N6274219R1304_Contractor_Memo_IIILog.pdf

PDF 2 MB Posted

Attached to
FY19 MCON PROJECT P-735 MACHINE GUN RANGE AT US NAVAL SUPPORT ACTIVITY ANDERSEN GUAM, JOINT REGION MARIANAS, GUAM
Solicitation number
N6274219R1304
Issued by

About this file

This memorandum requests contractor passes for access to Andersen Air Force Base in Guam to support Solicitation Number N6274219R1304 for the FY19 MCON Project P-735 Machine Gun Range. Specifically, the request is for 18 contractor personnel requiring base access from July 18, 2019 to July 18, 2020 between the hours of 8:00 and 13:00 daily. The solicitation seeks offers for the FY19 MCON Project P-735 Machine Gun Range at US Naval Support Activity Andersen Guam under the Department of the Navy Naval Facilities Engineering Command. Contractor personnel names, dates of birth, and social security numbers are provided in a sample III log format to facilitate security screening and issuance of passes for base access.

N6274219R1304_Contractor_Memo_IIILog.pdf

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Other files

File Type Posted
P-735_AMD6.pdf PDF
P-735_AMD5.pdf PDF
191304-AMD4.pdf PDF
P735_AMD3.pdf PDF
19R1304-AMD2.pdf PDF
19R1304-AMD1.pdf PDF
N6274219R1304_Foreign_National_Access_Req.pdf PDF
N6274219R1304_P735_Disc_Rel_Form.pdf PDF
N6274219R1304_Affidavit_BAL.pdf PDF

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Text version

Company Logo

TRACKING#

DATE:

Memorandum for 36 SFS/S5/VISITOR CONTROL CENTER

From: Company Name

Subject: Request for Contractor Pass RFP N62742-19-R-1304

1. The request if for Andersen Air Force Base access.

REQUESTED DATES

START: 18 JUL 2019

END: (max 1 year) 18 JUL 2019

DAYS (check all that apply)

□ Su □ Mo □ Tu □ We Th □ Fr □ Sa □ 24/7

TIMES ACCESS DAYS/TIMES

START: 0800

END: 1300

2. The request includes the following individuals. (See Attached Log Information). Individuals listed on the log will be issued a pass with the appropriate dates/times listed above.

3. If you have any questions or concerns, contact 123@email.com or 671-123-4567

///COMPANY REPRESENATIVE SIGNATURE///

CEO BULLDOSER INC.

Phone Number

///AUTHORIZED SIGNATURE///

CONTRACTING OFFICER

mailto:123@email.com

RN

REQUEST

TYPE

QH/QR

III REQUESTER

DATE OF

REQUEST

SUBJECT FBI DOB SSN

PUR

CODE C/

J/ F/ H/ D

SPECIFIC REASON FOR III

REQUEST LIST

ASSOCIATED

INVESTIGATION AND

INDICATE IF QUERY MADE

AT TIME OF ARREST

1 QH C MG-Base Access

2 QH C MG-Base Access

3 QH C MG-Base Access

4 QH C MG-Base Access

5 QH C MG-Base Access

6 QH C MG-Base Access

7 QH C MG-Base Access

8 QH C MG-Base Access

9 QH C MG-Base Access

10 QH C MG-Base Access

11 QH C MG-Base Access

12 QH C MG-Base Access

13 QH C MG-Base Access

14 QH C MG-Base Access

15 QH C MG-Base Access

16 QH C MG-Base Access

17 QH C MG-Base Access

18 QH C MG-Base Access

19 QH C MG-Base Access

20 QH C MG-Base Access

21 QH C MG-Base Access

22 QH C MG-Base Access

23 QH C MG-Base Access

24 QH C MG-Base Access

25 QH C MG-Base Access

26 QH C MG-Base Access

27 QH C MG-Base Access

28 QH C MG-Base Access

29 QH C MG-Base Access

30 QH C MG-Base Access

LAST, FIRST MI

1256740857A Typewritten Text

YYYY-MM-DD

1256740857A Typewritten Text 123-45-6789

1256740857A Typewritten Text

36 SFS / VCC Andersen AFB

Examples of III Logs

The only fields that need to be filled out are the Subject, DOB, and SSN

Format is key

◦ The Subject is Last Name, First Name

◦ The Subject’s should be A to Z

◦ The Date of Birth is YYYY-MM-DD (26 Feb 1988= 1988-02-26)

◦ The Social Security Number needs to be the full number

Don’t worry about how many personal you put on the form.

Even if its one person, Do Not change the format

Examples of incorrect III Logs

Do not fill in any of the other fields

Do not add anything to the document Only the Names, DOB, and SSN are needed

Format is key

◦ Keep the Subjects in alphabetical order

◦ Type the Subjects Last Name, First Name

◦ If They Have no SSN, Leave it Blank

◦ Do not give only the last 4 of their SSN

◦ Do not change the format of the dates

The Good

The Bad

Contact us at

• 366-5650/1/2/3

• 36sfs.vcc@us.af.mil

Check Box1: Yes
SUBJECTQH_11:
SUBJECTQH_10:
SUBJECTQH_9:
SUBJECTQH_8:
SUBJECTQH_7:
SUBJECTQH_6:
SUBJECTQH_5:
SUBJECTQH_4:
SUBJECTQH_3:
SUBJECTQH_2:
SUBJECTQH:
DOBQH_2:
DOBQH:
DOBQH_3:
DOBQH_4:
SUBJECTQH_14:
SUBJECTQH_13:
SUBJECTQH_12:
SSNQH:
SSNQH_2:
SSNQH_3:
DOBQH_5:
DOBQH_6:
DOBQH_7:
SUBJECTQH_15:
SSNQH_4:
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DOBQH_11:
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SUBJECTQH_20:
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DOBQH_18:
SUBJECTQH_26:
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DOBQH_29:
SSNQH_26:
DOBQH_30:
SSNQH_27:
SSNQH_28:
SSNQH_29:
SSNQH_30:

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