Visitor Contractor Wellness Check - Lwr Rd Rpr.docx
DOCX document 20 KB Posted
- Attached to
- Lower Road Repair Federal contract opportunity
- Solicitation number
- 12305B21R0014
About this file
This document contains a federal contract opportunity notice and related visitor wellness check questionnaire. The United States Department of Agriculture is soliciting proposals for lower road repairs at its Eastern Region Research Center in Wyndmoor, Pennsylvania, with an estimated value between $250,000 and $500,000. The requirement is set aside for small businesses with a size standard of $39.5 million. The period of performance is 180 days from notice to proceed. Payment and performance bonds are required for awards over $150,000. An optional site visit is scheduled for May 10-11, 2021, with registration due by May 7. Questions are due by May 14, 2021, with answers posted as an amendment. The visitor wellness check questionnaire requires all visitors and contractors to confirm their health status daily, with questions about COVID-19 symptoms and potential exposure.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0002 - Q and A.pdf | ||
| Pre-Bid Site Visit Requirements v1.pdf | ||
| Amendment 0001 - Site Visit Wellness.pdf | ||
| Wage Decision PA20210004 15JAN21.pdf | ||
| Specs - 2020.12.16_USDA Lower Road Repairs_SPECS_Final Turnover.pdf | ||
| Sol_12305B21R0014 Lower Road Repair ERRC.pdf | ||
| Dwg C001-111.pdf | ||
| Dwg C703-705.pdf | ||
| Dwg C701-702.pdf | ||
| Dwg G001-003.pdf | ||
| Dwg C112-511.pdf |
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Text version
ARS, Northeast Area Mission Critical/Time Sensitive Activities During Pandemic Visitor/Contractor Daily Wellness Check Questionnaire
All Visitors and Contractors entering or performing work at a USDA/Agricultural Research Service facility must complete a “Wellness Survey” each day they are onsite (some locations may use the ARS Check Survey in addition to this form) and before entering a building or facility. Should the Visitor/contractor respond “Yes” to a question they will be interviewed by the “Location Pandemic Coordinator” or their alternate to seek clarification on the “Yes” response. Based on the clarification, the individual(s) may not be allowed access to the facility.
Visitors/Contractors please provide the following contact Information:
Name:
Business:
Contact Number:
E-Mail Address:
| Location POC |
| Neil Goldberg |
| Purpose of Visit: |
| Site Visit – Lower Road Repair ERRC |
Wellness Check – Please answer the following questions to the best of your knowledge for the current day.
1. In the last 14 days, have you traveled to or from a region outside of your regular commuting area where local ordinances required quarantine or other COVID-19 related travel mandates (e.g., test results, travel form/registration)?
Yes / No
2. Have you been diagnosed with, or experienced any symptoms of COVID-19 in the past 14 days or since last check in, including the following: fever (100.4 degrees F or greater), or chills, cough, loss of taste or smell, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, sore throat, congestion or runny nose, nausea or vomiting, diarrhea?
Yes / No
3. Have you had close contact with anyone diagnosed with COVID-19 or showing symptoms of COVID-19 within the past 14-days? Close contact is defined as being within six feet of a person for more than 15 minutes within a 24 hour period.
Yes / No Please return the completed questionnaire to your Point of Contact at the location on the day of arrival. If you have any questions, please contact them in advance of your arrival.
Page 1 | 1 May 3, 2021
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