Attachment 5 - Fillable Site Visit Visitor Application.pdf
PDF 292 KB Posted
- Attached to
- Repairs on the Square D Electrical Federal contract opportunity
- Solicitation number
- 12805B24Q0143
About this file
This document contains a site visit visitor application and related federal contract opportunity solicitation for electrical repairs. The site visit application requests prospective bidders provide personal information for security clearance to attend a mandatory site visit on March 19, 2024 at 1:00pm Central Time at the USDA Agricultural Research Service Field Research Implementation and Information Delivery Plains Area facility located at 1880 Denison Ave, Manhattan, KS. Interested parties must register for the site visit by emailing the point of contact Amber Sampson with company and attendee information by March 18.
The federal contract opportunity solicitation seeks fixed price quotes by March 26, 2024 to provide repairs and service for Square D electrical systems at the same USDA research facility. The NAICS code is 238210 and small business size standard is $19M. Quotes must include the submission form and complete SAM representations. The award will be made to the responsible bidder with the lowest technically acceptable quote based on technical acceptance, past performance, and price factors.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amend 5 - 12805B24Q0143.pdf | ||
| Amend 4 - 12805B24Q0143.pdf | ||
| Amend 3 - 12805B24Q0143.pdf | ||
| Attachment 6 - QA.pdf | ||
| Amend 2 - 12805B24Q0143.pdf | ||
| Attachment 4 - 12805B24Q0143 Site Visit Information.pdf | ||
| Amend 1 - 12805B24Q0143.pdf | ||
| Attachment 2 - Performance Work Statement.pdf | ||
| Attachment 1 - Pricing Schedule MS Excel Interactive Document.xlsx | XLSX spreadsheet | |
| Attachment 3 - Wage Determination.pdf | ||
| Clauses and Provisions - 12805B24Q0143.pdf |
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Text version
Attachment 5 Site Visit Attendee Visitor Application Information
RFQ12805B24Q0143
Name (Last, First, MI)
Previously issued PIV Access Card
(Yes or No) PIV card is not required for site visit attendance.
US Citizen (Yes/No)
If Not US Citizen Country of Birth
Company Name
Company Phone Number
Company Address
Once completed please e-mail this document to the NBAF Sponsor: justin.schlegel@usda.gov
For your personal security, please DO NOT send personally identifiable information (the information contained within this document) to any other e-mail address.
You should password protect and encrypt this form when returning it to NBAF and send the password in a separate email.
To password protect this document, follow the instructions below:
FOR PC: Select File tab, then select Protect Using Password; select Viewing; create a Password; reenter the Password to verify, then click on Apply.
FOR MAC: Select File tab, then select Export, and click on Encrypt; create a Password; reenter the
Password to verify, then click Save.
For your personal security this form will be destroyed immediately upon completion of access request process.
PRIVACY ACT STATEMENT The Privacy Act, 552a, requires that federal agencies inform individuals, at the time information is solicited from them, whether the disclosure is mandatory or voluntary, by what authority such information is solicited, and what uses will be made of the information. The collection of this information is authorized by EO 9397, 6 USC 341, 44 USC 3101, and EO 12958. Provision of the information concerning foreign visits is mandatory under the provisions of EO 12958. Failure to provide it may impact planned visits. Use of this information is for internal purposes to facilitate visitor processing.
Controlled// SP-SPIIWhen filled out, this document contains sensitive information exempt from mandatory disclosure under the Freedom of Information act, 5 U.S.C. 552 (b)(2). Do not release without prior approval by USDA.
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File details come from the government source that posted it. Updated .