ATT_11_KF_docs.pdf

PDF 1015 KB Posted Aug 17, 2018

Attached to: Hazardous Waste Removal and Disposal Joint Base Lewis-McChord
Solicitation number: SP4500-18-R-0006
Issued by: Defense Logistics Agency Disposition Services

About this file

Written by GovTribe AI · Dec 30, 2023

This document provides instructions for contractors to obtain base access at Kingsley Field in Oregon in order to perform work for the Air National Guard. It outlines the requirements and process for submitting a police background check, valid identification, and completion of anti-terrorism training. Contractors must allow one to two weeks for vetting and will receive a base access identification card upon approval. The document specifies contact information for the civil engineering office to coordinate all base access and provides a form for contractors to submit relevant details, such as company information, project details, and team members requiring access. It also includes guidance on complying with the Real ID Act and lists acceptable forms of identification for various states. Annual renewal of the anti-terrorism training is required along with returning identification cards when base access is no longer needed or credentials expire.

This notice announces an upcoming solicitation for hazardous waste removal, transportation and disposal services at Department of Defense installations across Washington and Oregon, including Joint Base Lewis-McChord and Fairchild Air Force Base. The solicitation will be issued within two to three weeks and remain open for bidding for 30 days. Questions must be received within 14 days of issuance. Services will include management, lab packing, analysis, container and tank cleaning for over 680 contract line items covering waste streams such as batteries, corrosives, compressed gas and recycling. The base contract period is 30 months with an option to extend an additional 30 months. The Defense Logistics Agency Disposition Services will oversee the contract.

From the source

Attachment 11: Kingsley Field

View the file

Other files

File	Type	Posted
SF30_SP450018R00060002.pdf	PDF	Sep 14, 2018
SF30_SP450018R00060001.pdf	PDF	Sep 10, 2018
Attachment_List_for_18R6.pdf	PDF	Aug 23, 2018
ATT_2_Facility_Assignment.xlsx	XLSX spreadsheet	Aug 17, 2018
ATT_9_PPI__Offeror_Questionnaire.pdf	PDF	Aug 17, 2018
ATT_5_WD_7-3-18.pdf	PDF	Aug 17, 2018
ATT_10_ACRONYMS.docx	DOCX document	Aug 17, 2018
ATT_13_Order_history.pdf	PDF	Aug 17, 2018
SF1449_SP450018R0006.pdf	PDF	Aug 17, 2018
ATT_14_APLs.pdf	PDF	Aug 17, 2018
ATT_12_PUP_JBLM.xlsx	XLSX spreadsheet	Aug 17, 2018
Attachment_List_for_18R6.pdf	PDF	Aug 17, 2018
ATT_1_Schedule_JBLM.xlsx	XLSX spreadsheet	Aug 17, 2018

Show all 13

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

173d Civil Engineer Flight Admin Office

Oregon Air National Guard

541-885-6348 or 885-6368

Revised August 8, 2017

INFORMATION FOR KINGSLEY FIELD BASE ACCESS

PLEASE READ INSTRUCTIONS CAREFULLY

For base access to Kingsley Field, we need the following items:

1. A completed DD369 form (Police Record Check) FORMS MUST BE FILLED OUT LEGIBLE OR WILL NOT BE ACCEPTED

2. Photocopy of current driver’s license or state I.D. card

3. If your I.D. was issued in a state that does not comply with the Real ID Act you will need to provide an extra form of ID. (Passport, military ID, etc.- Please see attachment titled “Real ID Act” for state listings and more information)

4. Anti-Terrorism Training certificate showing that you have completed the AT Level 1 course (must be done annually)

5. This form (form-1) needs to be completed. If you are submitting paperwork for more than one person, list them all on this form. You don’t have to fill one out for each individual. You can also use this for more than one project; just list them all on this form.

Please allow sufficient time for processing before you expect to start work. It can take ONE to TWO WEEKS for the vetting process. Once you have been cleared for base access by Security Forces and have completed the Anti-terrorism training, you will be eligible to receive an identification card or pass. All Base Access is coordinated through

Civil Engineering (Anna Harsch) NOT THROUGH SECURITY FORCES.

ANTI-TERRORISM TRAINING: Training can be accomplished by going to this link https://jkodirect.jten.mil/ OR by attending training at Security Forces Bldg 172.

For in-person training on base, you must contact Anna Harsch 541-885-6368 to set up an appointment. Appointments will be Tuesday-Thursday 8am-11am. A list of the individuals that will be attending the training on base training will need to be provided. Once list is provided and the police background check have been submitted and approved for base access, contractors will meet an escort at the appointment time scheduled at the main/south gate. From there the escort will take you to Security Forces for the training.

Please arrive early to allow gate inspection. The anti-terrorism training must be completed annually.

You must return all Kingsley Field ID cards or passes to the Civil Engineer Admin Office or Security Forces when the project is complete, you no longer require base access, or your identification card has expired.

Return all forms to Anna Harsch. Email: anna.m.harsch2.nfg@mail.mil Fax: 541-885-6195

Phone: 541-885-6348 Mailing address: 173 CEF/CEA, Kingsley Field, 211 Arnold Ave., Suite16, Klamath Falls OR 97603

Please complete the following:

CONTACT NAME & NUMBER FOR VETTING RESULTS_________________________________________________________________________________________

COMPANY NAME: ____________________________________________________ PHONE _____________________________________________________________

PROJECT SUPERVISOR: ______________________________________CELL PHONE: _________________________________________________________________

PROJECT NAME OR REASON FOR REQUESTING BASE ACCESS: ________________________________________________________________________________

DATES NEEDED FOR BASE ACCESS: YYYY/MM/DD to YYYY/MM/DD: __________________________________________________________________________

CIVIL ENGINEER PROJECT MANAGER (circle one): Lt Col Troy Poorman/ Lt Oscar Ayala/ TSgt John Williams (venders)/ Dave Mauch/ Pat Walsh/Don Mills —other (please list):__________________________ continue to next page https://jkodirect.jten.mil/ mailto:anna.m.harsch2.nfg@mail.mil

This form contains For Official Use Only (FOUO) information which must be protected under The Privacy Act and AFI 33-332

NAME AND DRIVER’S LICENSE# DATES NEEDED FOR BASE ACCESS

POSITION TITLE AND STATE (list only if dates are different from listed on form 1)

PLEASE CHECK SITE FOR UPDATES: https://WWW.dhs.gov/

REAL ID ACT

As of March 2018 all states are in compliant or has an extension for Real ID enforcement.

The Deadline for the Real ID Act is ending this year for all states that are not in fully compliance. Review the DHS web site located at https://WWW.dhs.gov/ for more updated information.

1. The below listed states meet the requirements of the Real ID ACT. Driver’s license and or state issued Identification Cards can be used as proof of identification, and vetting.

Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Indiana, Iowa, Kanas, Nebraska, Maryland, Mississippi, Nevada, Ohio, South Dakota, Tennessee, Utah, Vermont, West Virginia, Wisconsin, Wyoming, District of Columbia.

2. The following states/Territories have been provided a grace period by DHS before REAL ID enforcement begins, allowing federal agencies to accept driver’s licenses from these states/territories through 10 July 2018. Drivers Lic and or State issued Identification Cards can be used as proof of identification and or vetting until either they meet the Real ID Act requirements or expire.

Alaska, Kentucky, Oklahoma, Oregon, Pennsylvania, S. Carolina, Virginia, Washington.

PLEASE NOTE: DHS has given Oregon until 10 Oct 2018 to comply with the Real ID act. What this means, for now all I need is a valid state issued driver's license or identification card, along with a completed DD 369 and a photo copy of the DL or ID.

3. The following states/territories have extensions approved through 10 October 2018. Drivers Lic and or State issued Identification Cards can be used as proof of identification and or vetting until either they meet the Real ID Act requirements or expire.

American Samoa, California, Guam, Idaho, Illinois, Louisiana, Massachusetts, Michigan, N. Marianas, New Hampshire, New Jersey, New York, N. Carolina, N. Dakota, Puerto Rico, Rhode Island, Texas, and Virgin Islands.

4. The Following states/territories that are non-compliant. The use of drivers lic and or state issued identification cards alone may not be used for proof of identity or for vetting purposes. Individuals are required to provide other forms of identity such as, Birth Certificate, Pass Port, Pass Port Card, Social Security Card, Permanent resident card, tribal ID, U.S. Citizenship and immigration services employment authorization card.

Main, Minnesota, Missouri, and Montana.

Please check the website for updates.

As of March 2018 all states are in compliant or has an extension for Real ID enforcement.

https://www.dhs.gov/ https://www.dhs.gov/

POLICE RECORD CHECK

1. DATE OF REQUEST

(YYYYMMDD)

OMB No. 0704-0007 OMB approval expires Dec 31, 2017

The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0007). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.

SECTION I - (To be completed by Recruiting Service)

2. NAME OF APPLICANT (Last, First, Middle Name(s), Alias) 3. SEX 4. PLACE OF BIRTH

MALE

FEMALE

a. CITY b. COUNTY c. STATE

5. DATE OF BIRTH

(YYYYMMDD)

6.a. ETHNIC CATEGORY b. RACIAL CATEGORY (X one or more) 7. SOCIAL SECURITY

NUMBER

(1) HISPANIC OR LATINO

(2) NOT HISPANIC OR LATINO

(1) AMERICAN INDIAN/ALASKA NATIVE

(2) ASIAN

(3) BLACK OR AFRICAN AMERICAN

(4) NATIVE HAWAIIAN OR

OTHER PACIFIC ISLANDER

(5) WHITE

8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block) 9. DATES RESIDED AT THIS ADDRESS

a. NUMBER AND STREET (Include apartment no.) b. CITY c. STATE d. ZIP CODE a. FROM

(YYYYMMDD)

b. TO

(YYYYMMDD)

10. PERSON MAKING THIS REQUEST

a. NAME (Last, First, Middle Name(s)) b. RANK c. SIGNATURE d. TITLE

SECTION II - (To be completed by Applicant)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; AR 601-270; OPNAVINST 1100.4C Ch-1; AFI 36-2003_IP; MCO 1100.75E; COMDTINST M 1100.2E; AR 601-210; and E.O. 9397, as amended (SSN).

PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are covered by recruiting and official military personnel SORNs maintained by each of the Services.

ROUTINE USE(S): DoD "Blanket Routine Use" 2, Disclosure When Requesting Information Routine Use, specifically applies: A record from a system of records maintained by a DoD Component may be disclosed as a routine use to a Federal, State, or local agency maintaining civil, criminal, or other relevant enforcement information or other pertinent information, such as current licenses, if necessary to obtain information relevant to a DoD Component decision concerning the hiring or retention of an employee, the issuance of a security clearance, the letting of a contract, or the issuance of a license, grant, or other benefit. The DoD Blanket Routine Uses at https://dpclo.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx apply.

DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United

States. An applicant's SSN is used to conduct the police records check and keep all records together during the enlistment process.

The data are for OFFICIAL USE ONLY and will be maintained and used in strict confidence in accordance with Federal law and regulations. Making a knowing and willful false statement on this DD Form 369 may be punishable by fine or imprisonment or both. All information provided by you, which possibly may reflect adversely on your past conduct and performance, may have an adverse impact on you in your military career in situations such as consideration for special assignment, security clearances, court martial and administrative proceedings, etc.

11. I HEREBY CONSENT TO RELEASE FROM YOUR FILES

THE INFORMATION REQUESTED BELOW.

SIGNATURE

SECTION III - (To be completed by Police or Juvenile Agency)

The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United

States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

12. DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS? YES NO (If YES, what was the offense or charge, date, disposition and sentence?)

13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? (If YES, give details.) YES NO

THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.

14. DATE (YYYYMMDD) 15. TITLE 16. VERIFIED BY (Signature)

Drivers Lic State and DL # Company Name

1380365258M Highlight

ANTI-TERRORISM ONLINE TRAINING:

Go to https://jkodirect.jten.mil/.

When you get to this link (JKO) you will then click the option (under FIRST TIME STUDENT, NO CAC) I do not have a .MIL, .GOV or .NDU.EDU address or I am a Multi-National Student. This will bring up your email. Complete the request and send to your sponsor.

Sponsors:

Anna Harsch (contractors and vendors) anna.m.harsch2.nfg@mail.mil Pat Walsh (contractors)--- Patrick.g.walsh6.nfg@mail.mil Dave Mauch (contractors)--- Dave.e.mauch.nfg@mail.mil

Once access to the site has been approved:

- Log in using the user name and password selected/provided.

- At the top of the page, select the “Course Catalog” tab

- Below the “Search” button there is a gray box; on the left side, in the area that reads “Partial course #” type in JS-US007-18

- Once loaded, click on the “Enroll” button to the right of the “Level I Antiterrorism Awareness Training - (2hr)” link

- When you are ready to begin, click on the “Launch” button https://jkodirect.jten.mil/ mailto:anna.m.harsch2.nfg@mail.mil mailto:Patrick.g.walsh6.nfg@mail.mil mailto:Dave.e.mauch.nfg@mail.mil

1 DATE OF REQUEST YYYYMMDD:

SECTION I To be completed by Recruiting Service:

4 PLACE OF BIRTH:

2 NAME OF APPLICANT Last First Middle Names Alias:

a CITY:

b COUNTY:

c STATE:

2 NAME OF APPLICANT Last First Middle Names Alias_2:

7 SOCIAL SECURITY NUMBER:

5 DATE OF BIRTH YYYYMMDD:

5 DATE OF BIRTH YYYYMMDD_2:

8 ADDRESS IN ADDRESSEES JURISDICTION See MAIL TO block:

a NUMBER AND STREET Include apartment no:

b CITY:

c STATE_2:

d ZIP CODE:

a FROM YYYYMMDD:

b TO YYYYMMDD:

10 PERSON MAKING THIS REQUEST:

a NAME Last First Middle Names: Harsch, Anna,M

b RANK: CIV

c SIGNATURE:

d TITLE: CE Admin

SECTION II To be completed by Applicant:

SIGNATURE:

SECTION III To be completed by Police or Juvenile Agency:

The person described above who claims to have resided at the address shown above has applied for enlistment in the Armed Forces of the United States Please furnish from your files the information relative to Section III below A return envelope is provided for your convenienceRow1:

YES:

YES_2:

14 DATE YYYYMMDD:

15 TITLE:

16 VERIFIED BY Signature:

Text1:

Text2:

File details come from the government source that posted it. Updated Dec 30, 2023.