Contractor Badge Application.docx
DOCX document 9 KB Posted
- Attached to
- TN MEALS Federal contract opportunity
- Solicitation number
- W912L726Q0503
About this file
The document is a Contractor's Badge Worksheet, a form used to record detailed personal and professional information for an individual seeking installation entry authorization. The form requires comprehensive details including the contractor's full name, social security number, date of birth, physical characteristics, contact information, vehicle details, and employer information. The worksheet also includes sections for background investigation results, NCIC checks, and sponsor information, with space for official badge issuance tracking.
In conjunction with this badge application, the related federal contract opportunity is a meals provision solicitation (W912L726Q0503) issued by the Tennessee Army National Guard. The unrestricted solicitation seeks a local Memphis, TN area caterer (NAICS Code 722320) to provide 150 daily meals (breakfast, lunch, dinner, with potential midnight meal option). The solicitation closes on October 3, 2025, at 2:00 PM EST, and requires vendors to be established meal providers capable of accommodating daily meal count variations. No food trucks will be accepted, and the contract will be awarded to the most advantageous technically compliant offer.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 164th SFS FORM 10 CONTRACTORS.pdf | ||
| REVD PWS 194TH UNITS Meals OCT 2025 (1).pdf | ||
| REVD W912L726Q0503 MEMPHIS Combined Synopsis MEALS 1OCT25.docx | DOCX document | |
| REVD 194th Mission Meal Roaster Quote 1OCT25.xlsx | XLSX spreadsheet | |
| W912L726Q0503 MEMPHIS Combined Synopsis MEALS.docx | DOCX document | |
| 194th Mission Meal Roaster Quote 30SEPT25.xlsx | XLSX spreadsheet | |
| PWS 194TH UNITS Meals OCT 2025.rtf | RTF text file |
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Text version
CONTRACTOR’S BADGE WORKSHEET-
EXTENDED
| ISSUE DATE |
| EXP DATE |
| BADGE NO. |
AUTHORITY: 10 U.S.C. 8013; 44 U.S.C. 3101; and E0 9397 PURPOSE: Used to record information and details to determine installation entry suitability.
ROUTINE USES: Information may be disclosed to local, county, state and federal, law enforcement/investigative authorities or agencies.
DISCLOSURE IS VOLUNTARY: The Social Security Number is used to positively identify the individual. Failure to provide information on this form, or failure to provide true and correct information, may result in installation entry denial or other possible lawful actions.
CONTRACTOR’S INFORMATION
| NAME (LAST, FIRST MI.) |
| GENDER(M/F) |
| SSN |
| D.O.B. |
| HOME ADDRESS |
| CITY |
| STATE |
| ZIP CODE |
| PHONE |
| DRIVER’S LICENSE (NUMBER, STATE) |
| RACE |
| HEIGHT |
| WEIGHT |
| HAIR COLOR |
| EYE COLOR |
COMPANY INFORMATION
| COMPANY/EMPLOYER |
| ADDRESS |
| CITY |
| STATE |
| PHONE |
VEHICLE INFORMATION
| TAG # |
| MAKE |
| MODEL |
| COLOR |
| YEAR |
| INSURANCE COMPANY |
BACKGROUND INVESTIGATION RESULTS
I authorize without reservation, any party or agency contacted to furnish any information about criminal convictions, motor vehicle, and other reports be released from any liability and responsibility for doing so. This authorization and consent shall be valid in original or electronic form.
| DATE |
| NCIC RESULTS |
| DRIVER’S LICENSE RESULTS |
| NCIC ADMINISTRATOR (Signature) |
SPONSOR
| NAME (LAST, FIRST MI.) |
| UNIT |
| PHONE |
| LOCATION OF WORK |
ADDITIONAL REMARKS
| CONTRACTOR SIGNATURE |
| BADGE ISSUING OFFICIAL (PRINTED NAME) |
| BADGE ISSUING OFFICIAL (Signature) |
FOR OFFICIAL USE ONLY
File details come from the government source that posted it. Updated .