RSA Badge Request Form Blank.pdf

PDF 139 KB Posted

Attached to
Practical Problem Venues (PPV) Project Sources Sought
Solicitation number
15F06725S12000000001
Issued by

About this file

This document is a Request for Sources Sought notice for a federal construction contract opportunity from the Federal Bureau of Investigation (FBI) at the Redstone Arsenal Field Office. The FBI is seeking to identify potential firms capable of performing construction services, including a mix of design-bid-build and design-build work, for a project known as the Practical Problem Venues (PPV) project. The project is anticipated to exceed the threshold for requiring a Project Labor Agreement under Executive Order 14063. The FBI is holding an industry day on October 29, 2024, at Redstone Arsenal, AL to provide an overview of the project and obtain industry feedback. Interested firms are required to submit responses by 3:00 PM Central on October 31, 2024, and must include completed security forms. The FBI is seeking to understand the market's capability and interest in this requirement, as well as the potential impact of the Project Labor Agreement on project costs.

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Text version

FBI Base Access Form

REV 1, 31 OCT 16

Form Provided by FBIHQ OSO Security

PLEASE PRINT LEGIBLY

CLASS NO: (If Applicable)

ORGANIZATION:

OFFICE SYMBOL: (If

Applicable)

SOCIAL SECURITY NUMBER:

(REQUIRED FOR ACCESS)

LAST

NAME:

FIRST

NAME:

MIDDLE

NAME:

PERSON TYPE

(CONTRACTOR, ETC)

CLEARANCE:

GRADE/RANK:

POSITION TITLE

PRIMARY CITIZENSHIP: DUAL CITIZENSHIP:

HAIR COLOR

EYE COLOR

HEIGHT (IN)

WEIGHT (LBS)

DATE OF BIRTH

(D/M/Y)

SEX

RACE

BIRTHPLACE

EMAIL ADDRESS:

DATE OF ARRIVAL:

DATE OF DEPARTURE:

HOME ADDRESS:

HOME PHONE:

CITY:

STATE:

ZIP:

SECURITY BADGE REQUEST

SCAN COMPLETED FORM TO HQ_DIV11_RSVS@fbi.gov

NOTES:

1. Bring your vehicle registration if you are driving.

2. Bring proof of insurance or department proof of liability, if applicable.

3. Bring driver’s license and credentials.

4. When you arrive at Gate 9 or Gate 1 your driver’s license will be entered into the system to pull your data – your photograph will be taken and you will be issued a badge and vehicle pass, if applicable.

File details come from the government source that posted it. Updated .