ATTACHMENT 5- - 1818 Pre-enrollment sample (2).pdf
PDF 180 KB Posted
- Attached to
- Renovate Room 2231 - Building 430
- Solicitation number
- SP3300-24-Q-0089
- Issued by
-
Defense Logistics Agency Distribution
About this file
This document is a DLA Form 1818 - Privacy Act Statement Visit Notification related to a federal contract opportunity. The key details are:
The contract opportunity is for the Renovation of Room 2231, Building 430 at the DLA Distribution Susquehanna, PA location. The work includes disconnecting power to and disassembling six Lektriever Vertical Carousel System (VCS) units, removing and disposing of existing flooring, modifying the HVAC system, installing new carpet tile and cove base, and temporarily removing and reinstalling the suspended ceiling. The period of performance is 120 calendar days from the Notice to Proceed.
This is a small business set-aside with a NAICS code of 236220 and a size standard of $45 million. The estimated value is between $100,000 and $250,000. The tentative solicitation release date is on or around March 26, 2024, and a pre-proposal/site visit will be conducted. The solicitation will be available via the SAM.gov website, and all questions should be directed to the Acquisition Specialist.
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Text version
PRIVACY ACT STATEMENT
VISIT NOTIFICATION
1. ACTIVITY TO BE VISITED
AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:DEFENSE LOGISTICS AGENCY
8725 JOHN J. KINGMAN ROAD
FT BELVOIR, VA 22060-6220
Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.
To control access to and movement on DoD installations, buildings, or facilities.
Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.
Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.
DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES
SECTION I
2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE
5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE
8. PURPOSE OF VISIT
SECTION II
9.
NAME(S) OF VISITOR(S)
(Last, First, MI)
10.
GRADE/RANK
11.
SSN
12.
DATE OF BIRTH
13.
STATE /COUNTRY OF
BIRTH
14.
CLEARANCE/DATE
GRANTED
15.
TYPE OF INVESTIGATION/
DATE
16. TYPED NAME OF SECURITY REPRESENTATIVE
SECTION III
18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE
DLA FORM 1818, JUL 96 (EG)
FROM: TO:
PDF (DLA)
| RequesterName: Mogen Gilson |
| OfficeCode: J7/AB |
| FacPOC: Chad Shry |
| Phone: 717-770-4757 |
| POCPhone: 717-770-4703 |
| VisitedActivity: DLA DISTRIBUTION |
Meet at PASS/ID
10:00 AM-11:00 AM
VisitPurpose: Site Visit: Renovate Room 2231 - Bldg 430
Visitor has registered utilizing the pre-enrollment website: https://dbids-global.dmdc.mil
| DateTo: May 9, 2024 |
| Visitor: |
| 0: Doe, John M. |
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