Attachment 004 - Fillable Site Visit Visitor Application.pdf
PDF 508 KB Posted
- Attached to
- Odor Control Evaluation Inspection Training Federal contract opportunity
- Solicitation number
- 12805B24Q0573
About this file
This document is a Fillable Site Visit Visitor Application related to a federal contract opportunity for Odor Control Evaluation Inspection and Training. The solicitation number is 12805B24Q0573, and it is a Request for Quotation (RFQ) issued by the USDA, Agricultural Research Service, NBAF. The contract requires providing odor control evaluation inspection and training services for the PA NBAF WAREHOUSE 966 FACILITIES located in Manhattan, KS. The site visit is mandatory, and the visitor application form collects information such as name, citizenship, company details, and contact information. The visitor application must be completed, password protected, and emailed to the NBAF Sponsor, Jeffery Cowell, at Jeffery.Cowell@usda.gov. The document also includes a Privacy Act Statement and instructions for password protecting the form. This is the only solicitation document, and offers are due by the date specified in the "General Information" section of the related federal contract opportunity.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFQ 12805B24Q0573 Odor Control Evaluation Inspection Training Clauses and Provisions.pdf | ||
| Attachment 002 Wage Determination.pdf | ||
| Attachment 001 SOW Odor Control Evaluation Inspection Training.pdf | ||
| Attachment 003 12805B24Q0573 Site Visit Information.pdf |
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Text version
Attachment 004 Site Visit Attendee Visitor Application Information
RFQ12805B24Q0395
Name (Last, First, MI)
Previously issued PIV Access Card
(Yes or No) PIV card is not required for site visit attendance.
US Citizen (Yes/No)
If Not US Citizen Country of Birth
Company Name
Company Phone Number
Company Address
Once completed please e-mail this document to the NBAF Sponsor:
Jeffery.Cowell@usda.gov
For your personal security, please DO NOT send personally identifiable information (the information contained within this document) to any other e-mail address.
You should password protect and encrypt this form when returning it to NBAF and send the password in a separate email.
To password protect this document, follow the instructions below:
FOR PC: Select File tab, then select Protect Using Password; select Viewing; create a Password; reenter the Password to verify, then click on Apply.
FOR MAC: Select File tab, then select Export, and click on Encrypt; create a Password; reenter the
Password to verify, then click Save.
For your personal security this form will be destroyed immediately upon completion of access request process.
PRIVACY ACT STATEMENT The Privacy Act, 552a, requires that federal agencies inform individuals, at the time information is solicited from them, whether the disclosure is mandatory or voluntary, by what authority such information is solicited, and what uses will be made of the information. The collection of this information is authorized by EO 9397, 6 USC 341, 44 USC 3101, and EO 12958. Provision of the information concerning foreign visits is mandatory under the provisions of EO 12958. Failure to provide it may impact planned visits. Use of this information is for internal purposes to facilitate visitor processing.
Controlled// SP-SPIIWhen filled out, this document contains sensitive information exempt from mandatory disclosure under the Freedom of Information act, 5 U.S.C. 552 (b)(2). Do not release without prior approval by USDA.
Chris.C.Turner Highlight
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File details come from the government source that posted it. Updated .