FN Pre_Bid or Site Visit Form_BAR Dam Water Lines Project.pdf
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- W912P523B0007
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This document is a foreign national pre-bid or site visit request form for the Barkley Dam Site Water and Compressed Air Piping Replacement project. The form requires submission of full name as listed on passport, date of birth, citizenship, passport number, project site to be visited, date of proposed visit, and contact phone number. Two forms of approved verification documents must also be submitted, such as an unexpired passport or certificate of U.S. citizenship. The form and legible color copies of verification documents should be provided two weeks prior to the meeting or site visit to the Nashville District Corps of Engineers Security Office for approval. Contact information is included for security personnel responsible for processing the requests.
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| File | Type | Posted |
|---|---|---|
| US Citizen Pre-Bid or Site Visit Form.pdf |
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Version 2019
Nashville District Corps of Engineers *Foreign National (FN)
Pre-Bid Meeting or Site Visit Request Form
This Request Form is for non-U.S. Citizens, including permanent residents requesting approval to attend a pre-bid meeting or site visit at one of the Nashville District (LRN) field locations.
LRN Pre-Bid Meeting and/or Site Visit POC: __________________________________
Date request is submitted to District Security Office (LRN-SM) (mm/dd/yyyy) ___________________
FULL Name (As Listed on Passport) __________________________________________ (Last, First, Middle)
Date of Birth (mm/dd/yyyy): ______________ Citizenship (Country): ______________
Passport #: __________ Project Site to be Visited: ___________________________
Date of Proposed Visit (mm/dd/yyyy) ____________________________
Approved Verification Documents:
Passport (unexpired or expired)
Certificate of U.S. Citizenship (INS Form N-560 04 N-561)
Certificate of Naturalization (INS Form N-550 or N-570)
Unexpired foreign Passport with I-551 stamp or attached INS Form I-94 indicating unexpired employment authorization
Alien Registration Receipt Card with photo (INS Form I-151 or I-551)
Unexpired Temporary Resident Card (INS Form I-688)
Unexpired Employment Authorization Card (INS Form I-688A)
Unexpired Reentry Permit (INS Form I-327)
Unexpired Refugee Travel Document (INS- Form I-571)
This completed form and legible color copies of two of the verification documents listed above should be submitted two (2) weeks prior to the meeting or site visit to the Nashville District Security Management
Office for approval. Exceptions will be considered on a case by case basis but will be limited.
Please Provide Phone Number, if we have questions: __________________________
Nashville District Corps of Engineers Security Office Contact Information:
Tracy Dorrough, Security Technician, 615-73-7397 email: tracy.dorrough@usace.army.mil Jay Klinger, Security Manager, 615-736-2185 email: jason.j.klinger@usace.army.mil John Carter, Security Specialist, 615-736-5567 email: john.j.carter@usace.army.mil
PRIVACY ACT STATEMENT
Information is solicited in accordance with Title 10, US Code Section 552 and is used to provide information necessary in preparation for a pre-bid meeting or site visit and to verify positive identification of visitor. Solicited information is voluntary; however, failure to provide information may result in access denial.
This form is available at: https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-
Bid%20Meeting%20AUG2015_508.pdf mailto:tracy.dorrough@usace.army.mil mailto:jason.j.klinger@usace.army.mil mailto:john.j.carter@usace.army.mil https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf
| Passport: |
| USACE Site POC: Barkley Dam Site Water and Compressed Air Lines - A. Roth Contracting |
| Date submited mm/dd/yyyy: |
| FULL name as listed on passport: |
| Country of Citizenship: |
| Date of Birth mm/dd/yyyy: |
| Name of Project Site (e: |
| g: |
| Barkley Dam): |
| Date visit mm/dd/yyyy: 8/15/2023 |
| Phone Number to be contacted at: |
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