVAL STATION ROTA, SPAIN Federal contract opportunity
- Solicitation number
- N62470-19-R-2001
About this file
This document is a request form for a one-day work pass to access U.S. Naval Station Rota, Spain. The form provides details about the individual requesting the pass, including their name, the company they work for, the job to be performed which is a site visit for solicitation N62470-19-R-2001 for BASE OPERATIONS SUPPORT (BOS) services at Naval Station Rota. Additional required attachments include a copy of a work or service contract, current social security or identification documents, and a medical certificate. The related federal contract opportunity is solicitation N62470-19-R-2001 issued by the Department of the Navy Naval Facilities Engineering Command to provide BASE OPERATIONS SUPPORT services at U.S. Naval Station Rota, Spain. No further details are provided about response dates, pricing, or other terms.
Attachment J-7
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Text version
Date:
From: Facilities Engineering and Acquisition Division, PWD, NAVSTA Rota, Spain (Tenant Command or NAVSTA Department requesting base pass)
To: Jefatura de Seguridad, Base Naval de Rota (Spanish Security Officer)
Via: Security Officer, U.S. Naval Station, Rota, Spain.
Subj: REQUEST FOR WORK PASS X INITIAL ISSUE RENEWAL (Check one)
Ref: (a)Spanish Navy Norma General 02/93 (Base Access Procedures)
1. Based on the following information, I request that a work pass be issued to the persons listed belo(Check type of pass)
Contractor Employee Shipping Agent Domestic Servant (Complete a thru h) (Complete a thru e and g)(Complete a,b,c,e,h and i) Technical Expert X Business Visit (One day only) (Complete a thru e) (Complete a thru e)
a. Duration of the pass: One-day pass, 04 October 2019 (Specify period of time: days of the week, and hours of work)
b. Job to be performed:Site visit for soliciation N62470-19-R-2001 Rota BOS
c. Job location: U.S. Naval Station Rota, Spain
d. Company/ employer's name & address:
e. Sponsor's name/ rank/ phone: Elias Stamatiades/GS13/DSN 314-727-1020
f. Attach copy of work/service contract; job order/ request for services
g. Attach current Social Security documents.
h. Attach photocopy of Spanish ID/Passport.
i. Attach medical certificate from base hospital.
(Signature of Securtity Officer) (Signature of CO, OIC, Dept. Head or Authorized Representative)
IMPORTANT: CHECK WITH THE PASS CLERK OR CALL EXT. 3247 IN CASE OF DOUBT
ATTACHMENT J-7
Work Pass Format
CompanyID Card/PassportIndividual's Full Name
File details come from the government source that posted it. Updated .