credit_card_authorization_form.pdf
PDF 64 KB Posted
- Attached to
- MIDWAY ATOLL-BOSS CONTRACT 2022
- Solicitation number
- 140F0421R0044
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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140F0421R0044.pdf | ||
| 5-MIDW_1.PDF | ||
| 6_-_Midway_Atoll_Quarantine_Protocol_for_Arrivals_August_3_2021.pdf | ||
| FINAL_appendices_2021.zip | ZIP file | |
| 1-_Midway_Atoll_NWR_Travel_Request_Form_Fillable.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 .