SITE VISIT SIGN IN.pdf

PDF 181 KB Posted

Attached to
Z2NZ--659-24-203: Extend Chilled Water to Hospice and Audiology
Solicitation number
36C24626B0039_0001
Issued by

About this file

This document is a site visit attestation form for an Extended Childcare and Whittier facility. The form confirms a site visit conducted on August 1, 2026, with a mandatory August 2026-10 AM EDT Salubrity VAMCT visit requirement.

The attestation records attendance by Scott Derby (Salubrity, Inc.), Kevin Sussel (Quantum Inline Inc.), and Quay Karch (MS Solutions). The organization listed is Salubrity (Quantum Inline Inc.), with contact information including phone number 704-241-8445 and email address provided. The form indicates this visit relates to procurement activities and serves as documentation of site inspection completion for childcare services evaluation purposes. The document includes handwritten annotations confirming attendee information and organizational details relevant to the contracting or procurement process.

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