SOW Att 01_Appointment of Security Representative Template 496.docx
DOCX document 101 KB Posted
- Solicitation number
- FA813726R0026
About this file
This is a template memorandum for appointing security representatives for contractor personnel at Tinker Air Force Base. The document serves as a formal designation letter from the 72 ABW/CENM (Company Name) to the 72 Security Forces Visitor Control Center, establishing authorized personnel who are permitted to sign AFMC Form 496 as requesting officials, designate sponsorship, and escort other individuals without requiring a DD Form 577 on file. The memorandum includes designated fields for contractor rank, name, and signature of security representatives, along with the contract number and validity period (from and to dates). The letter is directed to the 72 Security Forces Visitor Control Center and copied to the 72 ABW/CEEN/CEED office and AFSC/PZIOC, with instructions to contact the Government COR (Contracting Officer's Representative) or Discipline Engineer at the 72d Civil Engineering Directorate for any questions. This template is intended for use in conjunction with the WWYK250063 solicitation for the installation of a REACT VII facility at Building 9001 at Tinker Air Force Base, Oklahoma, which is restricted to SBA Certified Women Owned Small Businesses (WOSB).
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Text version
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS 72 AIR BASE WING (AFMC)
TINKER AIR FORCE BASE OKLAHOMA
MEMORANDUM FOR 72 SECURITY FORCES VISITOR CONTROL CENTER
FROM: 72 ABW/CENM – Company Name
SUBJECT: Appointment of Security Representatives
1. The listed personnel below are hereby designated as Security Representatives for COMPANY, contract #XXXXXXXXXXXXXX, valid from DD MMM YYYY to DD MMM YYYY; they are authorized to sign AFMC Form 496 as requesting officials/designate sponsorship/escorts and will not require a DD Form 577 on file.
| P/A |
| Rank/Last, First MI |
| SIGNATURE |
| P |
| LAST, FIRST M. |
| A |
| LAST, FIRST M. |
| A |
| LAST, FIRST M. |
| A |
| LAST, FIRST M. |
| A |
| LAST, FIRST M. |
2. This letter supersedes all previous letters, same subject. If you have any questions, please contact Government POC/COR at phone number.
| COR NAME |
| Discipline Engineer/COR |
| 72d Civil Engineering Directorate |
cc:
72ABW/CEEN/CEED (Tepa Companies)
AFSC/PZIOC
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File details come from the government source that posted it. Updated .