Exhibit_4-_GSA_139 1 .pdf

PDF 1015 KB Posted

Attached to
Facility Maintenance Services -- Z Federal contract opportunity
Solicitation number
RRB15R0005
Issued by
Railroad Retirement Board

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From the source

Exhibit 4

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Other files for this federal contract opportunity

Other files attached to Facility Maintenance Services -- Z, newest first.
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Amendment_2_to_RRB15R0005-_SF30.pdf PDF
RRB15R0005_A001-_Facility_Maintenance_Services.pdf PDF
Exhibit_23-_Building_Network_Layout.pdf PDF
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Exhibit_6-_Reserved.pdf PDF
Exhibit_1-_Safety_and_Health.pdf PDF
Exhibit_5-_GSA_349 1 .pdf PDF
Exhibits_21_and_22.pdf PDF
Exhibit_16-_Executive_Order.pdf PDF
Exhibit_5-_GSA_349 1 .pdf PDF
Exhibit_11-_SF25_ 1 .pdf PDF
Exhibit_15-_Collective_Bargaining_Agreement.pdf PDF
Exhibit_14-_Wage_Determination_Number_CBA-2012-5249.pdf PDF
Exhibit_10-__SF_24 1 .pdf PDF
Exhibit_5-_GSA1034A-76 1 .pdf PDF
Exhibit_2-_Key_Personnel_Resumes.pdf PDF
Exhibit_5-_GSA1034-76 1 .pdf PDF
Exhibit_8-__SF85 1 .pdf PDF
Exhibit_3-_Related_Experience.pdf PDF
Exhibits_17_and_18.pdf PDF
Exhibit_20-_Minimum_Spare_Parts.pdf PDF
Exhibit_7-_SF87.pdf PDF
RRB15R0005-_Facility_Maintenance_Services.pdf PDF
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Exhibit_13-_SF28-03 1 .pdf PDF
Exhibit_12-_SF25B 1 .pdf PDF
Exhibit_9-_Past_Performance_Questionnaire.pdf PDF
Show all 27

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TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING MONTHYEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION GSA 139 (REV. 12/2006)(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OFPRINT NAME

(Last - First - Initial)

(b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM

NUMBER

(e)

SEE

FOOTNOTE*

(g)

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

BUILDING

MONTH

YEAR

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION

GSA 139 (REV. 12/2006)

(Continue on reverse)

GSA 139 (REV. 12/2006) BACK

TIME OF

PRINT NAME

(Last - First - Initial) (b)

SIGNATURE

(c)

DATE

(a)

AGENCY OR FIRM

(d)

PURPOSE OF VISIT

(f)

ROOM NUMBER

(e)

SEE FOOTNOTE*

(g)

ARRIVAL

(h) DEPARTURE (i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

MONTH:
YEAR. Enter 4 digit year.:
BUILDING:
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 1 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 16 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 15 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 14 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 13 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 12 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 11 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 10 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 9 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 8 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 7 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 6 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 5 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 4 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 3 of 16. :
DATE (a). Enter 2 digit month, 2 digit day and 4 digit year. Line 2 of 16. :
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
PRINT NAME (Last - First - Initial) (b):
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
SIGNATURE. (c). This is a protected field. :
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
AGENCY OR FIRM (d):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
ROOM NUMBER (e):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
PURPOSE OF VISIT (f):
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
SEE FOOTNOTE* (g). * Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column. : 0
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
TIME OF ARRIVAL (g):
TIME OF DEPARTURE (i):
SignatureField1:

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