Attachment B_COVID-19 Screening Questionnaire.pdf
PDF 541 KB Posted
- Attached to
- Alert Facility and Alert Apron Federal contract opportunity
- Solicitation number
- N69450-20-R-0129
About this file
This federal solicitation requests offers for the construction of an Alert Facility and Alert Apron at NAS JRB New Orleans. The project includes building an Aerospace Control Alert Facilities and Alert Apron utilizing conventional construction methods to accommodate the mission. Facilities will be designed as permanent structures following DoD and Air Force standards. The Alert Facility requires two aircraft shelters with drive-through capability, installed heating, fire suppression, metal walls, and standing seam metal roof. It also requires aircrew alert quarters, a mission support structure with Alternate Command Post capabilities, a secure area, and an entry control facility. Standby power for the site must also be provided. The Alert Apron requires all utilities, communication support, site improvements, exterior lighting, lightning protection, and security upgrades. It must accommodate parking for two alert ready aircraft and include security fencing, access gates, airfield lighting, security lighting with controls and communications and electrical conduit. Pile foundations and site preparation including dewatering are also required. The award will be a firm-fixed-price design-bid-build construction contract with a completion schedule of 1300 calendar days from award. The project value is estimated between $25,000,000 to $100,000,000. The solicitation is unrestricted and open to all responsible sources.
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Text version
CUSFF/NAVNORTH COVID-19 Screening Questionnaire
(V2020.04.18)
1. IN THE PAST 24 HOURS, have you had any of the following symptoms? YES NO
a. Fever
b. Cough (not due to allergies)
c. Sore Throat
d. Shortness of Breath
e. Loss of smell or taste
If “YES”, LEAVE/DO NOT ENTER the workplace, GS inform supervisor, CTR inform employer, uniformed personnel inform chain of command, put on a clean mask or cloth face covering and contact/report to your medical provider (call ahead to inform them of your pending arrival). Follow CDC Guidance.1 *Entry denied
2. Have you TRAVELED INTERNATIONALLY in the past 14 days? YES NO
If “YES”, LEAVE/DO NOT ENTER the workplace.
Uniformed personnel: Complete 14 days of ROM.2 *Entry denied
GS/contractor: DO NOT ENTER workplace for 14 days and inform supervisor/employer.2 Follow CDC Guidance.3 *Entry denied
3. Have you TRAVELED DOMESTICALLY (U.S.) outside of your authorized local travel radius in the past 14 days?
YES NO
If “YES”, LEAVE/DO NOT ENTER the workplace.
Uniformed personnel/GS/contractor: DO NOT ENTER workplace and contact supervisor/employer for additional guidance.2
Refer to NMCPHC assessment of state/county specific risk (CAC required).4
4. Have you had CLOSE PERSONAL CONTACT, with anyone who has been YES NO diagnosed with COVID-19 in the past 14 days? (per criteria below)
a. Within 6 feet for prolonged period of time
b. In direct contact with infectious secretions (been coughed/sneezed upon, etc.)
If “YES”, LEAVE/DO NOT ENTER the workplace. Put Put on a clean mask or cloth face covering and contact/report to your medical provider (call ahead to inform them of your pending arrival) for quarantine determination. *Entry denied
5. TEMPERATURE CHECK (due to close proximity, screeners should wear cloth face covering or other mask as available):
a. If temperature is less than 100°F (37.8°C), allow access. Screening is complete.
b. If temperature is equal to or higher than 100°F (37.8°C), LEAVE/DO NOT ENTER the workplace, GS inform supervisor, CTR inform employer, uniformed personnel inform chain of command, put a clean mask on when one is available, and contact/report to your medical provider (call ahead to inform them of your pending arrival). Follow CDC Guidance.1 *Entry denied
ROM: Restriction of Movement 1 https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html 2 OSD Memo Force Health Protection Guidance Supplemental 8 (13 Apr20) 3 https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html 4 https://esportal.med.navy.mil/sites/nmcphc/pps/COVID19/COVID19%20State%20Surveillance%20Medical%20Intel.pdf https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html
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