US Citizen Pre_Bid or Site Visit Form JAN 2019.pdf

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Attached to
Old Hickory Power Plant Switchyard Cable and Conduit Replacement Federal contract opportunity
Solicitation number
W912P521B0012
Issued by
Department of the Army Corps of Engineers Engineering District Nashville

About this file

This document provides a site visit request form and details regarding an upcoming federal construction contract opportunity for cable and conduit replacement work at a power plant in Tennessee. The U.S. Army Corps of Engineers Nashville District plans to issue a firm fixed price construction contract valued between $1,000,000 and $5,000,000 for installing new cable, conduit and cable trench systems from the switchyard vault to switchgear and adding new termination cabinets at the Old Hickory Power Plant. An optional item involves replacing cable from the new termination cabinet to the powerhouse. A mandatory site visit is scheduled for April 21, 2021, with no more than two representatives allowed per company and face coverings required. Questions must be submitted in writing to the listed Contract Specialist by the specified deadline. Vendors must submit the site visit request form at least five business days in advance to be approved for the site visit.

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Text version

Jan 2019 Version

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) / Contracting Officer Representative (COR) to be forwarded to the LRN Security Management Office (LRN-SM) at least Five

(5) full business days prior to the proposed visit.

Guidance for submitting pre-bid meeting or site visit requests is available at https://www.lrn.usace.army.mil/Business-With-Us/Contract-Security-Requirements/

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 Security 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: Submit form directly to COR. DO NOT submit the form directly to the Security Office Unless Directed. For questions regarding the site visit contact the COR.

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

Tracy Dorrough, Personnel Security Specialist, 615-736-7397 email: tracy.w.dorrough.civ@mail.mil John Carter, Security Specialist, 615-736-5567 email: john.h.carter@usace.army.mil Jay Klinger, District Chief of Security, 615-736-2185 email: jason.j.klinger.civ@mail.mil

PRIVACY ACT STATEMENT

AUTHORITY: Information is solicited pursuant to Title 10, U.S. Code, Section 3013 and E.O. 9397.

PRINCIPAL PURPOSE: To provide information necessary for preparation of a scheduled tour of the facility, verify positive identification of visitor(s), and conduct background checks for determinations of the eligibility of access to U.S. Army Corps of Engineers facilities.

ROUTINE USES: Used by the U.S. Army Corps of Engineers to accompany a request for a scheduled tour of the facility.

MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT OF NOT PROVIDING INFORMATION: Providing the solicited information, including Social Security Number, is voluntary; however, failure to provide information may result in a denial of visitor access due to an inability to verify identification. The information provided to the U.S. Army Corps of Engineers will not be retained digitally or by hard copy after the scheduled visit.

https://www.lrn.usace.army.mil/Business-With-Us/Contract-Security-Requirements/ mailto:tracy.w.dorrough.civ@mail.mil mailto:john.h.carter@usace.army.mil mailto:jason.j.klinger.civ@mail.mil

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