P-693-SV4_Foreign National Access Request Form.pdf
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- Solicitation number
- N6274225R1301
About this file
This document is a Foreign National Access Request Form for the federal contract opportunity titled "FY25 MCON P-693 PDI: GUAM DEFENSE SYSTEM, COMMAND CENTER, JOINT REGION MARIANAS, GUAM". The contract opportunity is a pre-solicitation for the design-bid-build construction of a Guam Defense Radar System Command Center, power generation facility, and associated infrastructure. The project is estimated to cost between $250 million and $500 million and has a contract completion period of 1,323 calendar days. The contract will be awarded on a best-value trade-off basis, with technical factors equal in importance to past performance and slightly more important than price. Key technical factors include experience, small business utilization, safety, management plan, and past performance. The Request for Proposal will be available on or around October 30, 2024, and a pre-proposal site visit is scheduled for December 11, 2024. The contracting agency is the Department of the Navy Naval Facilities Engineering Command.
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Text version
Contractor Request
_________________PROJECT COORDINATOR CONTRACTING OFFICER
First Name
Last Name:
Contact Phone Number:
Email Address:
Organization:
Visitor’s intended location on Andersen:
Visitor 1 Visitor 2 Visitor 3 Visitor 4 First Name:
Last Name:
Date of Birth:
DD / MMM / YYYY
DD / MMM / YYYY
DD / MMM / YYYY
DD / MMM / YYYY
Country of Citizenship:
Identification Type
[] Passport [] I-94 [] U.S. Visa [] Other:___________
[] Passport [] I-94 [] U.S. Visa [] Other:___________
[] Passport [] I-94 [] U.S. Visa [] Other:___________
[] Passport [] I-94 [] U.S. Visa [] Other:___________
Occupation:
Place of Employment:
Relationship to Escort:
How long is your stay on Andersen AFB?
From:________/________/________
DD MMM YYYY
To:________/_________/_________
DD MMM YYYY
From:________/________/________
DD MMM YYYY
To:________/_________/_________
DD MMM YYYY
From:________/________/________
DD MMM YYYY
To:________/_________/_________
DD MMM YYYY
From:________/________/________
DD MMM YYYY
To:________/_________/_________
DD MMM YYYY
Purpose of visit to Andersen?
Address while on Guam:
Street
_________________________,, Guam _______ City Zip
Street
_________________________,, Guam _______ City Zip
Street
_________________________,, Guam _______ City Zip
Street
_________________________,, Guam _______ City Zip
PRIVACY ACT STATEMENT: AUTHORITY: Title 5 USC Section 301, Departmental Regulation Principle Purpose: To record personal information and determine access to the installation ROUTINE PURPOSE: To request and record the issuance of a Visitor Pass when the use of another form is not authorized or specified. Failure to provide any information requested may result in non-issuance of the Visitor Pass. Disclosure of information is voluntary acceptance of these terms constitutes approval for a background check to be conducted as part of the request approval process. The information is necessary for validation of identity and determination of entry eligibility on to Andersen Air Force Base. Failure to provide this information may result in non-issuance determination by the issuing authority.
File details come from the government source that posted it. Updated .