A07_JBCC_Base_Access_Amended.pdf
PDF 104 KB Posted
- Attached to
- Installation of Variable Frequency Drive
- Solicitation number
- W912SV-18-Q-6013
View the file
Other files
| File | Type | Posted |
|---|---|---|
| A01_PWS_Attachment_1.pdf | ||
| A07_JBCC_Base_Access.pdf | ||
| A01_PWS_JWell_VFD.pdf | ||
| A07_Provisions_&_Clauses.pdf | ||
| A04_Wage_Determination_WD_15-4045_(Rev.-9).pdf |
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Text version
JBCC EVENT/PROJECT ROSTER Office use only
Event/Project Name: Sent to BDOC:
Destination: Approved:
Start & End Dates: Sponsor called:
Sponsor
Name/Phone: Daily Roster?:
Company/POC/Phone: Date:
COMPLETE ALL BLOCKS RETURN TO ACCESS CONTROL/PASS & ID, 3-5 WORKING DAYS PRIOR TO ARRIVAL FOR BACKGROUNDS
MUST BE TYPED & SENT ELECTRONICALLY TO ACCESS CONTROL/PASS & ID FOR TRACKING PURPOSES
LEGAL Last Name LEGAL First Name MI Driver's License # State
US
Citizen? DOB I-Gate
ALL PARTIES AGREE TO NCIC BACKGROUND CHECKS?
NCIC APPROVAL: CJIS REP SIGNATURE: rev: 03/01/17
Originating Agency Contact Information:
Comments:
| EventProject Name: J-Well VFD Replacement-W912SV-18-Q-6013 |
| Destination: BUILDING 3002 HERBERT ROAD- J-WELL |
| Start End Dates: 20 August 2018 (one day pass only) |
| Sponsor NamePhone: MSgt Kirk Wetherbee / 508-968-4977 |
| CompanyPOCPhone: |
| Last NameRow1: |
| LEGAL First NameRow1: |
| MIRow1: |
| Drivers License Row1: |
| StateRow1: |
| USA CitizenRow1: |
| DOBRow1: |
| IGateRow1: |
| Last NameRow2: |
| LEGAL First NameRow2: |
| MIRow2: |
| Drivers License Row2: |
| StateRow2: |
| USA CitizenRow2: |
| DOBRow2: |
| IGateRow2: |
| Last NameRow3: |
| LEGAL First NameRow3: |
| MIRow3: |
| Drivers License Row3: |
| StateRow3: |
| USA CitizenRow3: |
| DOBRow3: |
| IGateRow3: |
| Last NameRow4: |
| LEGAL First NameRow4: |
| MIRow4: |
| Drivers License Row4: |
| StateRow4: |
| USA CitizenRow4: |
| DOBRow4: |
| IGateRow4: |
| Last NameRow5: |
| LEGAL First NameRow5: |
| MIRow5: |
| Drivers License Row5: |
| StateRow5: |
| USA CitizenRow5: |
| DOBRow5: |
| IGateRow5: |
| Last NameRow6: |
| LEGAL First NameRow6: |
| MIRow6: |
| Drivers License Row6: |
| StateRow6: |
| USA CitizenRow6: |
| DOBRow6: |
| IGateRow6: |
| Last NameRow7: |
| LEGAL First NameRow7: |
| MIRow7: |
| Drivers License Row7: |
| StateRow7: |
| USA CitizenRow7: |
| DOBRow7: |
| IGateRow7: |
| Last NameRow8: |
| LEGAL First NameRow8: |
| MIRow8: |
| Drivers License Row8: |
| StateRow8: |
| USA CitizenRow8: |
| DOBRow8: |
| IGateRow8: |
| Last NameRow9: |
| LEGAL First NameRow9: |
| MIRow9: |
| Drivers License Row9: |
| StateRow9: |
| USA CitizenRow9: |
| DOBRow9: |
| IGateRow9: |
| Text3: |
| Text4: |
| Text5: |
| Text6: |
| Text7: |
| Originating Agency Contact Information: |
| Check Box3: Yes |
| NCIC Approval: [Yes] |
| Comments: |
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