JBMDL Access Request for Page 2.pdf
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- Solicitation number
- W912DS22B0021
About this file
This document provides details on an upcoming federal construction contract opportunity and a related security access request form. The U.S. Army Corps of Engineers, New York District intends to issue a solicitation seeking a firm-fixed price contract for construction of an 8-bed Level 1 confinement facility at Joint Base McGuire-Dix-Lakehurst in New Jersey. The 4,607 square foot facility is required to house pre-trial detainees and include administrative areas, a visitation room, training room, waiting room, day room, and full building systems. The solicitation is anticipated in mid-July 2022 as a small business set-aside, with bids due approximately 30 days later. The performance period is 540 calendar days from notice to proceed. The government estimates the construction costs will be between $5-10 million. The second page contains a security access request form requiring personal information for background checks to access the base.
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Text version
Special Event Request, page 2
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.
LAST NAME FIRST NAME MIDDLE DATE OF BIRTH
(YYYYMMDD)
SSN
Signature
M L , R , S
Title, Organization
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