FN Pre-Bid or Site Visit Form MAR 2024_DAL Bridge Deck Concrete Repair.pdf
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- Attached to
- Dale Hollow Bridge Deck Concrete Repair
- Solicitation number
- W912P524B0004
About this file
This document is a Pre-Bid Meeting or Site Visit Request Form for the Dale Hollow Bridge Deck Concrete Repair project, solicitation number W912P524B0004, issued by the U.S. Army Corps of Engineers Nashville District (USACE LRN).
The project scope includes removing and replacing damaged concrete on the bridge deck overhangs at the Dale Hollow Dam in Tennessee. The estimated construction value is between $500,000 and $1,000,000. The contract is set aside for 100% small business, with a 215-calendar day period of performance after the notice to proceed. A pre-bid site visit is scheduled for July 25, 2024, and bids are due by August 20, 2024. The solicitation requires compliance with cybersecurity standards, NIST SP 800-171, and registration in PIEE for bid submission. Foreign nationals must submit security request forms and documentation for approval to attend the site visit.
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Text version
Version 2024
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: __________________________________
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.dvidshub.net/publication/issues/69618
Solicitation W912P524B0004 Dale Hollow Bridge Deck Concrete Repair 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: Andrew Roth |
| FULL name as listed on passport: |
| Country of Citizenship: |
| Date of Birth mm/dd/yyyy: |
| Name of Project Site (e: |
| g: |
| Barkley Dam): Dale Hollow Dam |
| Date visit mm/dd/yyyy: 07/25/2024 |
| Phone Number to be contacted at: |
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