EAL- Entry Authorization Listing.pdf

PDF 95 KB Posted

Attached to
Aircraft Sunshades
Solicitation number
W50S81-25-Q-A011
Issued by

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The document is an Entry Authorization List (EAL) for the Massachusetts Air National Guard 104th Fighter Wing (104FW) Security Forces Squadron, associated with the Aircraft Sunshades solicitation (W50S81-25-Q-A011). The form is designed to screen and authorize contractor employee access to Department of Defense (DoD) facilities, with a project duration from 10 June 2025 to 10 June 2025. The contract is a 100% small business set-aside for an Indefinite Delivery, Definite Quantity (IDDQ) commercial aircraft sunshades contract, which will be awarded as a Firm-Fixed Price single award.

The form includes privacy act information explaining that disclosure is voluntary but necessary for facility access, with legal authorities including Title 50 and Title 10 U.S.C. The point of contact for the project is MSgt Nathan Staples, reachable at (413) 568-9151 x6981549. The document provides a template for listing contractor employee information, including fields for names, driver's licenses, dates of birth, and start/end dates, which will be used to manage and track contractor personnel access to the facility during the project period.

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104FW Security Forces Squadron

Contractor Entry Authority List

PRIVACY ACT STATEMENT

1. AUTHORITY: Title 50, Appendix, U.S.C., Title 10, U.S.C., Public Law 96-357 96th Congress, September 24, 1980 (Amendment to 10 U.S.C. 2107).

2. PRINCIPAL PURPOSE(S): The information provided on the application will be used to screen individual contractor employees for access to DoD facilities.

3. MANDATORY AND VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL PROVIDING INFORMATION: Disclosure of information requested in this Entry Authorization List (EAL) is voluntary; however, the information must be furnished for the employee to be allowed access to the DoD facility.

Project:

Company/Contractor Name:

Project Manager and Phone:

104FW POC:

104FW POC Phone:

Contractor Employee Information:

Name Driver’s License / State DOB DATE START DATE END kyle.kiepke Text Box

FOR OFFICIAL USE ONLY WHEN COMPLETED

NameRow1:
DOBRow1:
DATE STARTRow1: 10 Jun 2025
DATE ENDRow1: 10 Jun 2025
NameRow2:
DOBRow2:
DATE STARTRow2:
DATE ENDRow2:
NameRow3:
DOBRow3:
DATE STARTRow3:
DATE ENDRow3:
NameRow4:
DOBRow4:
DATE STARTRow4:
DATE ENDRow4:
NameRow5:
DOBRow5:
DATE STARTRow5:
DATE ENDRow5:
NameRow6:
DOBRow6:
DATE STARTRow6:
DATE ENDRow6:
NameRow7:
DOBRow7:
DATE STARTRow7:
DATE ENDRow7:
NameRow8:
DOBRow8:
DATE STARTRow8:
DATE ENDRow8:
NameRow9:
DOBRow9:
DATE STARTRow9:
DATE ENDRow9:
NameRow10:
DOBRow10:
DATE STARTRow10:
DATE ENDRow10:
NameRow11:
DOBRow11:
DATE STARTRow11:
DATE ENDRow11:
NameRow12:
DOBRow12:
DATE STARTRow12:
DATE ENDRow12:
NameRow13:
DOBRow13:
DATE STARTRow13:
DATE ENDRow13:
NameRow14:
DOBRow14:
DATE STARTRow14:
DATE ENDRow14:
NameRow15:
DOBRow15:
DATE STARTRow15:
DATE ENDRow15:
Text1: W50S81-25-Q-A011 -- Aircraft Sunshades
Text2:
Text3:
Text4: MSgt Nathan Staples
Text5: (413) 568-9151 x6981549
Drivers License StateRow1:
Drivers License StateRow2:
Drivers License StateRow3:
Drivers License StateRow4:
Drivers License StateRow5:
Drivers License StateRow6:
Drivers License StateRow7:
Drivers License StateRow8:
Drivers License StateRow9:
Drivers License StateRow10:
Drivers License StateRow11:
Drivers License StateRow12:
Drivers License StateRow13:
Drivers License StateRow14:
Drivers License StateRow15:
Drivers License Row1:
Drivers License Row2:
Drivers License Row3:
Drivers License Row4:
Drivers License Row5:
Drivers License Row6:
Drivers License Row7:
Drivers License Row8:
Drivers License Row9:
Drivers License Row10:
Drivers License Row11:
Drivers License Row12:
Drivers License Row13:
Drivers License Row14:
Drivers License Row15:

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