EAL FORM - SOLICITATION W912QR25BA009.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Construct Fire Base - Youngstown ARS, OH
- Solicitation number
- W912QR25BA009
About this file
This document is an Employee Access List (EAL) Form for Solicitation W912QR25BA009, related to constructing a Fire Base at Youngstown Air Reserve Station (ARS) in Ohio. The spreadsheet is prepared by Leidos and contains sensitive personnel information for employees who will perform work on-site, including fields for last name, first name, middle initial, driver's license details, Social Security number, and date of birth. The document is marked as Privacy Act protected and intended for official use only (FOUO), indicating strict confidentiality requirements for the listed employee information. While specific contract details are limited, the solicitation involves the Department of the Army Corps of Engineers Engineering District Louisville, and the form appears to be a standard pre-deployment personnel tracking document for contractor access to a military installation.
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Text version
Sheet1
| EAL FORM |
| Privacy Act of 1974 as Amended applies. This spreadsheet may contain information that must be protected per DoD 5400.11R, |
| and it is intended for official use only (FOUO). |
| Contract Number: |
On-Base Work Site Location (Facility and Room Number):
Prime Contractor's Expected Period of Performance for the Contract/Project:
| 910 Contracting Office Point of Contact: |
| Prime Contractor Firm Name, Complete Address and Office Phone Nbr: |
Prime Contractor's Project Manager Name and Phone Number (Mobile Number Preferred):
Subcontractor Firm Name, Complete Address and Office Phone Nbr:
Subcontractor's Crew Supervisor Name and Phone Nbr (Mobile Number Preferred):
Expected Period of Performance (Dates) of Work On-Base by the Above Subcontractor:
| LIST OF EMPLOYEES TO PERFORM WORK ON THE 910 AW, YARS, INSTALLATION: |
| List of employees below is for the [ ]PRIME CONTRACTOR [ X ] SUBCONTRACTOR named above. |
LAST NAME FIRST NAME MIDDLE INT DL State DL # SSN# DATE OF BIRTH
| X | X | X | X | X | X | X |
| X | X | X | X | X | X | X |
| X | X | X | X | X | X | X |
| X | X | X | X | X | X | X |
| X | X | X | X | X | X | X |
| [ CONTINUE ON NEXT SHEET, IF NECESSARY ] | ||||||
| Privacy Act of 1974 as Amended applies. This spreadsheet may contain information that must be protected per DoD 5400.11R, | ||||||
| and it is intended for official use only (FOUO). | ||||||
| 910SFS Local Form 3102 Contractor Employee Data Sheet OPR: 910SFS/S5 |
&"Arial"&9&K000000 Leidos Proprietary&1#_x000D_ PAGE 1 OF 2
_x000D_&1#&"Arial"&8&K000000 The information in this document is proprietary to Leidos. It may not be used, reproduced, disclosed, or exported without the written approval of Leidos.
Sheet 2
| LIST OF EMPLOYEES, CONTINUED FROM PAGE 1 | ||||
| LAST NAME | FIRST NAME | MIDDLE NAME | SSN | DATE OF BIRTH |
| Privacy Act of 1974 as Amended applies. This spreadsheet may contain information that must be protected per DoD 5400.11R, |
| and it is intended for official use only (FOUO). |
&"Arial"&9&K000000 Leidos Proprietary&1#_x000D_ PAGE 2 OF 2
_x000D_&1#&"Arial"&8&K000000 The information in this document is proprietary to Leidos. It may not be used, reproduced, disclosed, or exported without the written approval of Leidos.
File details come from the government source that posted it. Updated .