2021 Project Visitor Request Form.pdf

PDF 232 KB Posted

Attached to
Gate Replacement at Hills Creek Dam
Solicitation number
W9127N22R0025
Issued by

About this file

This document contains a federal contract opportunity announcement for gate replacement at Hills Creek Dam and the associated project visitor request form. The U.S. Army Corps of Engineers Portland District is seeking competitive firm-fixed-price proposals to demolish and replace the third Tainter gate at Hills Creek Dam in Linn County, Oregon. The estimated cost of the project is between $1 million and $5 million. Work must begin on July 15, 2023 and be completed by October 15, 2023 with final completion 540 days after notice to proceed. This is a 100% small business set-aside utilizing other than full and open procedures under NAICS code 237990. The solicitation will utilize a request for proposal, best value tradeoff source selection process. The project visitor request form outlines requirements and procedures for obtaining access to the dam site, including authorization levels for different visitor types and security screening procedures.

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Text version

CENWP-ODV

40386 W. Boundary Rd.

Lowell, OR 97452

CENWP-ODR

100 Cole M. Rivers Dr.

Trail, OR 97541

Phone: (541) 349-3082

WV/RR Project Visitor Access Request Form

Visit Type/Purpose:

Request Date:

Date/Length of Visit:

Location of Visit WV:

Location of Visit RR:

Limited Access Area:

WVP/RRBP POC/Sponsor:

Other Needs - Special Instruction or Justification Below

Responsible CORPS Person: Security Specialist:

OPM/Deputy OPM:

Special Instructions:

• Visitor Access Requests should be sent to cenwp-odv-sec@usace.army.mil at least one week in advance; received no later than 1300 hrs. the Thursday prior to the week of the visit.

o USACE Personnel not assigned to the Project, Government Partner Agencies, and vetted Contractors can be authorized access with approval of a section chief, program manager, or an O&M manager with responsibility for the facility or area.

o Family or friends of personnel assigned to the Project may be authorized access with the approval of the respective supervisor and the section chief, program manager, or O&M with responsibility for the facility or area to be entered.

o All other visitors require approval of the OPM or D/OPM.

• All visitors who need/require un-escorted access must have an adjudicated background check/investigation to the level of the restricted area to be entered.

• Foreign Nationals require special coordination and approval through the district security office at least 30 days in advance, and are required to be escorted at all times.

• Final approved lists will be sent to the office and operators with access control responsibilities. All visitors are required to show a valid identity credential and sign in/out on a visitor control log.

AGENCY P.O.C. (Name/Phone) Contracts Only

ESCORT

STATUS

FOREIGN

NATIONAL

Reset Form Print Form

Visitor/Attendee List (attach spreadsheet for additional names):

NAME (Last, First, MI.) Title / Position

AGENCY Contact Information:

Phone/Email

DateLength of Visit:
WVPRRBP POC Sponsor:
NAME Last First MIRow1:
TITLERow1:
AGENCYRow1:
CONTACT INFORMATION PhoneEmailRow1:
AGENCY POC NamePhone Contracts OnlyRow1:
ESCORT STATUSRow1:
FOREIGN NATIONALRow1:
NAME Last First MIRow2:
TITLERow2:
AGENCYRow2:
CONTACT INFORMATION PhoneEmailRow2:
AGENCY POC NamePhone Contracts OnlyRow2:
ESCORT STATUSRow2:
FOREIGN NATIONALRow2:
NAME Last First MIRow3:
TITLERow3:
AGENCYRow3:
CONTACT INFORMATION PhoneEmailRow3:
AGENCY POC NamePhone Contracts OnlyRow3:
ESCORT STATUSRow3:
FOREIGN NATIONALRow3:
NAME Last First MIRow4:
TITLERow4:
AGENCYRow4:
CONTACT INFORMATION PhoneEmailRow4:
AGENCY POC NamePhone Contracts OnlyRow4:
ESCORT STATUSRow4:
FOREIGN NATIONALRow4:
NAME Last First MIRow5:
TITLERow5:
AGENCYRow5:
CONTACT INFORMATION PhoneEmailRow5:
AGENCY POC NamePhone Contracts OnlyRow5:
ESCORT STATUSRow5:
FOREIGN NATIONALRow5:
NAME Last First MIRow6:
TITLERow6:
AGENCYRow6:
CONTACT INFORMATION PhoneEmailRow6:
AGENCY POC NamePhone Contracts OnlyRow6:
ESCORT STATUSRow6:
FOREIGN NATIONALRow6:
NAME Last First MIRow7:
TITLERow7:
AGENCYRow7:
CONTACT INFORMATION PhoneEmailRow7:
AGENCY POC NamePhone Contracts OnlyRow7:
ESCORT STATUSRow7:
FOREIGN NATIONALRow7:
Date:
Limited Access Area: [ ]
RESET FORM:
PRINT:
Text1:
Location of Visit RR: [ ]
Location of Visit WV: []
Visit Type/Purpose: []

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