US Citizen Pre-Bid or Site Visit Form MAR 2024.pdf
PDF 166 KB Posted
- Solicitation number
- W912P525RA008
About this file
This document is a U.S. Citizen Pre-Bid Meeting or Site Visit Request Form for the Nashville District Corps of Engineers. The form requires potential visitors to submit detailed personal information at least five full business days prior to a proposed site visit, including full legal name, date of birth, last four digits of Social Security number, proposed visit date, and field location to be visited. Requests must be submitted to the Contracting Officer Representative (COR), who will forward it to the LRN Security Management Office.
The form includes contact information for three security specialists for questions: Tracy Dorrough, John Carter, and Jay Klinger, with their respective phone numbers and email addresses. A Privacy Act Statement notes that information is collected under Title 10, U.S. Code, and is used to verify visitor identification and conduct background checks for facility access. While providing information is voluntary, failure to do so may result in denied visitor access. The form specifies that provided information will not be retained after the scheduled visit.
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Other files
| File | Type | Posted |
|---|---|---|
| Presolicitation Notice - W912P525RA008.pdf | ||
| FN Pre-Bid or Site Visit Form MAR 2024.pdf |
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Text 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.lrd.usace.army.mil/Submit-ArticleCS/Programs/Article/3667149/contracting/
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.
MAR 2024 Version https://www.lrd.usace.army.mil/Submit-ArticleCS/Programs/Article/3667149/contracting/ 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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