BASE_ACCESS_PROCEDURES_FOR_CAMP_ARIFJAN.pdf

BASE ACCESS PROCEDURES FOR CAMP ARIFJAN

Summary:

1) Prospective contractors will need to submit their IDs (copies of Civil ID and Passport) 72 hours prior to arrival at Camp Arifjan, Kuwait.

2) Contractors will need to submit completed paperwork to the US Army Corps of Engineers

(USACE) Kuwait Area Office Building T340. The POC for the USACE is Mr. Hamed Issa, Senior Project Manager/ PMO at the Kuwait Area Office South/ Building T340 (Camp Arifjan) at following phone numbers; Office 540.665.1643, Country Cell +1.965.9876.8895 or US Cell +1.540.717.6992. The Department of Public works (DPW)-South at Camp Arifjan will then approve base access for contractors and assign escort personal who have escort privileges.

3) US Army Corps of Engineer (USACE) Area Field Office will need a total head count with each contracting firm only allowed up to two individuals for the site visit. Camp Arifjan DPW will provide bus transportation from outside Entry Control Point (ECP) #1 at the contractor parking lot and contractor sun shade area.

4) Contractors will have bags searched by contract security at this area and should plan to leave cell phones in their vehicles or turn them off at search area.

Documents Required/ Point of Contact (POC)s:

1) A detailed listing of attachments (1-5) will need to be completed 72 hours prior to arrival at Camp Arifjan for the site visit. A confirmation email should be received from Camp Arifjan DPW- South prior to arrival for the site visit scheduled Monday, 29Jul19 at 1000AM Kuwait Local time.

2) The POC for the USACE is Mr. Hamed Issa, Senior Project Manager/ PMO at the Kuwait Area Office South/ Building T340 (Camp Arifjan) at following phone numbers; Office 540.665.1643, Country Cell +1.965.9876.8895 or US Cell +1.540.717.6992.

3) If necessary, additional assistance will be provided by the USACE Kuwait Area Office staff members including, Mr. Lenoir Santiago, Mr. Adore Andaway, Mr. Fady Yassin, or Mr. Maksim Hromiak.

4) The USACE Project Manager for this project is Mr. Michael DuBois, based the Middle East District in Winchester, Virginia at the following phone numbers, Office 540.665.3633, US Cell

540.247.1099 or Cell 303.829.1482.

ATTACHMENTS

39. Name of primary Contract Company Representative:

31. Project Name/Task Order:

33. Supervisor Work Number:

38. Primary Contract Contact Information::

40. Signature of Primary Contract Company Representative:

42. Subcontract (POC):

35. Contract Expiration Dates (dd/mmm/yy) 36.Contract Period (Base plus option years):

41. Subcontract #:

24. Purpose of Application

25. Work Hours. 26. Dates Requested: 27. Work Days:

SECTION III - Company/Contract Information

28 Unit/ Employer: 29. Department and Section:

9. Gender: 10. Eye Color: 11. Hair Color: 22. Work Phone Number: 23. DSN Phone Number:

30. Work Location of Employee:

32. Supervisors Name:

34. US Military Contract Number:

37. Primary Contract Company:

ASG-KU ACCESS APPLICATION

Data Required by the Privacy Act of 1974 (5 USC 552a), DOD Directive 5400.11-R, 10 USC 3013, 10 USC 5013, 10 USC 8013 and Executive Order 9397

AUTHORITY: 10 U.S.C. 113, Secretary of Defense, Note (Use of Smart Card Technology in the Department of Defense); Directive-Type Memorandum (DTM) 09-012, Interim Policy Guidance for DoD Physical Access Control; 10 U.S.C. 136, Under Secretary of Defense for Personnel and Readiness; DoD Directive 1000.25, DoD Personnel Identity Protection (PIP) Program; DoD Instruction 5200.08, Security of DoD Installations and Resources; DoD 5200.08-R, Physical Security Program; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): The records support DoD physical security and information assurance programs, to issue individual facility/installation access credentials, and for identity verification purposes. The system also is used to record personal vehicles and property registered with the DoD and for producing facility management reports. The records may be accessed by other physical access control systems for further verification at other sites. Records may also be used for law enforcement purposes.

ROUTINE USE(S): In addition to those disclosures generally permitted under 5 U.S.C. 552a (b) of the Privacy Act of 1974, these records may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a (b) (3) as follows: Under DoD Blanket Routine Use #1. For law enforcement purposes to …federal, state, local, or foreign (law enforcement agencies), charged with enforcing or implementing the statute, rule, regulation, or order issued pursuant thereto. The DoD 'Blanket Routine Uses' set forth at the beginning of the OSD compilation of systems of records notices apply to this system.

DISCLOSURE REQUIREMENT – THIS INFORMATION IS VOLUNTARY: Voluntary. However, failure to provide the requested information may result in denial of a DBIDS card or visitor’s pass and denial of entry to DoD installations and/or facilities.

CONDITIONS APPLICABLE ON RECEIPT: I understand that the ASG-KU Installation Access (IA) Card is valid only through the expiration date indicated. Exceptions may require additional screening, interview and background checks. It should also be known that any derogatory information returned from the applicant's background investigation or failure to comply with screening/interview requirements may reflect adversely on consideration for access and may result in barment proceedings being initiated. Its intended use and authorizations are limited to those indicated on this form and the card. I understand that the ASG-KU IA Card is US Government property, that it is not transferable, that it is not to be altered in any way, and that it must be surrendered upon request of the US

Government, its designated representative, or the issuing agency. I understand that while on any ASG-KU Installation my person, possessions, vehicle and work area are subject to search at the discretion of the US Government or its designated representative. I understand that I am liable for the cost of replacement for my IA Card if lost. Any falsification on this form will result in immediate revocation of access privileges.

SECTION I - Demographics

1. Last Name (Surname) 12. Title/Position 13 Rank/Grade

14. Citizenship: If dual citizen list both 15. Race

3. Middle Name/Suffix: 16. Address (Building Name/Number, Street Name/Number, etc):

4. Passport Number:

2. First Name (Given Name)

SECTION II - Access Information

5. Foreign Identification Number: Expiration Date (dd/mmm/yy): 18. City, State, Zip code: 19. Country

6. Date of Birth (dd/mmm/yy): 7. Height (inches): 8. Weight (pounds):

Expiration Date (dd/mmm/yy): 17. Address Type:

20. Home Phone Number: 21. Mobile Phone Number:

From: To: From: To: From: To:From: To: From: To:

Organization AddressHome Address Company AddressOffice Address

Male Female

TDY Escort Request New Registration Renew Registration Upgrade of Privileges Lost/Stolen IA Card

Enclosure 1 - ASG-KU DES FORM 190-16.01-Access Application (17 Jul 2016)

Initial:55. AA Recommended IA Badge Expiration:

SECTION V - Installation Access (IA) Card Holder Acknowledgement

ASG-KU ACCESS APPLICATION

43. AA Last Name: 44. AA First and Middle Initial: 45. AA Rank/Grade or Equivalent:

SECTION IV - Appointed Authority (AA) Information and Recommendation

74. Name of Screener: 75. Signature of Screener and Date: 76. Screening Status:

56. As a ASG-KU IA Card holder, I acknowledge the following:

1. All persons, their personal property, US Government property, and vehicles may be searched on entry, while within the confines of, or when leaving US Forces installations. Persons attempting to gain entry, who refuse to identify themselves, provide digitized fingerprint minutia data (DFMD), hand geometry scan, or consent to search, will be denied access.

2. If I am authorized escort privileges, I understand that I am agreeing to monitor that person’s actions at all times, and I accept full responsibility for that person’s conduct while on the installation.

3. IA Cards are US Government property. Any Military Police Officer, Law Enforcement, Security Force or Access Control personnel may confiscate an IA Card that has expired, is being used fraudulently, and is being presented by a person other than the person to whom it was issued, or is obviously altered, damaged, mutilated or photocopied.

4. I must surrender my pass when

a. It is replaced (except when lost or stolen).

b. I no longer require access.

c. My sponsor or status changes.

d. I resign, am terminated, or am no longer officially sponsored.

5. If I lose my IA Card or if it is stolen, I must immediately notify either the Law Enforcement Station or Installation Access Office. Failure to do so is grounds for denying a replacement card.

6. Violations of ASG-KU security policies may be grounds for denying access to US Forces Installations and lead to confiscation of all installation access documents.

I acknowledge by my signature that I have read and understand the policy, requirements, and responsibilities above.

57. (Print/Type) Last, First, Middle Initial: 58. Signature: 59. Date (dd/mmm/yy):

63. Personnel Access in FP

66. Areas, Gates, Base Privileges

SECTION VII - Screening Office Use Only

67. Category Classification:

68. Name of Person Entering Data/Collecting Biometrics: 69. Signature/Date of Person Entering Data/Collecting Biometrics: 70. DBIDS Number of Person Entering Data/Collecting Biometrics:

72. Vetting Date:

73. DBIDS Number of Applicant:

SECTION VI -Access Office Use Only

60. Name and Rank/Title of Person Approving Application: 61. Signature and Date of Person Approving Application

64. Vehicle Privileges: 65. Escort Privileges:

52. Personnel Access in FPCON : Initial:

51. Areas Of Access: Directorate/COR/AA must initial for each camp required.(Note Access is based on the individual’s need as stated in their contract. It is strictly prohibited to access areas not specified in their contract.)

Initial:________

48. AA Mobile Number:

50. AA Signature and Date:

46. AA Unit Organization: 47. AA Work Number:

49. AA Email Address:

54. Escort Privileges: Initial:53. Vehicle Privileges: Initial:

62. Expiration Date of IA Card (dd/mmm/yy)

71. Supporting Documents Enclosed (if applicable)

Buehring

Arifjan

KNB/Patriot SPOD

Charlie Delta w/Enc 6 Yes No

Charlie Delta w/Enc 2C

Buehring

Arifjan KNB Patriot

SPOD

CAT 1 - OCN CAT 2 - Foreign Military CAT 3 - US Contractor CAT 4 - US Government CAT 5 - Commander's Exception

Approved Rejected Routed to DES

Yes No Delta w/Enc 6

Yes NoYes No Delta w/Enc 2C

OCN w/Enc 7 and 10

Enclosure 1 - ASG-KU DES FORM 190-16.01-Access Application (17 Jul 2016)

Request for KCID Background Investigation (Must be on Prime Company Letterhead)

Enclosure 3 - Company Request for KCID Background Investigation Check Example (17 Jul 2016)

MEMORANDUM FOR RECORD

DATE:

THRU: The Directorate of Emergency Services

FOR: ASG-KU Ministry of Interior Liaison Officer

SUBJECT: Local Agency Criminal Background Check

I am requesting a local background check to be conducted on the following individual:

NAME:

DOB:

NATIONALITY:

CIVIL ID #:

PASSPORT #:

COMPANY:

VISA EXP:

The background check is required for Installation Access.

The Point of Contact (POC) for this request is:

NAME:

EMAIL:

PHONE #:

Directorate/Company/Project Manager Acknowledgement and Signature

(Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)

Letter of Identification for Access to ASG-KU Installations (Must be on Company Letterhead)

Enclosure 4 - Company Letter of Identification- Authorization (LOI-LOA) Example (17 Jul 2016)

DATE:

TO: Area Support Group – Kuwait (ASG-KU)

ATTN: Director of Emergency Services (DES)/Installation Access

The following individual is authorized access per contract to the following ASG-KU Installations: (LIST SPECIFIC CAMPS)

The Contract Company listed below acknowledges and accepts full responsibility for the conduct and actions of the employee while working on ASG-KU Installations and will comply with all rules and regulations for access.

1.) NAME (Last, First, Middle):

2.) Passport Number:

3.) Kuwait Civil ID #:

4.) Primary Contract Company:

5.) US Military Contract Number:

6.) End of Contract (yyyy/mmm/dd):

7.) Subcontract Company (if Applicable):

8.) Subcontract # (if Applicable):

I hereby acknowledge and accept responsibility for the conduct and actions of the above named employee.

Directorate/Company/Project Manager Acknowledgement and Signature (Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)

*NOTE: Personnel employed by a Sub-Contract Company are required to have a LOI/LOA from the Primary Contractor IN ADDITION TO one from the Sub-contract Company.

Letter of Identification for Access to ASG-KU Installations (Must be on Sponsoring Company Letterhead)

Enclosure 5 - Sponsoring Company Letter of Identification- Authorization (LOI-LOA) Example (17 Jul 2016)

DATE:

TO: Area Support Group – Kuwait (ASG-KU)

ATTN: Director of Emergency Services (DES)/Installation Access

The following individual is authorized access per contract to the following ASG-KU Installations: (LIST SPECIFIC CAMPS)

The Sponsoring Company listed below acknowledges and accepts full responsibility for the conduct and actions of the employee while working on ASG-KU Installations and will comply with all rules and regulations for access.

1.) NAME (Last, First, Middle):

2.) Passport Number:

3.) Kuwait Civil ID #:

4.) Primary Contract Company:

5.) US Military Contract Number:

6.) End of Contract (yyyy/mmm/dd):

7.) Subcontract Company (if Applicable):

8.) Subcontract # (if Applicable):

I hereby acknowledge and accept responsibility for the conduct and actions of the above named employee.

SIGNATURE ON THIS DOCUMENT MUST MATCH AT LEAST ONE OF THE

SIGNATURES ON THE SPONSOR’S ACTIVE KUWAIT CHAMBER OF COMMERCE

AND INDUSTRY (KCCI) REGISTRATION WITH BARCODE

(Please ensure that the Signature Block includes Full Name, Title, Company Name, and Signature)