US Citizen Pre-Bid or Site Visit Form AUG 2014.pdf

PDF 18 KB Posted

Attached to
CHICKAMAUGA LOCK ARMOR WALL PAINTING Federal contract opportunity
Solicitation number
W912P520Q0040
Issued by
Department of the Army Corps of Engineers Engineering District Nashville

About this file

This document contains a pre-bid or site visit request form for a federal construction project. The Nashville District of the U.S. Army Corps of Engineers is soliciting a firm fixed price contract to clean, surface prepare, and paint the wall armor at Chickamauga Lock. The wall armor was last painted in 2009 and has degraded due to debris, barge impacts, and environmental exposure. The contractor will clean, prepare, and paint the horizontal corner wall armor metals and check posts throughout the lock, as well as the bull noses located on the ends of the approach walls above summer pool water elevation. The request form requires submission of full legal name, date of birth, last four digits of social security number, location and date of proposed site visit, and contact phone number to the Nashville District at least two business days prior to the visit.

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Other files for this federal contract opportunity

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W912P520Q0040_Virtual Site Visit CHKLK WAP_10AUG2020.pptx PPTX presentation
W912P520Q0040_Amendment Scope Clarification_Downstream Corner Wall Armor Downstream of the Downstream Miter Gate.pdf PDF
W912P520Q0040-0001.pdf PDF
FN Site Visit Form AUG 2016.pdf PDF
W912P520Q0040_Solicitation.pdf PDF
2007188 Report.pdf PDF
W912P5-20-Q-0040_Plans_Certified Final Documents-RTA (signed).pdf PDF
W912P5-20-Q-0040_Specs_RTA.pdf PDF

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Text version

8/19/2014

Nashville District Corps of Engineers U.S. Citizen

Pre-Bid Meeting or Site Visit Request Form

This Request Form is for U.S. Citizens requesting approval to attend a pre-bid meeting or site visit at one of the Nashville District (LRN) Corps of Engineers field locations. The form should be submitted to the Nashville District Pre-Bid Meeting or Site Visit Point of Contact (POC) to be forwarded to the LRN Security Management Office (LRN-SM) at least two (2) full business days prior to the proposed visit.

Guidance for submitting pre-bid meeting or site visit requests is available at http://www.lrn.usace.army.mil/BusinessWithUs/Contracting/Contract Security Requirements/Pre-Bid Meeting or Site Visit Process

LRN Meeting/Site Visit POC: _____________________________________ Nashville District (LRN) Contact Person)

Date the Request is Being Submitted to LRN (mm/dd/yyyy) ___

FULL LEGAL

Name ___________________ (Last, First, Middle)

If you have only initials in your name, use them and state (IO). If you have no middle name, enter “NMN”. If you are a “Jr.,”Sr.,” “II,” etc., indicate your status (Do not list a Nickname) NOTE: Failure to provide FULL LEGAL name will delay approval

Date of Birth (mm/dd/yyyy) ___

Last Four Digits of Social Secur ity Number _

LRN Field Location (Project Site) to be Visited:

Date of Proposed Visit (mm/dd/yyyy) ____________________________

In Case of Questions, Please Provide Phone Number:

IMPORTANT: DO NOT

Submit Form Directly to the Security Office Unless Directed

For questions regarding completing the form, contact one of the individuals listed below:

Tracy Dorrough, Security Technician, 615-736-7397 Jay Klinger, Security Specialist, 615-736-2185 Connie Hardeman, Security Manager, 615-736-5567

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 scheduled tour and/or briefing and to verify positive identification of visitor. Solicited information is voluntary; however, failure to provide information may result in denied visitor access. The information provided to the Nashville District will not be retained digitally or by hard copy after the scheduled tour date.

LRN MeetingSite Visit POC:
Date the Request is Being Submitted to LRN mmddyyyy:
FULL LEGAL Name:
Date of Birth mmddyyyy:
Last Four Digits of Social Security Number:
LRN Field Location Project Site to be Visited:
Date of Proposed Visit mmddyyyy:
In Case of Questions Please Provide Phone Number:

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