ARSLS_NY_Site_Visit_Request_Application.pdf

Fully completed forms must be submitted to and received by Joe Cloft, NSF Contracting Officer no later than 3:00 PM local time (Virginia), April 30, 2019. Forms must be submitted via email to joscloft@nsf.gov. The subject of the site visit request email shall state “NY Site Visit Application”.

National Science Foundation (NSF)

Arctic Research Support and Logistics Services (ARSLS)

Solicitation 49100419R1001

New York Site Visit Application Form

Proposed Attendee

Last Name:

First Name:

Middle Initial:

Phone:

Email:

Citizenship:

Birth Date:

Passport Country of Issuance:

Passport No.:

Passport Expiration Date:

Proposed Attendee’s Employer/Business Concern

Business Concern Name:

Business Concern Street Address:

Business Concern City:

Business Concern State:

Business Concern Zip:

Business Concern CAGE Code (must be currently active):

Days/Sites Applying to Visit

☐ Stratton Air National Guard Base, Schenectady County, Scotia, New York (NSF Contractor

Operations Facilities Only)

I, __________________________, hereby request to visit the above site solely for understanding the requirements and submitting an Offer in response to NSF Solicitation 49100419R1001. I am one of a maximum of two team members submitting a site visit application for this Solicitation. Team members are defined as teaming partners, subcontractors, parent companies, affiliated companies and other employees of the business concern that is my employer. I understand and accept that I’m solely responsible for all costs of this site visit.

Name of Attendee

______________________________________ Date: __________________

Signature of Attendee mailto:joscloft@nsf.gov