Amendment 1 - Site Visit Visitor Authorization List.docx
DOCX document 33 KB Posted
- Attached to
- HILL AFB EAST GATE CANOPY & INSPECTION FACILITY
- Solicitation number
- W91238-20-R-0023
About this file
This document contains a visitor authorization list and details for a site visit related to a federal contract opportunity for construction work at Hill Air Force Base in Utah. The site visit is to take place on June 30, 2020 from 0900 to 1200 at the East Gate area of the base and requires authorization for entry through the South Gate. The visitor authorization list includes spaces for names, identification numbers, and approval or denial of access for each visitor. The related federal contract opportunity is issued by the Department of the Army Corps of Engineers Engineering District Sacramento and concerns the design and construction of a new canopy, inspection facility, generator pad, and security upgrades at the East Gate of Hill Air Force Base. Work will include traffic signs, lighting, demolition, and phased construction to maintain one open lane at all times while tying into existing infrastructure.
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Text version
VISITOR AUTHORIZATION LIST
FOR OFFICIAL USE ONLY;
The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties.
VISITOR AUTHORIZATION LIST
FOR OFFICIAL USE ONLY;
The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties. (continued…)
Enter your event’s information below (all fields are required):
| Event Name: |
| Site Visit for East Gate Construction Contract |
| Gates authorized to enter: |
| South Gate |
| Date of Event: |
| 30 June 2020 |
| Time of Event: |
| 0900-1200 |
| Location of Event: |
| East Gate area |
PERSONNEL ATTENDING EVENT
(Provide name and license information for each visitor)
| Last Name |
| First Name |
| ID #, Drivers License #, FDO # |
| ISSUED BY (State, Country) |
| A = Approve |
D = Denied Access
(Form continues on next page…)
| Sponsor Information |
| Authenticated By: |
(Pass & ID Clerk click signature block to sign)
Name:
DOD number on back of ID
Org:
Duty Phone:
Cell Phone:
(alternate phone #)
| Last Name |
| First Name |
| ID #, Drivers License #, FDO # |
| ISSUED BY (State, Country) |
| A = Approve |
D = Denied Access
| /// |
| Last |
| Entry |
| /// |
| /// |
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File details come from the government source that posted it. Updated .