N6274219R1304_P735_Disc_Rel_Form.pdf
PDF 5 MB Posted
- Solicitation number
- N6274219R1304
About this file
This disclosure and release form pertains to a site visit for solicitation number N6274219R1304 from the Department of the Navy Naval Facilities Engineering Command. The solicitation is for the FY19 MCON PROJECT P-735 MACHINE GUN RANGE AT US NAVAL SUPPORT ACTIVITY ANDERSEN GUAM, JOINT REGION MARIANAS, GUAM. The form informs potential offerors of safety hazards that may be encountered during the site visit to the karst area of the project site, such as slips, trips, falls, injuries from uneven terrain or sharp limestone, chasms, sinkholes, and heat exposure. Individuals must sign the form to acknowledge the dangers and risks and agree to abide by government rules and procedures for the site visit before participating in the activity.
N6274219R1304_P735_Disc_Rel_Form.pdf
View the file
Other files
| File | Type | Posted |
|---|---|---|
| P-735_AMD6.pdf | ||
| P-735_AMD5.pdf | ||
| 191304-AMD4.pdf | ||
| P735_AMD3.pdf | ||
| 19R1304-AMD2.pdf | ||
| 19R1304-AMD1.pdf | ||
| N6274219R1304_Foreign_National_Access_Req.pdf | ||
| N6274219R1304_Contractor_Memo_IIILog.pdf | ||
| N6274219R1304_Affidavit_BAL.pdf |
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Text version
DISCLOSURE AND RELEASE
FOR SITE VISIT AT P-735 KARST AREA
Thank you for attending the Site Visit for RFP N62742-19-R-1304, FY19 MCON PROJECT P-
735 MACHINE GUN RANGE AT US NAVAL SUPPORT ACTIVITY ANDERSEN GUAM,
JOINT REGION MARIANAS, GUAM.
A field investigation at the karst area of the P-735 project site (hereafter “Karst Area”) was conducted and identified potential safety hazards. Therefore, this Disclosure is to inform you of these potential hazards that may be encountered during the site visit for RFP N62742-19-R-1304, FY19 MCON PROJECT P-735 MACHINE GUN RANGE AT US NAVAL SUPPORT
ACTIVITY ANDERSEN GUAM, JOINT REGION MARIANAS, GUAM (hereafter “Activity”) so that you can determine whether it is appropriate to participate in the Activity. By signing this form, you hereby fully release the Government from any and all claims for personal injury or death that may result from participation in this Activity.
The following are potential safety hazards that may be encountered in the Karst Area*:
Slips, trips and, falls or other injuries due to uneven terrain, sharp limestone, chasms and sinkholes. See attached photos.
Slippery conditions due to rainfall.
Heat exposure.
See attached photographs.
I hereby acknowledge and understand that there are dangers and risks associated with the
Activity, which are described above, and agree to use my best judgment while engaging in this
Activity.
I hereby agree to abide by all rules, instructions, policies and procedures imposed by the
Government related to this Activity.
I have read, understood, and agree to this Disclosure and Release Form.
Name (Print):
Signature: Date:
File details come from the government source that posted it. Updated .