Attachment 7_Security Office Contract Background Form.pdf

PDF 147 KB Posted

Attached to
Williston Resource Office Janitorial Services Federal contract opportunity
Solicitation number
W9128F23Q0026
Issued by
Department of the Army Corps of Engineers Engineering District Omaha

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Other files for this federal contract opportunity

Other files attached to Williston Resource Office Janitorial Services, newest first.
File Type Posted
Attachment 3_TE Facility Building Plans.pdf PDF
Attachment 4_Admin Cleaning Requirements.pdf PDF
Attachment 6_Contractor Exposure Reports.pdf PDF
Attachment 2_Administration Building Plans.pdf PDF
RELEASED_W9128F23Q0026_Williston Janitorial.pdf PDF
Attachment 5_TE Cleaning Requirements.pdf PDF

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Text version

Submit with fingerprint cards to:

CENWO-SL

1616 Capital Avenue Omaha, NE 68102

U.S. Army Corps of Engineers (USACE) Contractor Background Check

1. Contractor Information

a. Project Title: b. Contract #:

c. Contractor Name:

d. Address:

e. Contractor POC:

f. POC Telephone #: g. POC Email:

2. Employee Information:

(must match fingerprint cards submitted with form)

a. Employee Name b. Job Title

(1)

(2)

(3)

(4)

(5)

(6) (print additional sheets for additional employees)

3. USACE Contact Information:

(to be filled out by COR – USACE ONLY)

a. USACE Office:

b. Address:

c. COR Name:

d. Telephone #: e. Email:

a Project Title:
b Contract:
c Contractor Name:
d Address:
e Contractor POC:
f POC Telephone:
g POC Email:
b Job Title2:
b Job Title3:
b Job Title4:
b Job Title5:
b Job Title6:
a USACE Office: Williston Resource Office
b Address: 2 12th Ave. E., Williston, ND 58801
c COR Name: Kody Green
d Telephone: 701-572-6794
e Email: kody.l.green@usace.army.mil
b Job Title1:
a Employee Name1:
a Employee Name2:
a Employee Name3:
a Employee Name4:
a Employee Name5:
a Employee Name6:

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