NSSC Contractor Access Request Form.pdf

Site-Visit

A site-visit will be held on Monday 20 November 2023 at 11:00 am EST. All parties shall meet in the 1st Floor lobby of Building 1, Natick Soldier Systems Center (NSSC), 10 General Greene Avenue, Natick, MA 01760. The purpose of the site-visit is to review contract requirements and view the areas where the proposed work is to be done so that the full scope of the project can be understood. Interested parties shall fill out the NSSC Contractor Access Request Form (included in this attachment) and e-mail as instructed on page 2 of the request form. Make sure to Cc Mr. Chris Welsh at Richard.c.welsh2.civ@army.mil and Mr. Brandon Rivett at brandon.j.rivett.civ@army.mil in your request email. Requests must be received by USAG Natick Police prior to 11:00 am EST, Friday 17 November 2023 of intent to attend the site visit. Please also include your Company’s CAGE Code in the e-mail. Please allow for up to two

(2) hours to get through the Security Entrance Gate.

FOUO

In compliance with the Privacy Act of 1974, this information is Personal Data and must be protected from disclosure.

USAG Form 402

NSSC Contractor Access Request Form

Company Name: __________________________ Bldg/Area working:____________________ NSSC Point of Contact (POC): Chris Welsh POC Phone #: 508-206-2088

Last Name First Name Date of

Birth State ID or Drivers

License #

DL

State Current Address States Resided In

During Past 5 Years

Per U.S. Army Directive-Type Memorandum (DTM) 09-012, all of the above information is required for unescorted access. The POC will only be notified if the visitor is not authorized entry onto the installation.

FOUO

In compliance with the Privacy Act of 1974, this information is Personal Data and must be protected from disclosure.

USAG Form 402

All U.S. visitors 18 years of age and older must be vetted prior to entry to NSSC. Foreign visitors (both official and unofficial) must be vetted through the appropriate Foreign Disclosure Officer based on the organization he/she is coming to see.

To protect PII, there are two methods of submitting this form. This form can be emailed encrypted to “USARMY Natick SSC IMCOM List NATI-PoliceVistorAccess-SSC” at email address usarmy.natick.id-training.list.nati-policevistoraccess-ssc@army.mil. Alternatively, this form can be faxed to (508) 206-4009.

Requests must be received by USAG Natick Police at least 24 hours prior to the visitor’s arrival. Upon successful vetting, the visitor will be added to the Daily Access Roster for the date of the visit. The Daily Access Roster is maintained at the Main Gate.

If a visitor has been vetted within the last 90 days, their information will be on the appropriate Visitor Access Roster. For those personnel not on the Visitor Access Roster or who have recently expired, then send an email request to the above address at least 24 hours prior to the visitor’s arrival. Include the visitor’s full name, date of visit, time of visit and POC.

If a visitor has derogatory information found when vetted, a call will go to the POC only and not allowed on Installation.

Contact the USAG Natick Police Desk at 508-206-4007, to verify whether or not a visitor has been vetted within the last 90 days.

Please direct any questions regarding this process to the USAG Natick Police Desk at 508-206-4007.

Note: If individual has been denied access a Waiver Request and instructions can be obtained from USAG Natick Police Desk.