4_PRE-AUTHORIZED_PASS_REQ.PDF

PDF 718 KB Posted Jul 29, 2019

Attached to: FY20 MCON P-030 PIER 5 (BERTHS 2 & 3) YOKOSUKA, JAPAN
Solicitation number: N6274219R1315
Issued by: Department of the Navy Naval Facilities Engineering Command

About this file

Written by GovTribe AI · Dec 27, 2023

This document contains a solicitation for construction services to build a concrete fixed single deck pier at Fleet Activities Yokosuka in Japan. The Navy seeks to replace an existing floating pier with a new concrete deck and pile foundations, including fender system, mooring hardware, deck ramp and utility support crossing, mechanical and electrical systems, lighting, transformer substations, communication distribution, and risers. The estimated price range for the project is $125 to $250 million. Offerors must be registered on FBO and submit forms for base access by August 22nd to attend an optional pre-proposal site visit on September 23rd. The RFP will be available on FBO around August 16th. The tradeoff source selection process will consider experience, past performance, safety, and price factors of equal importance to past performance. The contract award will be made based on best overall value to the government.

From the source

RFP N62742-19-R-1315, Pre-Authorized Pass Request (Vehicle Pass)

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Other files

File	Type	Posted
2_PERSONAL_HISTORY_STMT.pdf	PDF	Jul 29, 2019
1_INSTALLATION_ACCESS_REQ_FORM.pdf	PDF	Jul 29, 2019
3_SECNAV5512_1.pdf	PDF	Jul 29, 2019

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PRE-AUTHORIZED PASS REQUEST FORM

DBIDS registration must be completed to request for a Pre-Authorized pass.

Date:

From:

Command

Official

From:

Requestor

Last Name First Name Middle Name

Unofficial

To: Industrial Security Office, Fleet Activities, Yokosuka

Subj: REQUEST FOR PRE-AUTHORIZATION PASS FOR GUEST TO ENTER FLEET ACTIVITIES, YOKOSUKA

Ref: (a) COMFLEACTYOKOSUKAINST 5530.6 series

Encl:

For Official

(1) Copy of Driver's License (if vehicle pass is required)

(2) Copy of Vehicle Title (if vehicle pass is required)

1. Per reference (a), it is requested that the guest(s) listed on back page be authorized entry to the base with an escort.

2. It will be one day visit for unofficial visits. I will constantly escort my guest while on-base.

3. I will ensure my guest complies with all rules and regulations established for Commander, Fleet Activities, Yokosuka installations.

4. I understand that lack of information could be denial of my request.

5. I understand that my DBIDS registration must be completed and updated.

REQUESTOR’S INFORMATION (If Unofficial) Requestor’s Command Address (Not mailing address)

Requestor’s Rate/Pay Grade Tel (Work) Tel (Home)

DATE/TIME

Overnight staying on base is prohibited. The longest term of official pass is 14 days, Unofficial is one day.

Date (From) Date (To) Time (From) Time (To)

GATE

◆Please pick one of the gates where you want to escort from./Commercial vehicles must enter from Womble gate.

Main Gate Pedestrian Lane Main Gate

Vehicle Lane Womble Gate Pedestrian Lane Womble Gate

Vehicle Lane Ikego

PURPOSE FOR VISIT (If Official)

POINT OF CONTACT (If Official) Name (Last) Name (First) Rank/Rate Tel

E-mail Address ✯ I understand I am responsible for the actions of the person above while on the base and for the return of the pass upon its expiration.

✯ I understand every guest must have one or a set of designated Identifications in order to access base.

I certify that I am authorized to sign on my command's behalf. (If Official)

Signature of Requestor/Command

Date:

From: Industrial Security Office, Fleet Activities, Yokosuka

To: Requester

1. Returned, approved / disapproved.

Signature

Submit this request to ISO at least 3 business days prior to the guest’s arrival!!!

UPON COMPLETION

FOR OFFICIAL USE ONLY – PRIVACY SENSITIVE

PRE-AUTHORIZED PASS REQUEST FORM

(CONSTANT ESCORT REQUIRED)

VISITOR DATA

◆The nations listed reference (b) are limited to enter base, please contact 243-5330/5125 for further information.

◆Unofficial request is up to ten guests. Official request is unlimited.

◆Private Organization is considered as Unofficial.

No. Last Name First Name Date of birth Nationality

U n o fficial G u ests L im it

U n lim ited fo r O fficial G u ests

VEHICLE DATA (Only for Official)

◆Copy of car title and driver’s license must be attached with this request ◆Driver’s Name must be on VISITOR DATA List also.

No. Vehicle Plate Number Driver’s Name

O n ly fo r O fficial

Submit this request to ISO at least 3 business days prior to the guest’s arrival!!!

UPON COMPLETION

FOR OFFICIAL USE ONLY – PRIVACY SENSITIVE

Official:

Main Gate: Off

Main Gate_2: Off

Womble Gate: Off

Womble Gate_2: Off

Ikego: Off

Last Name1:

First Name1:

Date of birth1:

Nationality1:

Last Name2:

First Name2:

Date of birth2:

Nationality2:

Last Name3:

First Name3:

Date of birth3:

Nationality3:

Last Name4:

First Name4:

Date of birth4:

Nationality4:

Last Name5:

First Name5:

Date of birth5:

Nationality5:

Last Name6:

First Name6:

Date of birth6:

Nationality6:

Last Name7:

First Name7:

Date of birth7:

Nationality7:

Last Name8:

First Name8:

Date of birth8:

Nationality8:

Last Name9:

First Name9:

Date of birth9:

Nationality9:

Last Name10:

First Name10:

Date of birth10:

Nationality10:

Last Name11:

First Name11:

Date of birth11:

Nationality11:

Last Name12:

First Name12:

Date of birth12:

Nationality12:

Last Name13:

First Name13:

Date of birth13:

Nationality13:

Last Name14:

First Name14:

Date of birth14:

Nationality14:

Last Name15:

First Name15:

Date of birth15:

Nationality15:

Last Name16:

First Name16:

Date of birth16:

Nationality16:

Last Name17:

First Name17:

Date of birth17:

Nationality17:

Last Name18:

First Name18:

Date of birth18:

Nationality18:

Last Name19:

First Name19:

Date of birth19:

Nationality19:

Last Name20:

First Name20:

Date of birth20:

Nationality20:

Last Name21:

First Name21:

Date of birth21:

Nationality21:

Last Name22:

First Name22:

Date of birth22:

Nationality22:

Last Name23:

First Name23:

Date of birth23:

Nationality23:

Last Name24:

First Name24:

Date of birth24:

Nationality24:

Last Name25:

First Name25:

Date of birth25:

Nationality25:

VEHICLE DATA Only for Official:

Copy of car title and drivers license must be attached with this request Drivers Name must be on VISITOR DATA List alsoRow1:

Vehicle Plate Number1:

Drivers Name1:

Vehicle Plate Number2:

Drivers Name2:

Vehicle Plate Number3:

Drivers Name3:

Vehicle Plate Number4:

Drivers Name4:

Vehicle Plate Number5:

Drivers Name5:

Vehicle Plate Number6:

Drivers Name6:

LAST NAME SPONSOR:

First Name Sponsor:

Middle Name Sponsor:

Req COMMAND:

ADDRESS Sponsor:

SPONSOR PHONE W:

SPONSOR RANK:

SPONSOR PHONE H:

DATE FORM:

DATE TO:

TIME FROM:

TIME TO:

PURPOSE FOR VISIT If OfficialRow1:

POC FIRST:

POC LAST:

SP_RATE:

SP_RANK:

SP_TELL:

e-mail address:

File details come from the government source that posted it. Updated Dec 27, 2023.