W911SD-19-R-0149_Site_Visit_&_LAC_Title_V_Air_Permit_.docx_-_Shortcut.pdf

SITE VISIT

Solicitation # W911SD-19-R-0149

Description: Title V Air Permit

A site visit is scheduled for Monday June 24, 2019 at 1000AM SHARP!

IT IS SUGGESTED TO ATTEND

Attendees must RSVP via EMAIL on or before Friday June 21st with the name(s) and number of persons attending.

We will assemble at 681 Hardee Place, BLDG 681, First Floor, lobby by the elevator, at 09:45AM.

Then we will depart to We may have to drive, TRANSPORTATION IS A MUST!

Send RSVP's to: Ignacio.j.cordova2.civ@mail.mil

Please reference Solicitation # W911SD-19-R-0149 Site Visit in the Email subject line.

If you DO NOT have a Department of Defense (DoD) issued identification card (CAC), then you must obtain a Local Area Credential (LAC) screening by filling out the Local Area Credential Request Form below (USMA Form 13-16 Text Format) attached.

Please BRING and SUBMIT the completed LAC form to the U.S. Army West Point Visitor Control Center, located 2107 New South Post Road, West Point, New York, 10996, Telephone: (845) 938-0390, the day of the Site Visit.***

Give yourself at least 30 to 60 extra minutes for this process.

West Point Local Area Credential Application

(TEXT FORMAT)

Local Area Credential Requested: __ Alumni __ Guest __ Contractor __ Delivery

Administrative Data

Last Name:

First Name:

MI:

Gender: __ Male__ Female __ Other

SSN:

Driver’s License Number:

State:

Current Street Address:

City: State:

Zip Code:

Phone Number:

Email Address:

Height:

Weight:

Hair Color:

Eye Color:

Contractor/Sponsor Information

Project/Contract:

Employer: Supervisor:

Sponsor Information:

COR:

COR Phone Number:

COR Email Address:

Criminal History

Have you been convicted of a crime in the past 10 years: Yes

__ No __ Don’t Know

If Yes, what type: __ Misdemeanor __ Felony __ Other

__ Don’t Know

If Yes, explain:

For Administrative Use Only

Received By:

Received Date:

NCIC Date:

NCIC Request #:

Badge Issued: Yes __ No__ If No Why:

If Yes- Issue Date: Expiration Date: Badge #:

Privacy Act Statement Authority HSPD-12:

Principal Purpose: to record names, signatures and other identifiers for the purpose of validating he trustworthiness of individuals requisition access to West Point, New York.

Records may be maintained in both electronic and paper form.

Routine Uses: None Disclosure: Disclosure of the information is voluntary however, failure to provide any of the requested information my impede, delay or prevent further processing of this request.

USMA Form 13-16