SOW Exhibit B.xlsx
XLSX spreadsheet 38 KB Posted
- Attached to
- Support K9 for BPK9
- Solicitation number
- 20156914
About this file
This is a Contractor Information Sheet template used by U.S. Customs and Border Protection (CBP) for visitor access control and security vetting purposes. The form serves as an exhibit to a Statement of Work and is not directly related to the procurement of support canines referenced in the associated federal contract opportunity.
The template is designed for short-term contractors and visitors requiring access to CBP facilities. It requires submission 72 hours prior to visitor arrival and must be submitted to the Office of Professional Responsibility via email (SMDSECURITYSERVICESBRANCH@cbp.dhs.gov) or fax (202-344-1860). The form collects comprehensive personal identification information including full name, date of birth, U.S. citizenship status, passport and visa details, social security number, and driver's license information for up to 80 individuals. Key operational requirements include mandatory presentation of U.S. Government-issued photo identification upon arrival, visitor check-in and check-out at the Security Desk, and constant escort by CBP employees at a ratio of one escort per four visitors (or one-to-one depending on vetting status). Any unescorted visitors found in CBP space will be immediately removed. The submission is governed under the Privacy Act of 1974 and serves as a prerequisite security clearance mechanism for limited authorized facility access.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 SOW K9 Procurement -Support Canine FY26.pdf | ||
| SOW Exhibit A.pdf | ||
| Attachment 2 -Canine Proposal.xlsx | XLSX spreadsheet |
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Text version
Short Term Contractors Template
| CBP Contractor Information Sheet | |
| Date Submitted: | From: |
| Contract Company Information | CBP Agency Information |
| Contract Company Name | CBP Location Address (Location, Building, Floor, Room #) |
Contract Company Address Visitor Escort Full Name (DHS/CBP Employee Only)
Contract Company POC (First & Last Name) Phone Number Email
On Site Contractor POC (First & Last Name) Phone Number Phone Office Mobile Office
| Date(s) and | |||||
| Time(s) of Visit | From Date | Time | To Date | Time |
| Purpose of Visit: | ||||||||||||||||||
| Provide all below information | ||||||||||||||||||
| # | Last Name(s) | First Name | Middle Name | DOB MM/DD/YYYY | U.S. Citizen (Y/N) | POB (City, State/ Country) | Occupation | Address | A Number | Exp Date | Visa Number | Exp Date | Passport Country | Passport # | Exp Date | Social Security Number | DL State Issued | Drivers |
License #
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| SUBMISSION: The Office of Professional Responsibility requires a mandatory submission of 72 hours prior to arrival of visitor(s) in order for any visitor to be considered for approval. Email request to SMDSECURITYSERVICESBRANCH@cbp.dhs.gov or fax to the Office of Professional Responsibility, ATTN: Security Management Division at 202-344-1860. |
NOTICE: All visitors must present a U.S. Government issued Photo Identification Card. All visitors must check in at the Security Desk upon arrival and check out at the desk upon departure. Visitor escorts are responsible for constant escort of visitors. The designated escort must accompany visitors at all times, to include returning visitors back to the front desk upon departure. Any visitors found in U.S. Customs and Border Protection space without an escort will be immediately reported to security and escortedout of CBP space. One escort must be provided for every four visitors (1-4), depending on Vetting status one escort may be required for evey person (1-1).
PRIVACY ACT NOTICE: This information is provided to PL 93-579 (Privacy Act of 1974). The purpose of this document is provide information necessary for a minimum security check prior tolimited authorized access to U.S. Customs and Border Protection facility. Failure to provide this information may result in denial of access.
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