Base Access Request Form.pdf

PDF 2 MB Posted

Attached to
NCC UPS Replacement
Solicitation number
W50S6V24Q0004
Issued by

About this file

This document is a Request for Visitor to Obtain Unescorted Access to Buckley Air Force Base. It is an access request form that allows personnel to request a guest installation access pass for unescorted access to Buckley Air Force Base for 1-30 days or for a special one-time event. The form collects sponsor information and guest information, including the guest's name, date of birth, and driver's license number. It must be submitted to the 460th Security Forces Installation Access Control Staff 72 hours prior to the requested access. The form states that disclosure of the requested information is voluntary, but failure to provide the information may result in denial of the request or refusal of access to the installation.

The related federal contract opportunity is for the "NCC UPS Replacement" requirement, which has a NAICS code of 335999. It is a combined synopsis/solicitation for commercial items using simplified acquisition procedures under FAR 13.106. Partial quotes and partial awards will be considered. The solicitation is for full and open competition. No other details about the specific requirement are provided in the attached files.

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Other files

File Type Posted
Q and A NCC UPS Site Visit.pdf PDF
Combo W50S6V24Q0004 Amendment 01.pdf PDF
Work Site Pictures Amend 01.pdf PDF
Q and A NCC UPS.pdf PDF
UPS SON W50S6V24Q0004 Amendment 01.pdf PDF
Work Site Pictures.pdf PDF
UPS SON W50S6V24Q0004.pdf PDF
30-Load Study.pdf PDF
Combo W50S6V24Q0004.pdf PDF

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REQUEST FOR VISITOR TO OBTAIN UNESCORTED ACCESS TO BUCKLEY AIR FORCE BASE

PRIVACY ACT

AUTHORITY: Title 10, United States Code 8012 PURPOSE: To assist security personnel in establishing a fitness determination through the identity proofing and vetting process.

INTENDED USE: To be utilized by personnel requesting to obtain guest installation access pass for unescorted access to Buckley Air Force Base (BAFB) for 1-30 days or for special one time events.

DISCLOSURE: Disclosure of requested information is voluntary; however, failure to provide information may result in denial of request or the refusal by the 460th Security Forces Squadron, Installation Access Control Section to permit access to the installation.

INSTRUCTIONS

1. All information must be complete and in alphabetical order or the form will be denied. 2. Guest must present government/state ID in order to establish identity. 3. Sponsor must be registered in DBIDS prior to submitting form. 4. Must be submitted to Access Control Staff 72 hours prior to request.

SECTION I: SPONSOR INFORMATION

SECTION II: GUEST INFORMATION

GUEST NAME (Last, First MI)

DOB (MMDDYY)

DRIVERS LICENSE NUMBER

ST

ACCESS - YES/NO

SECTION III: TO BE COMPLETED BY 460TH SECURITY FORCES INSTALLATION ACCESS CONTROL STAFF

NCIC CHECK CONDUCTED ON

APPROVING OFFICIAL (Last, First MI)

SIGNATURE

BUCKLEY AFB FORM 128, 20160728; Prescribing Directive: BUCKLEYAFBI31-218 11.0.1.20130826.2.901444.899636

TextField1: Slavin, Jeffrey N.
TextField1: 140th CS, (720)847-9064
TextField1: 062524-062524
TextField1: Construction Project Site Visit
TextField2:
DateField1:
DropDownList1: YES
DropDownList1: YES
SignatureField1:

File details come from the government source that posted it. Updated .