W911SA-22-Q-3007 UT002 CU - Attachment 8 - FMF 452_Ft McCoy Installation Access Pass Request _V10 May 2020.pdf
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- Solicitation number
- W911SA-22-Q-3007
About this file
This document provides details for solicitation number W911SA-22-Q-3007 seeking custodial services at one location in Utah. The requirement is for cleaning services from 16 June 2022 through 31 May 2023 with four option years and a six month option to extend. Quotes are due by the date and time listed on the solicitation, which will be issued on 26 April 2022 and available at www.sam.gov. A site visit is scheduled for 3 May 2022. Questions are due by 6 May 2022. The place of performance is 296 S. Chase St., Salt Lake City, UT 84113. The selected contractor must provide all required documents including a signed SF-1449, completed supplemental information, and price schedule attachment in Excel format with their quote submission. The soliciting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.
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Fort McCoy Form 452 May 2021
AEM6.2 V 7.0
Page of Fort McCoy Form 452 February 2021 Obsolete Fort McCoy Installation Access Pass Request PRIVACY ACT STATEMENT AUTHORITY: The Privacy Act of 1974, Title 5 USC 552a. PRINCIPLE PURPOSE(S): To determine suitability of individual(s) requesting access to Fort McCoy. ROUTINE USE(S): Personal information may be disclosed to appropriate military and civilian emergency and investigation agencies to assist in determining suitability for access to Fort McCoy. DISCLOSURE: Voluntary, however failure to provide information will result in a refusal to grant access to Fort McCoy.
Legal Name as Appears on Driver's License or State ID: Example: John Edward Doe 25-Jan-15 24-Jan-16
MON-FRI 0700-1700 HOURS
Bldg 100 Commissary/TCI Example: Plumber/Bagger Last Name First Name Middle Name or NMN if non Begin Date End Date Work Access Hours Work Area/ Visit Location Company Name Employees Position/ Event Remarks Block (At a minimum include: purpose for access; contract number and expiration date) ** Note: If access is for contract purpose, Sponsor will be the COR. In all cases, Sponsor must be affiliated with Fort McCoy. ***NCIC-III Check Date, PS Specialist and PS Specialist Signature for DES USE ONLY**** When complete submit to: usarmy.mccoy.id-readiness.mbx.des-physical-security-iacs-form@mail.mil Legal Name as Appears on Driver's License or State ID: Example: John Edward Doe 25-Jan-15 24-Jan-16
MON-FRI 0700-1700 HOURS
Bldg 100 Commissary/TCI Example: Plumber/Bagger Last Name First Name Middle Name or NMN if non Begin Date End Date Work Access Hours Work Area/ Visit Location Company Name Employees Position/ Event 11.0.0.20130303.1.892433.887364 280-4222
DHR ASD
Trudy L. Ward FMF452_Fort McCoy Installation Access Pass Request 20210212 20210212
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File details come from the government source that posted it. Updated .