Base_access_request.docx

DOCX document 18 KB Posted

Attached to
MOTCO B606 Substation & Switchgear Federal contract opportunity
Solicitation number
W9123819R0078
Issued by
Department of the Army Corps of Engineers Engineering District Sacramento

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Base Access Request

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MEMORANDUM for: Kevin Goetz, MOTCO Installation Security Assistant

SUBJECT: MOTCO Base Access Request, Construction Contract #(enter # here), Enter contractor name

Sir/Ma'am, (enter Contractor name here) respectfully request MOTCO Visitor Control Center to process the attached base access request.

Base access passes are requested for the (contractor/subcontractor) personnel listed in the table below.

Last Name First Name Middle Name

New request? (yes/no)
Current NCIC?

(yes/no) Badge number (if existing access holder)

This request is for (M-F 06:00 to 18:00/24-hour/weekends/holidays) CHOOSE ONE OR LIST SPECIFIC ACCESS REQUESTED, ALSO LIST PURPOSE i.e. regularly scheduled construction work/emergency access/OTHER JUSTIFICATION.

If you have any questions please contact me at (enter phone), email: (email address).

Signed, NAME

TITLE

COMPANY NAME

ENDORSEMENT Date:_______

From: MOTCO Resident Office, USACE To: MOTCO Installation Security

1. Recommending Approval____

2. Comment_________________

Chelan J. Schreifels Deputy Resident Engineer

*** FOUO Privacy Act Data ***

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