Attach C.3 Visitor Contractor Wellness Check.pdf
PDF 67 KB Posted
- Attached to
- EAHU 1&2 Fan Retrofit and Multi-Stack Chiller Rplc Federal contract opportunity
- Solicitation number
- 12305B21R0022
About this file
This document includes a federal solicitation for an HVAC retrofit and chiller replacement project. The United States Department of Agriculture Agricultural Research Service is seeking proposals to complete an exhaust air handler fan wall retrofit and multi-stack chiller replacement at the Jean Mayer Human Nutrition Research Center on Aging in Boston, Massachusetts. The total small business set-aside solicitation has a magnitude of construction between $500,000 and $1,000,000, and a period of performance of 184 days for the base work and 335 days if the option is exercised. Interested small business contractors must submit proposals by the July 9, 2021 deadline. A bid bond is required and payment and performance bonds will be required for any award over $150,000. Organized site visits will be held on June 29 and 30, 2021 for contractors to familiarize themselves with the project location. Questions regarding the solicitation are due by July 9, 2021.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amend 2 - QandA 30AUG21.pdf | ||
| Sol 12305B21R0022 EAHU 1and2 and Multistack Chiller 10AUG21.pdf | ||
| Attach C.4 Pre-Bid Site Visit Requirements v1.pdf | ||
| Attach C.2 SAMPLE COVID Safety Plan - v2.pdf | ||
| Attach B - Specifications HNRCA EHAU and Chiller Replace.pdf | ||
| Attach C.1 NEA Contractor Approval Procedure - HNRCA EAHU & Chiller Rplc.pdf | ||
| Wage Decision MD20210001 7MAY21 - Exhst AHU 1and2 and Multistack.pdf | ||
| Attach A - Drawing HNRCA EHAU and Chiller Replace.pdf | ||
| EMR Certification.docx | DOCX document | |
| Solicitation 12305B21R0022 EAHU 1and2 Fan Retrofit and MultiStack Chiller Rplc HNRC Boston MA.pdf |
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Text version
ARS, Northeast Area
Mission Critical/Time Sensitive Activities During Pandemic
Visitor/Contractor Daily Wellness Check Questionnaire
P a g e 1 | 1
5/4/2021 7:33 PM
All Visitors and Contractors entering or performing work at a USDA/Agricultural Research
Service facility must complete a “Wellness Survey” each day they are onsite (some locations may use the ARS Check Survey in addition to this form) and before entering a building or facility. Should the Visitor/contractor respond “Yes” to a question they will be interviewed by the “Location Pandemic Coordinator” or their alternate to seek clarification on the “Yes” response. Based on the clarification, the individual(s) may not be allowed access to the facility.
Visitors/Contractors please provide the following contact Information:
Name:
Business:
Contact Number:
E-Mail Address:
Location POC
Purpose of Visit:
Wellness Check – Please answer the following questions to the best of your knowledge for the current day.
1. In the last 14 days, have you traveled to or from a region outside of your regular commuting area where local ordinances required quarantine or other COVID-19 related travel mandates (e.g., test results, travel form/registration)?
Yes / No
2. Have you been diagnosed with, or experienced any symptoms of COVID-19 in the past
14 days or since last check in, including the following: fever (100.4 degrees F or greater), or chills, cough, loss of taste or smell, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, sore throat, congestion or runny nose, nausea or vomiting, diarrhea?
Yes / No
3. Have you had close contact with anyone diagnosed with COVID-19 or showing symptoms of COVID-19 within the past 14-days? Close contact is defined as being within six feet of a person for more than 15 minutes within a 24 hour period.
Yes / No
Please return the completed questionnaire to your Point of Contact at the location on the day of arrival. If you have any questions, please contact them in advance of your arrival.
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