TE 4 - Gillem Enclave Forms.xlsx
XLSX spreadsheet 79 KB Posted
- Solicitation number
- W91249-19-R-0019
About this file
The document contains forms and templates relevant to security construction projects on Army installations. Form DA 4604 is a Security Construction Statement requiring signatures and dates to certify a facility's conformance with Army Regulation 190-11 regarding arms and ammunition storage. It requests information such as the room and building numbers, address, and whether the form applies to an existing structure, new construction, or modification.
The related federal contract opportunity is a solicitation from the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort Eustis for base operations and maintenance support services at Gillem Enclave. The requirement includes base-wide services such as facilities management, custodial services, grounds maintenance, waste management, and energy management.
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Text version
Forms Technical Exhibit 4 - Forms
Documents may be DOD, Army, or installation specific and can be obtained online, from the COR/ACOR, or DPW.
| https://home.army.mil/imcom/index.php/contact/webmaster-1/using-forms |
| Many forms are available from manufacturers, installers,designer, etc |
https://home.army.mil/imcom/index.php/contact/webmaster-1/using-forms Example 4283
Example DA 4604
SECURITY CONSTRUCTION STATEMENT
For use of this form see AR 190-11; the proponent agency is PMG.
INSTRUCTIONS
This form will be prepared in three copies. The original will be maintained permanently in the files of the individual signing the form. The first copy will be maintained permanently in the using unit/organizational files. The second copy will be filed permanently in the arms/ammunition storage facility. All entries except item 7 will be typewritten.
1. THE CONSTRUCTION OF THIS FACILITY CONFORMS TO THE CRITERIA OF AR 190-11 WHICH IS IN EFFECT ON THIS DATE EXCEPT AS INDICATED
HEREON
2. ROOM AND BUILDING NUMBER, STREET AND INSTALLATION ADDRESS
3. THIS APPLIES TO
a. AN EXISTING STRUCTURE
b. CONSTRUCTION OF NEW FACILITY
c. MODIFICATION OF EXISTING FACILITY (Explain)
| 4. NAME OF OFFICIAL IN ITEM 7 BELOW GRADE | 6. ADDRESS OF OFFICIAL |
| 5. ORGANIZATION | |
| 7. SIGNATURE DATE SIGNED |
DA FORM 4604, SEP 2006 APD LC v1.01ES image1.PNG
File details come from the government source that posted it. Updated .