ATTACHMENT 1- - 1818 Pre-enrollment sample - 1 Page.pdf

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Attached to
Construction Requirements Contract
Solicitation number
SP330024R0002
Issued by

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This document appears to be a Privacy Act Statement for a pre-enrollment visit notification to the Defense Logistics Agency (DLA) Distribution facility in Susquehanna, Pennsylvania.

The federal contract opportunity described is for a multiple award, indefinite delivery/indefinite quantity (ID/IQ) construction contract with DLA Distribution. The work includes various construction, building, alteration, maintenance, and repair activities at the DLA Distribution Susquehanna sites. The contract has a 5-year period of performance from August 1, 2024 to July 31, 2029, with a total estimated value of $45 million. The procurement will be a 100% small business set-aside, with one reservation each for Women Owned Small Business (WOSB), Service-Disabled Veteran Owned Business (SDVOSB), and Historically Underutilized Business Zone (HUBZone) concerns. Award will be made on a best value, lowest price technically acceptable basis. Contractors will compete for individual task orders under the ID/IQ contract.

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Other files

File Type Posted
ATTACHMENT 1 - A0002 - Bldg 67 Revised Dwgs.pdf PDF
ATTACHMENT 3 - A0002 - 4232 Submittal Register Rev 01.pdf PDF
ATTACHMENT 2 - A0002 - BLDG 67 -Orig Constr Extract.pdf PDF
ATTACHMENT 4 - A0002 - BLDG 67 - DDSP ACM Assessment Extract.pdf PDF
SP330024R0002 A0001.pdf PDF
Site Visit Notes 6-21-2024.pdf PDF
SP330024R0002 SITE VIST ATTENDANCE SHEET.pdf PDF
ATTACHMENT 8 - Blank Payment request.xlsx XLSX spreadsheet
ATTACHMENT 2 - Pre-enrollment Photos - 5 Pages.pdf PDF
ATTACHMENT 7 - Change Order Proposal Format.xlsx XLSX spreadsheet
ATTACHMENT 12 - Task Order 0001 Project Number 4232 Specifications - 457 Pages.pdf PDF
ATTACHMENT 3 - SF24-16e - BID BOND - 2025 - 2 Pages.pdf PDF
ATTACHMENT 13 - Task Order 0001 Project Number 4232 Submittal Registers - 4 Pages.pdf PDF
ATTACHMENT 10 - Construction Wage Requirement for Task Oder 0001 - 8 Pages.pdf PDF
SP330024R0002 6-6-2024.pdf PDF
ATTACHMENT 5 - SF25A-16e - PAYMENT - 2025 - 2 Pages.pdf PDF
ATTACHMENT 15 - Past Performance Questionnaire - 5 Pages.docx DOCX document
ATTACHMENT 6 - MASTER SPECIFICATIONS 11272023 - 2125 Pages.pdf PDF
ATTACHMENT 11 - Task Order 0001 Project 4232 Drawings - 22 Pages.pdf PDF
ATTACHMENT 4 - SF25-16e - PERFORMANCE - 2025 - 2 Pages.pdf PDF
ATTACHMENT 9 - Task Order 0001 Notice of Proposed Task Order Request For Proposal Form - 5 Pages.pdf PDF
ATTACHMENT 14 - 24-29 MATOC Eng_Form_4025_2017May - 2 Pages.pdf PDF
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Text version

PRIVACY ACT STATEMENT

VISIT NOTIFICATION

1. ACTIVITY TO BE VISITED

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:DEFENSE LOGISTICS AGENCY

8725 JOHN J. KINGMAN ROAD

FT BELVOIR, VA 22060-6220

Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.

To control access to and movement on DoD installations, buildings, or facilities.

Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.

Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.

DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES

SECTION I

2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE

5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE

8. PURPOSE OF VISIT

SECTION II

9.

NAME(S) OF VISITOR(S)

(Last, First, MI)

10.

GRADE/RANK

11.

SSN

12.

DATE OF BIRTH

13.

STATE /COUNTRY OF

BIRTH

14.

CLEARANCE/DATE

GRANTED

15.

TYPE OF INVESTIGATION/

DATE

16. TYPED NAME OF SECURITY REPRESENTATIVE

SECTION III

18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE

DLA FORM 1818, JUL 96 (EG)

FROM: TO:

PDF (DLA)

RequesterName: Mogen Gilson
OfficeCode: J7/AB
FacPOC: Johnathan Tassone
Phone: 717-770-4757
POCPhone: 717-770-5839
VisitedActivity: DLA DISTRIBUTION

Meet at Building 67 Parking Lot

10:00 AM-11:00 AM

VisitPurpose: Site Visit: BLDG 67

Visitor has registered utilizing the pre-enrollment website: https://dbids-global.dmdc.mil

DateTo: 6-21-2024
Visitor:
0: Doe, John M.
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