Attachment A - EAL Form.pdf

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Attached to
Joint Base McGuire-Dix-Lakehurst (JBMDL) Optimized Remediation Contract (ORC)
Solicitation number
W912DR24R0008_SiteVisit
Issued by

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This document is an Entry Authorization List (EAL) form for accessing Joint Base McGuire-Dix-Lakehurst (JBMDL) in relation to the JBMDL Optimized Remediation Contract (ORC) solicitation, W912DR24R0008. The form is used to verify the status and conduct background checks for individuals requiring temporary access to the base for a site visit related to the solicitation. The form requires details such as the visitor's name, company, social security number, date of birth, and requested days and hours of access. It also includes a Privacy Act statement. The related federal contract opportunity is a Special Notice for the JBMDL ORC, which advises of a mandatory site visit on May 21-22, 2024. The site visit presentation slides are provided as an attachment. Contractors must submit the completed EAL form by 11:00 AM EST on May 15, 2024 to obtain access to the base for the site visit.

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Other files

File Type Posted
JBMDL ORC Site Visit Sign In - 22 May.pdf PDF
JBMDL ORC Site Visit Sign In - 21 May.pdf PDF
Attachment C - Site Visit Map - Welcome Center_REV 15MAY2024.pdf PDF
Attachment C - Site Visit Map - Welcome Center.pdf PDF
Attachment C - Site Visit Map - Welcome Center.pdf PDF
Attachment B - JBMDL ORC Site Visit Slides_09MAY2024.pdf PDF

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SFFL 4

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301.10 U.S.C. 8012 and 8034, and EO 9397.

PRINCIPAL PURPOSE: To verify individual status and conduct any background checks to determine if access to Joint Base McGuire-Dix-Lakehurst(JB

MDL) is warranted. ROUTINE USE: All information will be maintained in a central Security Forces database and may be disclosed to public affairs and security representatives to carry out official duties. Information will not be considered “Public Domain” and will be safeguarded by the end users.

DISCLOSURE: Information collected on this form and your signature are voluntary. If you have no objection to these procedures fill out the form and sign your name. Failure to provide the requested information or a signature may lead to denial of access and privileges at JB MDL.

MEMORANDUM FOR 87 SFS/ Police Services

FROM:

SUBJECT: Short Term Entry Authority List (EAL)

1. Request entry for the following individual be allowed acces onto Joint Base MDL for the purpose of XXXXX at the .

2. I work in building and can be reached at

3. The visitor will be going to ___________

4. Dates Access required: Start Date End Date: .

NAME

(Last, First Middle Intial)

COMPANY

NAME

FULL SSAN Date of Birth Days of week access required

Hours of day access required

3. Please direct any questions regarding this matter to me.

Signature

FIRST MI LAST, RANK, SERV

Title, Organization

Michael Figura, GS-13

787 CES/CEIE

787 CES/CEIE

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Purpose: JBMDL ORC Site Visit - Solicitation W912DR24R0008
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