SFS FORM 30.pdf

PDF 178 KB Posted

Attached to
Maintain Airfield Markings and Rubber Removal Federal contract opportunity
Solicitation number
FA489720B0002
Issued by
Department of the Air Force Air Combat Command

About this file

This solicitation is for construction services to maintain airfield markings and remove rubber at Mountain Home Air Force Base in Idaho. The North American Industry Classification System code for this project is 23710, with a size standard of $36.5 million. The period of performance is 120 calendar days, and the project magnitude is between $250,000 and $500,000. Interested parties must be registered in the System for Award Management. A site visit will be held on July 7, 2020 at 10:00 am MST. Contractors needing base access must submit SFS Form 30 by June 29, 2020. Bids are due by July 20, 2020 at 11:59 pm MST via email. The government intends to award a firm-fixed price contract to the responsible bidder with the lowest price meeting requirements. Price will be evaluated based on the total for all line items delivered to the specified destination.

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Text version

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FOR OFFICIAL USE ONLY

MEMORANDUM FOR 366 FW/A7SB

FROM:

**VOID AFTER**

** 45 DAYS **

SUBJECT: Request for Installation Entry Pass (366 SFS Form 30)

1. The following individual is requesting issuance of a Base Access Pass for the reason/time period listed. This letter is submitted IAW the 366 FW/Installation Defense Instruction.

TYPE/FILL OUT LEGIBLY OR APPLICATION WILL NOT BE PROCESSED

APPLICATION MUST BE FILED TWO WEEKS IN ADVANCE OF NEEDING BASE ACCESS

1. FULL LEGAL NAME (FIRST, FULL MIDDLE NAME, LAST) 2. GENDER

M F

3. SSAN 4. DATE OF BIRTH (YYYY/MM/DD)

5. DRIVERS LICENSE NUMBER (OR PASSPORT NUMBER) 6. STATE 7. CONTRACT NUMBER

8. CONTRACT DATES / DATES OF VISIT 9. DUTY HOURS 10. DAYS REQUIRED (i.e. M/W/F)

Su M Tu W Th F Sa

11. EMPLOYED BY / SPONSORS NAME & EMAIL ADDRESS 12. SPONSOR’S PHONE #

2. Does the contractor require access to classified material: YES NO

3. Individual listed has been informed a background and local files check will be conducted. The individual has been informed that disclosure of the above information is voluntary; however, failure to do so could result in the individual being denied access to the installation.

Authenticated on by

(Date)

(Signature)

1st Ind, 366 FW/A7SB

MEMORANDUM FOR:

Approved/Disapproved

(Printed name & grade) 366 FW/A7SB

PRIVACY ACT STATEMENT: Authority: 50 U.S.C 797 and DOD Directive 5400 B

PRINCIPAL PURPOSES: To identify personnel requesting unescorted entry on to MHAFB who are Official Business Guests/

Students/Visitors/Houseguests/Designated Agents/MHSD Employees/FW-CC Sponsored Guests. ROUTINE USES: Information will be used to conduct a wants and warrants, criminal history check through the Air Force Law Enforcement Terminal System (AFLETS) and the local files check at the security police reports and analysis section (366 FW/A7SR).

DISCLOSURE IS VOLUNTARY: Failure to provide the information could result in the individual being denied base access. This letter of request will be sent to 366 FW/A7SB two weeks prior to the date the individual concerned requires the pass. 366 SFS FORM 30, Dec 2012

DISPOSITION: This document is for official use only once completed; if this document is no longer in use shred it for protection of the contents.

FOR OFFICIAL USE ONLY

I_________ A_________ S_________ L_________

Text1: FAS/PKB
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Check Box19: Off
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Text26: / Taylor Kanthack taylor.kanthack@us.af.mil
Text27: 2088281810
Group28: Choice2
Group1: Choice1
Text7: Taylor Kanthack

USAF/GS-11/208-828-1810

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