NCIC CHECK.pdf

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Attached to
ROLL OVERHEAD DOOR REPLACEMENT Federal contract opportunity
Solicitation number
15B40124Q00000004
Issued by
Department of Justice Bureau of Prisons

About this file

This solicitation requests quotes for the installation of a replacement overhead door system at the Metropolitan Correctional Center in Chicago, Illinois. The Bureau of Prisons requires a complete replacement of the 16' x 16' door, including a non-insulated steel curtain, prime painted hood, steel guides, vinyl seals, an industrial duty motor operator, safety sensors and edges, counterbalance assembly, interlocks, and cylinder locks on both jambs. The installation must be completed in one day with overtime to minimize downtime. Site visits are available on February 5, 2023 and background checks are required in advance. Quotes are due on February 15, 2024 via the SAM.gov platform and must meet product, delivery, and pricing specifications. This is a small business set-aside for the designated NAICS code.

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Other files for this federal contract opportunity

Other files attached to ROLL OVERHEAD DOOR REPLACEMENT, newest first.
File Type Posted
Questions Sallyport.docx DOCX document
15B40124Q00000004 FY24 PZ 23Z4AS6 SALLY 1 OVERHEAD DOOR FEB 24.pdf PDF
7 - SOW - SALLY 1 REPLACEMENT-2.pdf PDF
Solicitation Notice 23Z4AS6.docx DOCX document

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Text version

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

BP-A660.012

MAR 1999 NCIC CHECK

1. Name (Last, First, Middle)

AUTHORIZATION FOR RELEASE OF INFORMATION

NCC (National Crime Information Center) CHECK

I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understand that this check must be done before I am allowed to enter/serve at a ny Bureau facility. I also understand that refusal to provide all necessary information may result in 1) denial of entry into a Burea u facility and 2) denial of volunteer/contract status.

2. Address (Street address) (City, State, County, Zip Code)

3. Home Telephone Number (Area Code, Number):

4. Aliases/Nickname:

5. Citizenship (List the country you are a citizen of):

8a. Sex:

7. Date of Birth (Month, day, year):

6. Social Security Number:

8b. Race:

8d. Weight:8c. Height:

8f. Color of Hair:8e. Color of Eyes:

9. Place of Birth (City, State, County), (List city, county and country if outs ide the U.S.A.)

10. The above listed information is true and correct.

Applicant's Signature

10a. Date

PRIVACY ACT NOTICE

Authority for Collecting Information: E.O. 10450; 5 USC 1303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5

USC 3301.

Purposes and Uses: Information provided on this form will be furnished to individuals in order to obtain information regarding activities in connection with an investigation to determine (1) fitness for Fed eral employment, (2) clearance to perform contractual service for the Federal Government, (3) security clearance or access. The infor mation obtained may be furnished to third parties as necessary in the fulfilment of official responsibilities.

Effects of Non-disclosures: Furnishing the requested information is voluntary, but failure to provide all or part the information may result in lack of further consideration for employment, clearance or access, or in the termination of your employment.

name:
phone:
alliases:
citizenship:
ssn:
date:
1:
2:
sex:
race:
height:
weight:
eyes:
hair:
address:
place_of_birth:

File details come from the government source that posted it. Updated .