Exhibit_E_AMAG_Form.xls
XLS spreadsheet 37 KB Posted
- Solicitation number
- N6945020R0005
About this file
This document contains an exhibit form for access management at Naval Air Station Jacksonville and information on a related federal contract opportunity. The exhibit form requests information such as name, citizenship status, company affiliation, driver's license number, contact details, purpose and dates of visit for issuing a pass to deliver a proposal in response to solicitation N6945020R0005. This solicitation is for design-build and design-bid-build indefinite delivery indefinite quantity multiple award construction contracts for Naval Submarine Base Kings Bay, Georgia. Work may include areas managed by Naval Facilities Engineering Command Southeast as approved. This is set aside for service-disabled veteran-owned small businesses with a NAICS code of 236220 and small business size standard of $39.5 million.
EXHIBIT E AMAG
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Sheet1
| AMAG | ||
| Access Management System | ||
| This information will be entered into AMAG in preparation for your arrival - passes picked up at BLDG. 9. | ||
| "FOR OFFICIAL USE ONLY" | ||
| Last Name: | First Name (no nicknames): | Middle Name (mandatory): |
| Are you a US Citizen? | Card Number | |
| 5425841 (leave # in here) | ||
| Company Name: | Drivers License No: | Telephone number |
| Home Address: | ||
| City: | State: | Zip Code: |
| NAVFAC SE CIVILIAN SPONSOR: Yaritza Acton | ||
| PHONE NUMBER: 904-542-6667 | ||
| Purpose of Pass: Deliver Proposal for RFP N69450-20-R-0005 | ||
| Start Date: | End Date: | |
| ***Maximum of 30 days | ||
| SIGNATURE:____________________________ DATE:_____________ | ||
| ***Typed name in Signature line will suffice*** | ||
| Authority: 5 U.S.C. 522A, and Privacy Act of 1974 | ||
| Principle Purpose: To readily identify all personnel via numerical system of records that list individuals who are | ||
| allowed to access the military reservation, known as Naval Air Station, Jacksonville in furtherance of the stations | ||
| mission; and to comply verify and update the stations authorized user list in support of administrative and security | ||
| measures. | ||
| Routine Uses: To numerically identify and account for persons aboard Naval Air Station Jacksonville, their | ||
| entrance, exit and authorized locations. | ||
| "For Official Use Only" | ||
| Revised: November 14, 2012 |
Sheet2
Sheet3
File details come from the government source that posted it. Updated .