ATTACHMENT 5 GSA FORM139.pdf

PDF 1015 KB Posted

Attached to
Security Emergency Medical Technician (EMT) Services Federal contract opportunity
Solicitation number
33310522R0001
Issued by
John F. Kennedy Center for the Performing Arts

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33310522R0001 0005.pdf PDF
33310522R0001 0005.docx DOCX document
ATTACHMENT 3 PRICING TABLE Revision 1 5_16_2022.xlsx XLSX spreadsheet
ATTACHMENT 3 PRICING TABLE Revision 1 5_16_2022.xlsx XLSX spreadsheet
ATTACHMENT 6 PAST PERFORMANCE QUESTIONAIRE REVISED 5.9.22.pdf PDF
ATTACHMENT 9 Response to Vendor Questions(SecurityEMTsolicitation 5.9.22.pdf PDF
33310522R0001 0004.pdf PDF
Attachment 10 Key Personnel Clauses.pdf PDF
33310522R0001 0003.pdf PDF
33310522R0001 0002.pdf PDF
ATTACHMENT 8 SGI CBA - SEIU 32BJ JFKC Rider 09.01.2021 - 08.31.2023.pdf PDF
33310522R0001 0001.pdf PDF
33310522R0001 revised 3.30.2022.pdf PDF
ATTACHMENT 4 TRANSITION PLAN SECURITY SERVICE CONTRACT.pdf PDF
ATTACHMENT 1 SECURITY AND EMT SERVICES STATEMENT OF WORK 20170201 Revised 3.30.2022.docx.pdf PDF
ATTACHMENT 6 PAST PERFORMANCE QUESTIONAIRE.pdf PDF
ATTACHMENT 8 SGI CBA - SEIU 32BJ JFKC Rider 09.01.2018 - 08.31.2021.pdf PDF
ATTACHMENT 2 SECURITY POST SCHEDULE LOCATION AND MANNING.pdf PDF
ATTACHMENT 3 PRICING TABLE.pdf PDF
ATTACHMENT 7 WAGE DETERMINATION.pdf PDF
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TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING MONTHYEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION GSA 139 (REV. 12/2006)(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING

MONTH

YEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION

GSA 139 (REV. 12/2006)

(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

MONTH:
YEAR. Enter 4 digit year.:
BUILDING:
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 1 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 16 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 15 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 14 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 13 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 12 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 11 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 10 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 9 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 8 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 7 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 6 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 5 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 4 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 3 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 2 of 16. :
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
SignatureField1:

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