Site Visit - FCC Butner Water Chemical Testing.pdf

U.S. Department of Justice Federal Bureau of Prisons

Administration Division Field Acquisition Office

Grand Prairie, Texas 75051

RE: Request for Quote 15BGCS26Q10600001 Water Chemical Testing Consult Serv Water Chemical Testing

Federal Correctional Complex (FCC) – Butner, North Carolina

Dear Quoter:

This notice serves as a supplementary update to the solicitation for the Federal Correctional Complex (FCC) Butner Water Chemical Testing Consult Serv Water Chemical Testing requirement. A site visit has been scheduled for Monday, September 21, 2026 at 9:00 a.m. EST at FCC Butner (Employee Development Training Center), Old Highway 75, Butner, NC 27509. All interested vendors are strongly encouraged to attend, as this visit will provide an opportunity to review the facility environment, clarify technical requirements, and ensure full understanding of the scope of work.

Important Requirements for Attendance:

Background Check Form All prospective visitors must submit a completed background check form no later than Wednesday, September 16th at noon EST. Access to the institution cannot be granted without an approved background check. Completed forms may be emailed to Stephen Rice, srice1@bop.gov

Arrival Instructions Please arrive at least 15 minutes early to allow time for processing through security and verification of authorized access. Visitors must bring a valid government-issued photo ID on the day of the visit.

Safety Requirements Visitors must comply with all institutional safety and security directives. safety toe shoes are required. Cell phones, cameras, and recording devices are not permitted inside the facility. Any photographs taken will be taken by the institution staff and posted to this announcement within 2 business days of the visit along with Q&A’s asked at the visit.

Notification of Attendance Please confirm your attendance by email so the institution can prepare visitor access in advance.

If you have any questions, please contact me directly at jwray@bop.gov. Thank you for your interest in this requirement. We look forward to meeting with you during the site visit.

Sincerely, Justin Wray, Contracting Officer

Attachment: (1) BP-A0660 Criminal History Check mailto:srice1@bop.gov mailto:jwray@bop.gov

BP-A0660.012 NCIC CHECK CDFRM

MAR 99

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

AUTHORIZATION FOR RELEASE OF INFORMATION

NCIC (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 any Bureau facility. I also understand that refusal to provide all necessary information may result in 1) denial of entry into a Bureau facility and 2) denial of volunteer/contract status.

1. Name (Last, First, Middle)

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):

6. Social Security Number:

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

8a. Sex: 8b. Race:

8c. Height: 8d. Weight:

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

9. Place of Birth (City, State, County), (List city, county and country if outside 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 Federal employment, (2) clearance to perform contractual service for the Federal Government, (3) security clearance or access. The information obtained may be furnished to third parties as necessary in the fulfillment of official responsibilities.

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

(This form may be replicated via WP)

BP-A0660.012 CHEQUEO DE NCIC CDFRM

MAR 99

DEPARTAMENTO DE JUSTICIA DE EE.UU. AGENCIA FEDERAL DE PRISIONES

**This template is provided to assist Spanish-speaking persons who are not fluent in English to complete the corresponding Bureau form. It is a template only for instructional purposes, and should not be filled in.**

**Este modelo se provee para ayudar a las personas que hablan español y no dominan el inglés para que completen el formulario correspondiente de la Agencia. Es solo un modelo que sirve como ejemplo, y no se debe completar.**

AUTORIZACIÓN PARA LA DISTRIBUCIÓN DE INFORMACIÓN

CHEQUEO DE NCIC (Centro Nacional de Información sobre el Crimen)

Por este medio autorizo a un representante de la Agencia Federal de Prisiones a obtener cualquier información sobre los antecedentes de mi historial criminal. Entiendo que este chequeo debe ser hecho antes de recibir permiso para entrar/servir en cualquier instalación de la Agencia Federal de Prisiones. También entiendo que la negación a proveer toda la información necesaria puede resultar en 1) la negación de mi entrada a una instalación de la Agencia Federal de Prisiones y 2) la negación de mi clasificación como voluntario/contratista.

1. Nombre (Apellido, Nombre, Segundo Nombre)

2. Dirección (Número de Domicilio y Calle) (Ciudad, Estado, Condado, Código Postal)

3. Número de Teléfono de Casa (Código de Área, Número):

4. Alias/Apodos:

5. Ciudadanía (Indique el país de su ciudadanía):

6. Número de Seguridad Social:

7. Fecha de Nacimiento (Mes, día, año):

8a. Sexo: 8b. Raza:

8c. Estatura: 8d. Peso:

8e. Color de Ojos: 8f. Color de Cabello:

9. Lugar de Nacimiento (Ciudad, Estado, Condado), (Indique la ciudad, el condado y el país, si es afuera de EE.UU.)

10. La información anteriormente listada es verdadera y correcta. Firma de Solicitante

10a. Fecha

AVISO SOBRE LA LEY DE PRIVACIDAD

Autoridad para Obtener Información: E.O. 10450; 5 USC 1303-1305; 42 USC 2165 y 2455; 22 USC 2585 y 2519; y 5 USC 3301

Objetivos y Usos: La información provista en este formulario será entregada a individuos, con el fin de obtener información en cuanto a actividades como parte de una investigación realizada para determinar (1) la aptitud para obtener empleo Federal, (2) la autorización para realizar servicio contratado para el Gobierno Federal, (3) la autorización de seguridad o acceso. La información obtenida puede ser entregada a terceras partes, como lo sea necesario, para realizar las responsabilidades oficiales.

Efectos de Información No Divulgada: El proveer la información solicitada es voluntario, pero la falta de proveer toda o parte de la información puede resultar en la privación de futura consideración para empleo, para autorización o acceso, o puede resultar en la terminación de su empleo.

(Esta forma puede ser replicada por WP)