SOW Attachment 05 - PIV Request Form.docx
DOCX document 134 KB Posted
- Attached to
- Z2DA--A-E Bangor & Lewiston CBOC Security Updates (VA-24-00052083) Federal contract opportunity
- Solicitation number
- 36C24124R0077
About this file
The document provided is a Request for Qualifications (SF 330) for a federal contract opportunity to provide Architect/Engineering (A-E) design services for security upgrades at the Bangor and Lewiston Community Based Outpatient Clinic (CBOC) locations of the VA Maine Healthcare System. The project requires the design and construction of security improvements at these two fully functional clinic locations. The A-E firm will be responsible for all design services to complete the project, including creating new, accurate floor plans for both locations. This procurement is a total set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB), with a period of performance of 83 calendar days. Qualified firms must submit their SF 330 packages by June 28, 2024 at 4:30 PM EST.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SOW Attachment 08 - VHA Directive 1061 Prevention of Healthcare Associated Legionella Disease.pdf | ||
| SOW Attachment 07 - Sensitive Infrastructure Data Classification FOUO.pdf | ||
| SOW Attachment 02 - Lewiston Floorplan.pdf | ||
| SOW Attachment 04 - Seasonal Influenza with Vaccines.pdf | ||
| 36C24124R0077.docx | DOCX document | |
| SOW Final.docx | DOCX document | |
| Special Notice Request For Qualifications SF330.docx | DOCX document | |
| SOW Attachment 03 - Portland Reception Desk.pdf | ||
| SOW Attachment 01 - Bangor Floorplan.pdf | ||
| SOW Attachment 06 - VHA Required Division 01 Specification Section List.pdf |
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Text version
| Project Name: | _______________ | Type of Badge Requested: | PIV NON-PIV FLASH | |
| Circle one |
Department of Veterans Affairs VA Maine Healthcare System Police Department 1 VA Center 07B Augusta, ME 04330 207 623-5796
Individual applying for Badge must fill out this form with all highlighted information supplied and must call in Full Social Security number to 207 623-8411 ext. 5285. If this is not followed Badge cannot be processed.
Last Name First Name Middle (if no middle name please state NMI)
Physical Street Address City State and Zip Code
Gender (M) (F)
Service Line or Company Name Company or Cell Phone Number
Date of Birth
Place of Birth Occupation Title
Personal email for activation of badge process________________________________________________________
For Engineers to fill out:
Contract end date:_______________________________________________ Service Line Official Date
All highlighted info must be submitted, or a badge cannot be issued
FOR TOGUS POLICE USE ONLY
VISTA RECORDS:
DATE CHECKED BY RECORDS FOUND TYPE
VAPS RECORDS:
DATE CHECKED BY RECORDS FOUND TYPE
LOCAL RECORDS:
DATE CHECKED BY RECORDS FOUND TYPE
STATUS F YES NO ADVANCED TO HR
A MEMBER OF THE VA NEW ENGLAND HEALTHCARE SYSTEM
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