Site Visit_Foreign National_W912P525QA032_Nickajack Lock Gearbox Rehab_updated.pdf

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Nickajack Lock Tow Haulage Gearbox Rehab
Solicitation number
W912P525QA032
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This document is a Foreign National (FN) Pre-Bid Meeting or Site Visit Request Form for the Nashville District Corps of Engineers, specifically related to the Nickajack Lock Highspeed Gearbox Rehabilitation project (Solicitation Number W912P525QA032). The form is designed for non-U.S. citizens, including permanent residents, who wish to attend a pre-bid meeting or site visit at a Nashville District field location, requiring detailed personal documentation and advance security approval.

The site visit is scheduled for July 16, 2025 at 10:30 AM CST at the Nickajack Lock in Jasper, TN. Foreign nationals must submit a completed security access form with legible color copies of two approved verification documents (such as passports, citizenship certificates, or employment authorization cards) at least two weeks prior to the meeting. The form must be submitted to the Nashville District Security Management Office, with requests requiring approval at the U.S. Army Corps of Engineers Headquarters level. Exceptions to the approval process will be considered on a case-by-case basis but will be limited.

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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: Nickajack Lock Highspeed Gearbox Rehabilitation - JORI COX
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): Nickajack Lock, 3490 TVA Rd. Jasper, TN 37343
Date visit mm/dd/yyyy: 07/16/2025 at 10:30 am CST
Phone Number to be contacted at:

File details come from the government source that posted it. Updated .