FLW Sponsor AIE Pass Application MICC Site Visit 07.09.2024.xlsx
XLSX spreadsheet 25 KB Posted
- Attached to
- Appliance Maintenance Fort Leonard Wood
- Solicitation number
- W911S7-24-R-0009
About this file
This document is an Excel spreadsheet for a site visit related to a federal contract opportunity. It provides a sponsor sign-in sheet and privacy act statement for visitors attending an on-site visit for Solicitation W911S7-24-R-0009 for Appliance Maintenance services at Fort Leonard Wood, Missouri. The solicitation is for a non-personal services contract to provide maintenance and repair services for government-owned appliances in single soldier housing and barracks. The site visit is scheduled for 09:30 am on July 9, 2024. The sponsor must provide the visitor's personal information, including name, driver's license, citizenship status, and company, which will be used for background screening. The solicitation is being issued by the Department of the Army Materiel Command Mission and Installation Contracting Command (MICC) Fort Eustis.
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Text version
EAL
| Mission Installation Contracting Command Site Visit for W911S7-24-R-0009 Appliance Maintenance 09:30 am July 9, 2024 | ||||||||||||||
| Information provided must be complete and typed into form, handwritten information will not be accepted. | DoD SPONSOR'S ENTRY ONLY | |||||||||||||
| Last Name | First Name | Middle Name | Drivers License | State | US Citz Y/N | AR/Passport# | Country of Birth | Start Date | End Date | Company Name | Sponsor Org | FPCON | Days of Week | Times of Entry |
DO NOT DELETE: PRIVACY ACT STATEMENT
AUTHORITY: DoD FMR, JFTR, JTR (SSN), AR 190-13.
PRINCIPAL PURPOSE(s): To facilitate background screening for pass application vetting.
ROUTINE USE(S): To vet information provided through NCIC.
DISCLOSURE: Voluntary. However, failure to provide all the requested information will result in delay of access. DoD Sponsor's Signature
Foreign Nationals Alien Registration/Passport number and Country of Birth information will be sent along with drivers license number and state.
&"Arial,Bold"Fort Leonard Wood Pass Application Sponsor's List
Codes
| State List | |
| NA | Not Applicable |
| AL | Alabama |
| AK | Alaska |
| AZ | Arizona |
| AR | Arkansas |
| CA | California |
| CO | Colorado |
| CT | Connecticut |
| DE | Delaware |
| DC | District of Columbia |
| FL | Flordia |
| GA | Georgia |
| GU | Guam |
| HI | Hawaii |
| ID | Idaho |
| IL | Illinois |
| IN | Indiana |
| IA | Iowa |
| KS | Kansas |
| KY | Kentucky |
| LA | Louisana |
| ME | Maine |
| MD | Maryland |
| MA | Massachusetts |
| MI | Michigan |
| MN | Minnesota |
| MS | Mississippi |
| MO | Missouri |
| MT | Montana |
| NE | Nebraska |
| NV | Nevada |
| NH | New Hampshire |
| NJ | New Jersey |
| NM | New Mexico |
| NY | New York |
| NC | North Carolina |
| ND | North Dakota |
| OH | Ohio |
| OK | Oklahoma |
| OR | Oregon |
| PA | Pennsylvania |
| RI | Rhode Island |
| SC | South Carolina |
| SD | South Dakota |
| TN | Tennessee |
| TX | Texas |
| US | US Dept of State |
| UT | Utah |
| VT | Vermont |
| VA | Virginia |
| WA | Washington |
| WV | West Virginia |
| WI | Wisconsin |
| WY | Wyoming |
| BC | British Columbia |
| NB | New Brunswick |
| NL | Newfoundland |
| NS | Nova Scotia |
| ON | Ontario |
| SK | Saskatchewan |
| CH | Coahuila MX |
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