Exhibit E AMAG Form v2.xls
XLS spreadsheet 36 KB Posted
- Solicitation number
- N69450-20-R-0006
About this file
This document contains an exhibit form for access management at Naval Air Station Jacksonville and details of a related federal contract opportunity. The exhibit form requires information for processing visitor passes, including name, citizenship status, company affiliation, driver's license number, address, dates of visit, and signature. It specifies the purpose is to identify all personnel accessing the military base and comply with security and administrative measures.
The related federal contract opportunity is a solicitation for an Indefinite Delivery Indefinite Quantity (IDIQ) 8(a) Firm Fixed Price multiple award construction contract at Naval Air Station Fort Worth Joint Reserve Base in Texas. Work will primarily be performed at NAS Fort Worth JRB but may also be required at other areas managed by NAVFAC SE. The North American Industry Classification System code is 236220 for commercial and institutional building construction, and the small business size standard is $39.5M. The solicitation is being issued as an 8(a) small business set-aside by the Department of the Navy's Naval Facilities Engineering Command.
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Text version
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: Amy Zobel/Yaritza Acton | ||
| PHONE NUMBER: 904-542-6687/904-542-6667 | ||
| Purpose of Pass: Deliver Proposal for RFP N69450-19-R-0505 | ||
| 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 .