N6945022R0062_AMAG Form.xls
XLS spreadsheet 30 KB Posted
- Attached to
- GROUNDS MAINTENANCE AND LANDSCAPING SERVICES AT NAVAL AIR STATION MERIDIAN, MISSISSIPPI AND OUTLYING AREAS
- Solicitation number
- N6945022R0062
About this file
This document contains an AMAG access management system form and information on a related federal contract opportunity for grounds maintenance and landscaping services. The AMAG form requests personal information such as name, citizenship status, driver's license number, and contact details to facilitate access to Naval Air Station Jacksonville. It specifies a maximum 30-day pass duration and notes the form is for official use only.
The related federal contract opportunity is solicitation number N6945022R0062 for ongoing grounds maintenance and landscaping services at Naval Air Station Meridian, Mississippi and surrounding areas. The services are to be provided under Sub-annex 1503050 and the contracting agency is the Department of the Navy 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: | ||
| PHONE NUMBER: | ||
| Purpose of Pass: | ||
| 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 .