A07.05_-_MOTCO_Form_190-3.XLSX

XLSX spreadsheet 19 KB Posted

Attached to
Military Ocean Terminal Concord (MOTCO) Pier 3 Pile Wrapping
Solicitation number
W91238-18-R-0038
Issued by

About this file

MOTCO Form 190-3

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Other files

File Type Posted
W91238-18-R-0038-0004.pdf PDF
W91238-18-R-0038_Amendment_0003.pdf PDF
Revised_Specifications.pdf PDF
Motco_Pier_3_-_Revised_Staging_Area_Location.pdf PDF
W91238-18-R-0038-0002.pdf PDF
Pier_3_Site_Walk_7-19-18.pdf PDF
A07.05_-_Pre-proposal_Site_Visit_Sign-In_Sheet.pdf PDF
Attachment_3_-_Wage_Determinations.pdf PDF
Attachment_4_-_Pile_Wrapping_Matrix.pdf PDF
W91238-18-R-003801.pdf PDF
A07.01_-_I_NCIC_CONSENT_FORM_INSTRUCTIONS.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_3_of_7.pdf PDF
5-Atch_3_Wage_Determination_MOTCO_Repair_Pier_3-Phases_II-III.docx DOCX document
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_1_of_7_Redacted.pdf PDF
A07.05_-_NCIC_Consent_Form_-_W91238-18-R-0037.pdf PDF
A07.01_-_SUPPLEMENTAL_USACE_INSTRUCTIONS.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_4_of_7.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_7_of_7.pdf PDF
W91238-18-R-0038_RFP.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_5_of_7.pdf PDF
A07.01_-_I_MOTCO_FORM_190-3_INSTRUCTIONS.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_2_of_7.pdf PDF
2-Appendices_1-16_MOTCO_Repair_Pier_3-Phases_II-III_6_of_7.pdf PDF
4-Atch_2_Supplemental_Contract_Requirements_MOTCO_Repair_Pier_3-Phases_II-III.docx DOCX document
1-Atch_1_SOW_MOTCO_Repair_Pier_3-Phases_II-III.docx DOCX document
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Text version

FORM

MOTCO Access Request
Please Allow 7 Calendar Days for Processing
Company Name
Reason for AccessSUPPORT Pre-Bid Site Visit - MOTCO ACP 5 Replacement (Solicitation Number: W91238-18-R-0037)
SponsorUSACE, MOTCO AREA OFFICE (Finklea, Daniel; Middlebrooks, Jaime; Haven, David)
FrequencyDay passes as needed// M-F // 0700-1700 (Call Daniel Finklea 925-808-9407 to confirm)
Last
NameFirst
NameMiddle
NameDOBDL #DL StateAccess fromAccess thruCACTidalInlandForeign BornEscort Req
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
11-Jul-1811-Jul-18XX
* Enter "NMN" when there is no middle name.
MOTCO FORM 190-3-R (PM)
Once the form is completed email the form to your MOTCO sponsor for processing. AUG 2016

ABBREVIATIONS & INSTRUCTIONS

US State:Abbreviation:Commonwealth/Territory:Abbreviation:
AlabamaALAmerican SamoaAS
AlaskaAKDistrict of ColumbiaDC
ArizonaAZFederated States of MicronesiaFM
ArkansasARGuamGU
CaliforniaCAMarshall IslandsMH
ColoradoCONorthern Mariana IslandsMP
ConnecticutCTPalauPW
DelawareDEPuerto RicoPR
FloridaFLVirgin IslandsVI
GeorgiaGA
HawaiiHIPlease fill out all columns

for any personnel you wish to gain access to the installation to include:

1. Full Last Name

2. Full First Name (do not shorten names or use nicknames, Mike or Mickey, if official name is Michael)

3. Full Middle Name (do not send just an initial, if no middle name, use NMN)

4. DOB (date of birth, please use format already on form, date should read DD

MMM YY)

5. Driver License Number

6. Driver License State of Issue (TX, MO, CA, second tab on form has all correct state/territory abbreviations)

7. Access From

8. Access Thru

When do your personnel require access? MOTCO will grant 1 year of access at a time, 1 year should read as such 5 Feb 13 through 4 Feb 14 (and again, please do not change date format, it should also read DD MMM YY as shown in example). Obviously for personnel that are assigned here to MOTCO or to the new Reserve Center, we do not need an end date, but still require 71 hours notice for vetting.

If you need more lines than are on the sheet, it's a Excel spreadsheet, simply insert more.

Access requests must be received no later than 72 hours prior to when access is needed to ensure proper vetting can be completed. Please let me know if you have any further questions or require any assistance in completing the form.

IdahoID
IllinoisIL
IndianaIN
IowaIA
KansasKS
KentuckyKY
LouisianaLA
MaineME
MarylandMD
MassachusettsMA
MichiganMI
MinnesotaMN
MississippiMS
MissouriMO
MontanaMT
NebraskaNE
NevadaNV
New HampshireNH
New JerseyNJ
New MexicoNM
New YorkNY
North CarolinaNC
North DakotaND
OhioOH
OklahomaOK
OregonOR
PennsylvaniaPA
Rhode IslandRI
South CarolinaSC
South DakotaSD
TennesseeTN
TexasTX
UtahUT
VermontVT
VirginiaVA
WashingtonWA
West VirginiaWV
WisconsinWI
WyomingWY

http://www.50states.com/alabama.htmhttp://www.50states.com/georgia.htmhttp://www.50states.com/hawaii.htmhttp://www.50states.com/idaho.htmhttp://www.50states.com/illinois.htmhttp://www.50states.com/indiana.htmhttp://www.50states.com/iowa.htmhttp://www.50states.com/kansas.htmhttp://www.50states.com/kentucky.htmhttp://www.50states.com/louisian.htmhttp://www.50states.com/maine.htmhttp://www.50states.com/alaska.htmhttp://www.50states.com/maryland.htmhttp://www.50states.com/massachu.htmhttp://www.50states.com/michigan.htmhttp://www.50states.com/minnesot.htmhttp://www.50states.com/mississi.htmhttp://www.50states.com/missouri.htmhttp://www.50states.com/montana.htmhttp://www.50states.com/nebraska.htmhttp://www.50states.com/nevada.htmhttp://www.50states.com/newhamps.htmhttp://www.50states.com/arizona.htmhttp://www.50states.com/newjerse.htmhttp://www.50states.com/newmexic.htmhttp://www.50states.com/newyork.htmhttp://www.50states.com/ncarolin.htmhttp://www.50states.com/ndakota.htmhttp://www.50states.com/ohio.htmhttp://www.50states.com/oklahoma.htmhttp://www.50states.com/oregon.htmhttp://www.50states.com/pennsylv.htmhttp://www.50states.com/rdisland.htmhttp://www.50states.com/arkansas.htmhttp://www.50states.com/scarolin.htmhttp://www.50states.com/sdakota.htmhttp://www.50states.com/tennesse.htmhttp://www.50states.com/texas.htmhttp://www.50states.com/utah.htmhttp://www.50states.com/vermont.htmhttp://www.50states.com/virginia.htmhttp://www.50states.com/washingt.htmhttp://www.50states.com/wvirgini.htmhttp://www.50states.com/wisconsi.htmhttp://www.50states.com/californ.htmhttp://www.50states.com/wyoming.htmhttp://www.50states.com/samoa.htmhttp://www.50states.com/dc.htmhttp://www.50states.com/micro.htmhttp://www.50states.com/guam.htmhttp://www.50states.com/mariana.htmhttp://www.50states.com/puerto.htmhttp://www.50states.com/vi.htmhttp://www.50states.com/colorado.htmhttp://www.50states.com/connecti.htmhttp://www.50states.com/delaware.htmhttp://www.50states.com/florida.htm

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