RSA Personnel Identification Badge Request Form.doc
DOC document 37 KB Posted
- Attached to
- Industry Day for Integrated Battle Command (IBCS) System Federal contract opportunity
- Solicitation number
- W31P4Q-20-R-0015
About this file
This notice announces an Industry Day for the Integrated Fires and Mission Command (IFMC) Low Rate Initial Production/Full Rate Production (LRIP/FRP) requirement. The Department of the Army Materiel Command Contracting Command at Redstone Arsenal will host the Industry Day on March 3, 2020 in Huntsville, Alabama. The major supplies and services to be acquired under the IFMC LRIP/FRP requirement include production and integration of IFMC major end items such as Engagement Operations Centers, an Engagement Center Trailer, an IFMC Collaborative Environment, and Integrated Fire Control Network Relays. Engineering services for IFMC, contractor logistics support, travel, materials, and foreign military sales support will also be required. It is anticipated that the LRIP/FRP requirement will result in a full and open competition single-award indefinite delivery/indefinite quantity contract. Interested parties must pre-register for the Industry Day by submitting the attached Personnel Identification Badge Request Form by February 21, 2020.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Entrance Criteria - LRIP-FRP Requirement.6.pdf | ||
| LRIP-FRP Industry Day Questions and Responses v4.xlsx | XLSX spreadsheet | |
| Industry Day Attendees.XLSX | XLSX spreadsheet | |
| IAMD HW Industry Day updated 3-2-20v9.pptx | PPTX presentation | |
| DRAFT LRIP-FRP SOW-Revision 1.docx | DOCX document | |
| DRAFT LRIP-FRP SOW.docx | DOCX document | |
| Industry Day Registration Form.XLSX | XLSX spreadsheet |
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Text version
BADGE #:____________
MICOM REG 190-1
PERSONNEL IDENTIFICATION BADGE REQUEST
1.SSN
2. NAME (Last, First, Middle)
3. E-MAIL ADDRESS
4. OFFICE SYMBOL
5. WORK PHONE
6. ORGANIZATION/COMPANY NAME
7. ORGANIZATION/COMPANY ADDRESS
8. HOME ADDRESS (Street, Apt #, City, State, Zip)
9. HOME PHONE
10. TYPE OF EMPLOYEE: ( ) Civilian [Grade:____________] ( ) Military[Rank:___________]
( ) Contractor ( ) Other:_____________
11. JOB TITLE:
12. CITIZENSHIP
( ) U.S. ( ) Other:___________
13. RACE
14. HAIR COLOR
15. EYE COLOR
16. SEX
17. HEIGHT
18. WEIGHT
19. BIRTHDATE
20. PLACE OF BIRTH
21. ISSUE DATE
22. EXPIRATION DATE
23. SECURITY CLEARANCE
24. ( ) VCM REQUIRED
(XX) VCM NOT REQUIRED
25. COMMAND CODE(S)
26. ACCESS CODE(S) (Place signature beside code)
| 27. APPROVING AUTHORITY SIGNATURE |
| 28. APPROVING AUTHORITY NAME, TITLE, ORG, AND PHONE |
| 29. RECEIVED BY: |
| 30. DATE RECEIVED: |
SAM FORM 1116, 1 AUG 98
See Reverse for
Previous Edition MAY NOT be used
Privacy Act Statement
(Reverse)
DATA REQUIRED BY THE PRIVACY ACT OF 1974
TITLE OF FORM
PRESCRIBING DIRECTIVE
Personnel Identification
MICOM Reg 190-1
1. AUTHORITY: Executive Order 9397, title 26, Sec 402-502
2. PRINCIPLE PURPOSES: a. Positive personnel identification for security and control purposes.
b. Insure that only authorized personnel are allowed entry c. Insure that authorized personnel are in compliance with DoD, Da and AMC regulations
3. ROUTINE USES: a. Process badge request b. Identify individual
4. MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVID-
ING INFORMATION: Information on this form is mandatory. Individuals not providing all of the information requested or providing false information will not be granted a security identification badge.
File details come from the government source that posted it. Updated .