Attachment_0015_NOTIFICATION_AND_AUTHORIZATION_TO_RELEASE_CRIMINAL_INFORMATION_FOR_ENTRY.pdf
PDF 136 KB Posted
- Attached to
- Armor Hardware, Turret Systems, and Platform Integration Kits Federal contract opportunity
- Solicitation number
- W15QKN18R0004
About this file
This document provides details on a forthcoming solicitation from the U.S. Army Contracting Command - New Jersey for armor hardware, turret systems, and platform integration kits. The solicitation seeks proposals for the production of Objective Gunner Protection Kits, Combat Vehicle Turret Assemblies, and Vehicle Integration Kits. The government intends to award up to three Indefinite Delivery/Indefinite Quantity contracts with a total value of $150 million over five years. The solicitation will be set aside 100% for small businesses. Interested offerors must submit capability statements by October 18, 2017 to be considered for the work. The selected contractors will be required to produce a minimum of 50 kits per month for each configuration, with the ability to ramp up to 300 kits per month within six months.
Attachment 0015 NOTIFICATION AND AUTHORIZATION TO RELEASE CRIMINAL INFORMATION FOR ENTRY
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_0016_INDUSTRY_QUESTIONS_AND_GOVERNMENT_RESPONSES__4.pdf | ||
| W15QKN18R0004-0004.pdf | ||
| Attachment_0014_INDUSTRY_QUESTIONS_AND_GOVERNMENT_RESPONSES__3.pdf | ||
| W15QKN18R0004-0003.pdf | ||
| W15QKN18R0004-0002.pdf | ||
| Attachment_0013_INDUSTRY_QUESTIONS_AND_GOVERNMENT_RESPONSES__2.docx | DOCX document | |
| Attachment_0010_INDUSTRY_QUESTIONS_AND_GOVERNMENT_RESPONSES.docx | DOCX document | |
| Attachment_0012_SPECIAL_PACKAGING_INSTRUCTION_FOR_OBJECTIVE_GUNNER_PROTECTION_KIT.pdf | ||
| W15QKN18R0004-0001.pdf |
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Text version
DEPARTMENT OF THE ARMY
UNITED STATES ARMY INSTALLATION MANAGEMENT AGENCY
PICATINNY ARSENAL, NEW JERSEY 07806-5000
Notification and Authorization to Release Criminal
Information for Entry
Notification
For the purpose of accessing Picatinny Arsenal I am required to consent to a criminal background check as a condition of being granted access. This check includes the following: Criminal history reference searches for felony and misdemeanour convictions at the county and federal levels of every jurisdiction where I currently reside or where I have resided; and sex offender registry searches at the county and federal levels in every jurisdiction where I currently reside or where I have resided. If I decline to submit to a Criminal background check I understand that I will be denied access to Picatinny Arsenal.
Authorization
I hereby authorize Picatinny Arsenal to conduct the criminal background check described above.
I also am aware that records of arrests on pending charges and/or convictions are not an absolute bar to entrance to Picatinny Arsenal.
Such information will be used to determine whether the results of the background check reasonably bear on my ability to enter in a manner which is safe for Picatinny Arsenal visitors, employees, and other community members.
Please print LEGIBLY (for identification purposes):
Full Legal Name:
First Middle Last
Date of Birth: Race: Gender: Female Male
Month/Day/Year
Place of Birth Social Security Number:
Driver’s License # State of Driver’s License
To the best of my knowledge, the information provided in this Notice and Authorization and any attachments thereto is true and complete. I understand that any falsification or omission of information may disqualify me for entrance and/or may serve as grounds for denial of entry to Picatinny Arsenal. By signing below I hereby provide my authorization to Picatinny Arsenal to conduct a criminal background check. In addition, I understand that I have a right to appeal an adverse decision made by Picatinny Arsenal based on my background check information.
Signature Date
Individual is cleared for entry to Picatinny Arsenal
Yes: No:
11.0.0.20130303.1.892433
| Full Legal Name: |
| Date of Birth: |
| Race: |
| Gender: Female: |
| Male: |
| Place of Birth: |
| Social Security Number: |
| Driver’s License: |
| State of Driver’s License: |
| Signature: |
| Date: |
| Yes: |
| No: |
File details come from the government source that posted it. Updated .