19TC1021Q0001_Site Visit_Access Request Form.pdf

U.S. Embassy Abu Dhabi, GSO/Procurement_Contracting

Pre-Quotation Conference/Site Visit

Registration Form Date of Site Visit: Tuesday, January 5, 2021 @ 09.00 A.M.

Venue of the Site Visit: U.S. Embassy, Abu Dhabi, CMR & DCMR

NOTE:

1. If you would like to attend the pre-quotation conference /site visit, please fill out this form and submit it by email at AbuDhabiContracts@state.gov and copying JohnJM@state.gov by or before

12:00 pm on Sunday, January 3, 2021.

2. Please fill out the 2nd page of this form..

Company Name

Company street address

City

Name and title of person(s) who will attend the pre-proposal conference/site visit

Note: Only two representatives per company is allowed

Name & title Passport or

Emirates ID number

Telephone & Mobile Nos.

(including area code)

Fax (including area code):

E-mail:

For which solicitation do you wish to attend the site visit/pre-quotation conference? Please state the solicitation number and title.

Solicitation # 19TC1020Q0001 – Gardening maintenance services for the EMB, CMR & DCMR mailto:AbuDhabiContracts@state.gov mailto:JohnJM@state.gov

COVID-19 questions:

Have you had any cold or flu-like symptoms in the past 14 days, such as fever, shortness of breath, or persistent cough, or sudden loss of sense of taste or smell?

Have you exhibited a fever or had a temperature in the last 24 hours outside the normal range (above 100.4°F/38°C)?

Have you traveled to or through areas or regions that have a CDC Level 3

Travel Advisory or a State Department Level 4 Travel Advisory in the last

14 days?

Have you had close contact over the past 14 days with individuals who have traveled within the last 14 days through areas or regions that have a

CDC Level 3 Travel Advisory or a State Department Level 4 Travel

Advisory?

Have you had close contact with anyone currently under quarantine?