WF 113 Base Access Form.pdf
PDF 1 MB Posted
- Attached to
- Roof Repair and HVAC Installation
- Solicitation number
- W50S8222B0002
About this file
This document contains an installation access application form and details of a related federal contract opportunity for roof repair and HVAC installation work. The installation access application form requests personal and vehicle information for base access and includes standard language regarding privacy, voluntary disclosure, and conditions of access. The related federal contract opportunity is solicitation number W50S8222B0002 to provide approximately 1,720 square feet of roof repairs to Building 2050, including a new rooftop, HVAC, plumbing, mechanical, and electrical systems. A pre-proposal meeting will be held on March 30, 2022, and interested parties meeting the set-aside criteria must submit the installation access application form to register. The work is being conducted for the Department of the Army Maryland Army National Guard.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| W50S8222B0002 0005.pdf | ||
| W50S8222B0002 0004.pdf | ||
| RFI 1.pdf | ||
| W50S8222B00020003.pdf | ||
| W50S8222B0002 0002.pdf | ||
| W50S8222B0002 0001.pdf | ||
| A201 30x42.pdf | ||
| SOW PJMS 172010 Add fume exhaust to NDI Lab in bldg 2050.pdf | ||
| W50S8222B0002.pdf | ||
| M202 30x42.pdf | ||
| E201 30x42.pdf | ||
| P201 30x42.pdf | ||
| A202 30x42.pdf | ||
| M201 30x42.pdf | ||
| M301 30x42.pdf |
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Please wait...
If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.
175 WG FORM 113, 20170207
Page of
PREVIOUS EDITIONS ARE OBSOLETE
INSTALLATION ACCESS APPLICATION
SECTION 1 - ACESSS INFORMATION
Have you EVER been arrested, cited or detained by any law enforcement officer (including any immigration official or any official of the U.S. Armed Forces) for any reason?
SECTION 3 - VEHICLE INFORMATION
SECTION 4 - EMPLOYER INFORMATION
DATES REQUESTED
HOURS REQUESTED
WORKDAYS REQUESTED
SECTION 2 - PERSONAL DEMOGRAPHICS
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C., DoD 1400.34 SC 1950 and Title 10 U.S.C., 8013; SECAF E.O. 9397 authorizing SAN to be used as a system of numbering to identify persons.
PURPOSE: To provide a means of positive identification for the purpose of processing applications or retrieving data.
ROUTINE USES: Blanket DoD routine uses.
DISCLOSURE: Voluntary: However, failure to provide the requested information will result in delay or termination of your request.
CONDITIONS APPLICABLE ON RECEIPT: By virtue of signing this application and upon receipt of a Wing Contractors Pass you understand that this pass is only valid at Warfield Air National Guard Base for the dates requested on this application. It is understood that the pass is the property of the 175th Wing, it is not transferable, and if it is altered in any way access will be denied. It must be surrendered at the request of the 175th Wing, its designated representatives or the issuing agencies. You will understand that while on Warfield Air National Guard Base, your person, possessions, vehicle and work area are subject to search at the discretion of Wing Commander or their designated representatives. You will also understand that you must immediately report a lost pass to the 175th Security Forces Squadron.
11.0.1.20130826.2.901444.899636 TSgt Laura Turner
175 SFS/SFA
SSgt Chris Petry 175 WG Form 113 - Installation Access Application
| CurrentPage: |
| PageCount: |
| YYYYMMDD: |
| ProjectName_Location: |
| SSN: |
| HoursFrom: |
| Name: |
| Height: |
| PrintedName: |
| YYYYMMDD: |
| HoursTo: |
| Monday: 0 |
| Tuesday: 0 |
| Wednesday: 0 |
| Thursday: 0 |
| Friday: 0 |
| HomeAddress: |
| GenderDrpDwn: |
| Weight: |
| EyeColor: |
| YYYYMMDD: |
| IDType: |
| IDNumber: |
| : |
| YesExplaination: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| YYYYMMDD: |
| EmployerAddress: |
| EmployerName: |
| SignatureField1: |
File details come from the government source that posted it. Updated .