SOW Exhibit B.xlsx
XLSX spreadsheet 38 KB Posted
- Solicitation number
- 20155092
About this file
This file is a CBP Contractor Information Sheet template used for short-term visitor access to U.S. Customs and Border Protection facilities. The form serves as a security vetting document that must be submitted 72 hours prior to any visitor arrival to the Office of Professional Responsibility via email to SMDSECURITYSERVICESBRANCH@cbp.dhs.gov or fax to 202-344-1860. The template collects contractor company information, CBP location details, points of contact for both the contracting company and on-site personnel, and comprehensive visitor information including names, dates of birth, citizenship status, place of birth, occupation, address, and identification documents (visa, passport, driver's license, and Social Security number).
The form accommodates up to 80 visitors and establishes mandatory security protocols requiring all visitors to present U.S. Government-issued photo identification, check in and out at the Security Desk, and maintain constant escort by a designated DHS/CBP employee. Escort requirements are established at a ratio of one escort per four visitors (1-4 visitors) or one-to-one escort depending on vetting status. The form includes a Privacy Act Notice citing Public Law 93-579, indicating that failure to provide required information may result in access denial. Any unescorted visitors found in CBP space will be immediately reported to security and removed from the facility.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2 - SOW Dog Procurement -Detection.docx | DOCX document | |
| SOW Exhibit A.pdf | ||
| Attachment 1 - Provisions and Clauses.docx | DOCX document | |
| Attachment 3 -Canine Proposal.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 #
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7 |
| 8 |
| 39 |
| 40 |
| 41 |
| 42 |
| 43 |
| 44 |
| 45 |
| 46 |
| 47 |
| 48 |
| 49 |
| 50 |
| 51 |
| 52 |
| 53 |
| 54 |
| 55 |
| 56 |
| 57 |
| 58 |
| 59 |
| 60 |
| 61 |
| 62 |
| 63 |
| 64 |
| 65 |
| 66 |
| 67 |
| 68 |
| 69 |
| 70 |
| 71 |
| 72 |
| 73 |
| 74 |
| 75 |
| 76 |
| 77 |
| 78 |
| 79 |
| 80 |
| 81 |
| 82 |
| 83 |
| 84 |
| 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.
image1.png
File details come from the government source that posted it. Updated .