Site Visit_FM5000_USACE_M.Ramirez_(last_name).xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Guided Missile Building Salinas Peak for White Sands Missile Range, New Mexico
Solicitation number
W912PP24R0003
Issued by

About this file

This document is an Excel file titled "Site Visit_FM5000_USACE_M.Ramirez_(last_name).xlsx" that appears to be related to a federal contract opportunity.

The key details summarized are:

The document contains a Directorate of Emergency Services Access Control Background Check Request Form that requires personal information such as name, social security number, date of birth, driver's license, and place of birth. This form is used to request access to the White Sands Missile Range for contract-related activities. The contract opportunity is for the Guided Missile Building Salinas Peak at White Sands Missile Range in New Mexico. The project includes constructing a 1,200 sf Shelter-In-Place facility, renovating an 800 sf Observation Bunkhouse, building a 2,827 sf reinforced concrete test pad, and installing electric service infrastructure and other supporting facilities. The procurement will be competed using an Unrestricted Lowest Price Technically Acceptable (LPTA) Request for Proposal (RFP) process. The North American Industry Classification System (NAICS) code is 236220 with a $45,000,000 size standard. The contracting agency is the Department of the Army Corps of Engineers Engineering District Albuquerque.

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Table 1

Directorate of Emergency Services Access Control Background Check Request Form
PRIVACY ACT: AUTHORITY: Title 10 United States Code Section 301 Title 5 United States Code Section 2951 Executive Order 9397 dated Nov 22, 1943. PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately identified. ROUTINE USES: Your Social Security Number (SSN) is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE: Disclosure of your SSN is voluntary. Failure to provide SSN may cause delays in approval or denial.
Sec 1.Sec 2.Sec 3.Sec 4.Sec 5.Sec 6.Sec 7.
LAST NAMEFIRST NAMEMIDDLE NAME or (NMN)SSN XXX-XX-XXXXDATE OF BIRTH MM-DD-YYDL or ID CARD NUMBER & State of IssuePLACE OF BIRTH (City, State or Country)
Sec 8. Requestor Must provide Clear and Svalid access requirement for Both normal access and Up range. Failure to provide the requted information will result in a denied request. !!!! Individuals on this request will receive the White Sands UXO and NO photography briefings and the verifying paperwork will be on file with thier organization. !!!!
Contract number
Sec 9. Sponsor or Requestor InformationE-mail your request form encrypted to: USARMY.WSMR.IMCOM-CENTRAL.LIST.PHYSICAL-SECURITY@MAIL.MIL
Name of Sponsoring / Vouching OfficialMelanie Ramirez
Sponsor's Organization:USACE
Sponsor's phone number:575-678-1238
Date submitted:
PHYSICAL SECURITY APPROVAL:
Fm 5000 as of Jan 2016

mailto:USARMY.WSMR.IMCOM-CENTRAL.LIST.PHYSICAL-SECURITY@MAIL.MIL

File details come from the government source that posted it. Updated .