j24 Background Checks for Installation Access.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Competitive 8(a) SATOC JOC Federal contract opportunity
Solicitation number
W9124P-19-R-A029
Issued by
Department of the Army Materiel Command Contracting Command Redstone Arsenal

About this file

This document includes a federal contract opportunity announcement and a background check file. The federal contract opportunity is a five-year, firm-fixed-price Indefinite Delivery Indefinite Quantity Single Award Task Order Contract to perform unspecified minor military construction, lab revitalization, and sustainment projects for the US Army Garrison - Redstone Department of Public Works. All questions must be submitted by February 22, 2019 to the identified contracting points of contact via email, with the anticipated award date of December 16, 2019. The background check file contains personally identifiable information for badge issuance at USAG-Redstone and provides the mandatory social security number disclosure statement.

j24 Background Checks for Installation Access

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Text version

Sheet2

BACKGROUND CHECKS FOR INSTALLATION ACCESS

NAMESSNDOBRACE/SEXHT / WTHAIR/EYEPOBLICENSE/STATEPassport # - Alien Reg. # if not born in the US
Smith, John A.111-22-33332-Jan-80W/M73 / 210BR/BLAL1021021, NY

Privacy Act Notice - Social Security Number Disclosure: Purposes and Uses: The primary use of information collected will be to run background checks for issuance of USAG-Redstone Badges. RELEASE OF INFORMATION: Information may be released to state, local, or Congressional offices which have a need to know in connection with program oversight or when relevant to civil, criminal, administrative, or regulatory investigations or proceedings. EFFECT OF NONDISCLOSURE: Failure to provide your social security number (SSN) will result in USAG-Redstone's inability to issue an identification or visitor badge. Disclosure of your SSN is MANDATORY in order to obtain a USAG-Redstone badge. Executive Order 9397 authorizes the use of the SSN to distinguish between you and other people who may have identical names and birth dates. The SSN will be used to match the person completing this form with any correct individual master records currently in NCIC or the USAG-Redstone MAX Badging System.This information is protected by the Privacy Act of 1974.

ATTACHMENT J24

Sheet3

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