Clear_AFS_Visit_Request_Worksheet.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- W911KB18R0018
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Other files
| File | Type | Posted |
|---|---|---|
| AM_6_package.pdf | ||
| AM_5_Package.pdf | ||
| Amendment_4_package.pdf | ||
| Approved_JA_18-01_Redacted.pdf | ||
| CLR043_AM_2_Package.pdf | ||
| CLR043_AM_1_Package.pdf | ||
| A.01.22_18R0018-CLR043_Solicitation-29_Nov_2017.pdf |
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READ FIRST
| Please ensure all blocks are filled. Failure to completely fill in the entire document will lead to delays in processing or possible return to sender for corrections. |
| BE SURE TO ENCRYPT THE WORKSHEET IN YOUR EMAIL IF YOU HAVE THE CAPABILITY. |
| IF YOU CANNOT ENCRYPT, THEN PASSWORD PROTECT THE WORKSHEET AND SEND BACK. IN A SEPARATE EMAIL, SEND ME THE PASSWORD. |
Visit Request Spreadsheet
| Clear AFS POC: | Mr. Linden Beckham | ||||||
| Clear AFS POC Phone Number: | (907) 585-6360 | ||||||
| Project Name: | CLR043 (DXEB053005) Fire Station | ||||||
| Visit Purpose: | Phase II Solicitation Site Visit | ||||||
| Visit Request Worksheet | |||||||
| First Name | Middle Name(s) | Last Name(s) | Rank/Grade/Title | Aliases | Date of Birth | Social Security Number | |
| : Protected IAW the Privacy Act of 1974 | Driver's License Number | Driver's License State of Issue | Company |
or Organization : The name of the individual or team who created the Issue Report
| First Day of Required Access | |||||||
| : A statement describing the issue, its cause and impact | Last Day of Required Access | Require Lodging | |||||
| Y/N | Require Restricted Area Access | ||||||
| Y/N | Current Security Clearance | ||||||
| Y/N | DOD ID Card | ||||||
| Y/N | DBIDS Card | ||||||
| Y/N | Equipment Required in Restricted Area (Type, Make, Model, Serial Number) | ||||||
| 8-Feb-18 | 8-Feb-18 | N | N | N | |||
| 8-Feb-18 | 8-Feb-18 | N | N | N | |||
| 8-Feb-18 | 8-Feb-18 | N | N | N | |||
| 8-Feb-18 | 8-Feb-18 | N | N | N | |||
| ***Insert additional lines as needed*** | |||||||
| All information is protected IAW the Privacy Act of 1974, DoD Directive 5400.11, "Department of Defense Privacy Act Program", and is considered sensitive For Official Use Only (FOUO). |
The unlawful use of this information may result in CIVIL and CRIMINAL penalties.
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