credit_card_authorization_form.pdf

PDF 64 KB Posted

Attached to
MIDWAY ATOLL-BOSS CONTRACT 2022 Federal contract opportunity
Solicitation number
140F0421R0044
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This document outlines a solicitation for base operation support services on Midway Atoll. The Fish and Wildlife Service is soliciting proposals for a new five-year contract to begin in January 2022, with four optional one-year extension periods. This requirement is limited to 8(a) small businesses and will be competitively solicited as an 8(a) set-aside.

A mandatory site visit is required to submit a proposal, with requests to attend due by October 6th. The site visit will take place on October 25th via charter flight from Honolulu to Midway, returning on the 26th. Attendees are limited to two per firm and must provide proof of COVID vaccination and a negative test taken within 72 hours of travel. Firms must also bring a valid passport or license with birth certificate. The cost of travel is approximately $4,155 per person payable by credit card, and is non-refundable. Proposals are due at an unspecified later date.

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Other files for this federal contract opportunity

Other files attached to MIDWAY ATOLL-BOSS CONTRACT 2022, newest first.
File Type Posted
Sol_140F0421R0044.pdf PDF
6_-_Midway_Atoll_Quarantine_Protocol_for_Arrivals_August_3_2021.pdf PDF
5-MIDW_1.PDF PDF
FINAL_appendices_2021.zip ZIP file
1-_Midway_Atoll_NWR_Travel_Request_Form_Fillable.pdf PDF
DRAFT_PWS_BOSS_Contract_MASTERV2.docx DOCX document

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Text version

CREDIT CARD AUTHORIZATION FORM

CARD HOLDER INFORMATION:

Name as it appears on the credit card: ________________________________________________

Credit Card number: ________________________________________________

Credit Card Expiration Date: ________________________________________________

By signing this document, I authorize DBSI Inc. to charge my credit card for the specified amount:

Amount ($4,155 for 1 person or $8,310 for 2 people): ____________________________ ______

Name: ________________________________________________

Signature: ________________________________________________

Date: ________________________________________________

Receipts will be provided at check-out.

File details come from the government source that posted it. Updated .