RFP Atch 5 - Base Pass Template.pdf
PDF 369 KB Posted
- Attached to
- Simplified Acquisition of Base Engineering Requirements (SABER) Federal contract opportunity
- Solicitation number
- FA4830-23-R-0001
About this file
This document is a template for requesting installation access passes to Moody Air Force Base in Georgia. The template collects information about contractors such as full name, organization or company, social security number or date of birth, and sponsor details including rank, name, duty title, email, and phone number. It also records the contract number, prime contractor name, duration of the pass, and purpose of the contract. The related federal contract opportunity is solicitation FA4830-23-R-0001 for the Simplified Acquisition of Base Engineering Requirements issued by the Department of the Air Force Air Combat Command.
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Text version
FOR OFFICIAL USE ONLY
DEPARTMENT OF THE AIR FORCE
23D CONTRACTING SQUADRON (ACC)
MOODY AIR FORCE BASE GEORGIA
Attack ∙ Rescue ∙ Prevail The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1996 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties
MEMORANDUM FOR 23 SFS/SFOXI
FROM: 23 CONS
SUBJECT: Request for Installation Access Personnel Pass
1. Request pass for the following person(s) to Moody AFB:
2. If you have any questions or concerns, please contact the undersigned:
Contract Number:
Prime Contractor:
Duration of Pass:
(NTE 1 Year)
Purpose:
Full Name Organization/CompanySSN/DOB*
*Write N/A if contractor declined to provide information. Be advised that SSN/DOB information is required for base access.
Security Forces will ask for it at the Visitor's Center if not detailed in this form.
Sponsor Info: Rank, Name; Duty Title; Email; Duty Phone
| Date1_af_date: |
| Contract #: |
| Contractor Name: |
| Duartion of Pass: |
| Contract Purpose: |
| FullName1: |
| FullName2: |
| FullName3: |
| FullName4: |
| FullName5: |
| SSNDOB1: |
| SSNDOB2: |
| SSNDOB3: |
| SSNDOB4: |
| SSNDOB5: |
| Org1: |
| Org2: |
| Org3: |
| Org4: |
| Org5: |
| SponsorInfo: |
| Clear Form: |
File details come from the government source that posted it. Updated .