Attachment 1 Entry Access List EAL Form for ABC Construction Sample.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Beale Fuel Hydrant Replacement Federal contract opportunity
Solicitation number
W91238-22-R-0041
Issued by
Department of the Army Corps of Engineers Engineering District Sacramento

About this file

This document contains a federal contract opportunity notice and related entry access list form. The U.S. Army Corps of Engineers, Sacramento District is seeking proposals for a design-bid-build construction project to replace the fuel hydrant system at Beale Air Force Base. Work will include installing new fuel storage tanks and associated piping, pumps, and equipment. The estimated value is between $25-100 million. Responses are due by July 2022 and award is planned for September 2022. A mandatory site visit is scheduled for July 14, 2022, and all attendees must complete an entry access list form with personal details by July 6 to obtain base access clearance. The Air Force base requires compliance with Real ID standards for visitors.

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Text version

Sheet1

CONTRACTOR ENTRY ACCESS LIST FORM
Effective 15 Aug 2016 the USAF will implement REAL ID Act requirements IAW Public Law 109-13 and the Code of Federal Regulations (CFR) Title 6, Part 37
Note: Personnel will be placed on an EAL for no longer than 29 Days and 15 Business days to receive there DBIDS Card. Any longer will require an 1172 form to get a base pass or a memo from contracting. Handwritten/PDF submittals will not be processed.
NOTE: SSN is used to positively identify individuals. Failure to identify individuals is automatic denial to Beale AFB.
Employee's LEGAL Last Name
Christopher.Fleury: No nicknames must be full legal last name as it appears on their drivers license. Nicknames listed will be rejectedEmployee's LEGAL First Name
Christopher.Fleury: No nicknames must be full lega firstl name as it appears on their drivers license. Nicknames listed will be rejectedDOB

Christopher.Fleury: Format as dd-mon-yy Ex: 01-Jan-99

Drivers License NumberIssuning State
Christopher.Fleury: Must be the issuing State of the DLStart Date
Christopher.Fleury: Start date of DBIDS Badge or Pass must be a future dateExpiration Date

Christopher.Fleury: Expiration date of pass not to exceed 30 Days.

15 Business Days to pick up a DBIDS badge up to 1 year maxSponsor Name/DOB
Christopher.Fleury: This is the name of the individual submitting the request who will act as the contractor sponsorSponsors DOD ID/ EDIPISponsor Phone NumberDestination
Christopher.Fleury: Where the Employee will be working while on the installationCompany NameAuthorized Entry Times/ Days
Christopher.Fleury: Hours and days individual needs access. If days and times are not listed badge will not be processed.Contract Number

Christopher.Fleury: Contract number so we can verify contract with the Sponsor Christopher.Fleury: No nicknames must be full legal last name as it appears on their drivers license. Nicknames listed will be rejected Christopher.Fleury: No nicknames must be full lega firstl name as it appears on their drivers license. Nicknames listed will be rejected Christopher.Fleury: Format as dd-mon-yy Ex: 01-Jan-99

Christopher.Fleury: Must be the issuing State of the DL Christopher.Fleury: Start date of DBIDS Badge or Pass must be a future date Christopher.Fleury: Expiration date of pass not to exceed 30 Days.

15 Business Days to pick up a DBIDS badge up to 1 year max Christopher.Fleury: This is the name of the individual submitting the request who will act as the contractor sponsor

Christopher.Fleury: Where the Employee will be working while on the installationaSSNaAL
SampleSample8-Nov-56D0956489CAJul 14-22Jul 14-22Ulysses Gomez(530) 634-2920Arnold StreetABC Star LLC0050-1700 Tursday 14 July 2022W9123822R0041a00000000aAK

File details come from the government source that posted it. Updated .