Attachment 6 Fillable Site Visit Visitor Application.pdf
PDF 417 KB Posted
- Attached to
- Material Lift Upgrades Federal contract opportunity
- Solicitation number
- 12805B24Q0284
About this file
This document is an Attachment 6 Site Visit Attendee Visitor Application for a federal contract opportunity. It requires visitors to provide personal information such as their name, citizenship status, company details, and whether they previously had a PIV access card. The information is required to be password protected and encrypted before emailing to the NBAF Sponsor, Justin Schlegel. The Privacy Act Statement indicates the information is mandatory for planned visits and will be used internally for visitor processing.
The related federal contract opportunity is for Material Lift Upgrades, Solicitation Number 12805B24Q0284, issued by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area. The solicitation provides information on the REE policies and procedures regarding the definitization of equitable adjustments for change orders under construction contracts.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_12805B24Q0284_Amd_0002.pdf | ||
| Attachment 7 Disconnect Proposed Locations.pdf | ||
| Sol_12805B24Q0284_Amd_0001.pdf | ||
| Attachment 8 Questions and Answers Amendment 0001.pdf | ||
| Attachment 5 Site Visit Information.docx | DOCX document | |
| Attachment 2 Wage Determination KS20240056 Mod 2.pdf | ||
| Attachment 3 Schedule of Pricing (MS Excel Interactive Document).xlsx | XLSX spreadsheet | |
| Solicitation 12805B24Q0284.pdf | ||
| Attachment 4 Demag Inspection Reports 24-KC029.pdf | ||
| Attachment 5 Site Visit Information.docx | DOCX document | |
| Attachment 1 Scope of Work (SOW).pdf |
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Text version
Attachment 6 Site Visit Attendee Visitor Application Information
RFQ12805B24Q028
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: justin.schlegel@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.
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File details come from the government source that posted it. Updated .