DD 369 2019.pdf

PDF 45 KB Posted Aug 23, 2024

Attached to: Replace Dining Facility Condensing Unit Bldg. 16 P. R ANG Federal contract opportunity
Solicitation number: W50S9324QA011
Issued by: Department of the Army National Guard

About this file

Written by GovTribe AI · Aug 23, 2024

This document is a Request for Quote (RFQ) for the replacement of an inoperative refrigeration equipment condensing unit on Building 16 at Muniz Air National Guard Base in Carolina, Puerto Rico. The Puerto Rico ANG has a requirement to purchase and install a refrigeration equipment condensing unit, with the successful contractor required to provide all equipment, materials, supplies, labor, and hardware to complete the work. The solicitation is a 100% small business set-aside with a NAICS code of 423730 (Non-Durable Goods Merchant Wholesalers). Quotes are due by September 13, 2023 at 11:00AM EST, and a site visit is scheduled for August 28, 2023 at 9:00AM EST. Award will be made to the lowest priced, technically acceptable quote. The period of performance is 30 days after contract award.

View the file

Other files for this federal contract opportunity

Other files attached to Replace Dining Facility Condensing Unit Bldg. 16 P. R ANG, newest first.
File	Type	Posted
1. SOW TUMR 232118 Replace Dining Facility Condensing Unit Bldg. 16 UPDATE Sep 05 2024 v2.pdf	PDF	Sep 6, 2024
1. SOW TUMR 232118 Replace Dining Facility Condensing Unit Bldg. 16.pdf	PDF	Aug 23, 2024
Attachment 2 - submitall cold zone.pdf	PDF	Aug 23, 2024
Solicitation - W50S9324QA011.pdf	PDF	Aug 23, 2024

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

DRAFT

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 369, APR 2019

Prescribed By: DoDI 1304.02 CUI when filled CUI when filled Controlled by: OUSD(P&R) CUI Category: PRVCY LDC: FEDCON POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil

POLICE RECORD CHECK

Police Record Check OMB No. 0704-0007 OMB approval expires 20250531 OMB No. 0704-0007 OMB approval expires March 31, 2021 The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.

AGENCY DISCLOSURE NOTICE

SECTION I - (To be completed by Recruiting Service) SECTION I - (To be completed by Recruiting Service)

3. SEX

4. PLACE OF BIRTH

6. A. ETHNICITY

6. B. RACE (Select one or more)

8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)

9. DATES RESIDED AT THIS ADDRESS

10. PERSON MAKING THIS REQUEST

SECTION II - (To be completed by Applicant) SECTION II - (To be completed by Applicant)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are covered by recruiting and official military personnel SORNs maintained by each of the Services.

ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:

DoDM 1145.02, Military Entrance Processing Station (MEPS); https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/114502m.pdf?ver=2018-07-23-121425-917 A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/ F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036-aetc-r/ M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/ N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/ DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm

DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is used to conduct the police records check and keep all records together during the enlistment process.

PRIVACY ACT STATEMENT

11. I HEREBY CONSENT TO RELEASE YOUR FILES FROM THE INFORMATION REQUESTED BELOW.

SECTION III - (To be completed by Police or Juvenile Agency) SECTION III - (To be completed by Police or Juvenile Agency) The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

12. DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?

13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND?

THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.

9.0.0.2.20120627.2.874785 DD Form 369, "Police Record Check"

CurrentPage:

PageCount:

Enter date of request in format YYYYMMDD.:

Enter name of applicant (Last, First, Middle Name(s), Alias).:

Select for "Male.": 0

Select for "Female.": 0

Enter place of birth - city.:

Enter place of birth - county.:

Select state or territory from the drop-down list.:

Enter date of birth in format YYYYMMDD.:

Select for "ethnicity - Hispanic or Latino.": 0

Select for "ethnicity - not Hispanic or Latino.": 0

Select for "race - American Indian/Alaska Native.": 0

Select for "race - Asian.": 0

Select for "race - black or African American.": 0

Select for "race - Native Hawaiian or other Pacific Islander.": 0

Select for "race - white.": 0

Enter social security number.:

Enter number and street (include apartment number).:

Enter city.:

Enter zip code.:

Enter beginning date of residing at this address in format YYYYMMDD.:

Enter ending date of residing at this address in format YYYYMMDD.:

Enter name (Last, First, Middle Name(s)).:

Enter rank.:

Enter signature.:

Enter title.:

Enter signature.:

Select for "yes.": 0

Select for "no.": 0

if YES, enter was the offense or charge, date, disposition and sentence.:

If YES, enter details of court action.:

Enter date in format YYYYMMDD.:

Enter title.:

Enter signature of verifier.:

Law Enforcement Agency - enter recipient information.:

Recruiting agency - enter sender information.:

File details come from the government source that posted it. Updated Aug 23, 2024.