ATTACHMENT 5- - 1818 Pre-enrollment sample (2).pdf

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Attached to
Renovate Room 2231 - Building 430
Solicitation number
SP3300-24-Q-0089
Issued by

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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