US Citizen Pre-Bid or Site Visit Form MAR 2024.pdf
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- Solicitation number
- W912P525RA0008
About this file
This document is a U.S. Citizen Pre-Bid Meeting or Site Visit Request Form issued by the Nashville District Corps of Engineers. The form is designed for U.S. citizens seeking approval to attend a pre-bid meeting or site visit at a Corps of Engineers field location. Requestors must submit the form to the Pre-Bid Meeting or Site Visit Point of Contact (POC) / Contracting Officer Representative (COR) at least five full business days before the proposed visit, with complete details including full legal name, date of birth, last four digits of social security number, proposed visit date, and field location to be visited.
The form includes contact information for security specialists (Tracy Dorrough, John Carter, and Jay Klinger) and provides a privacy act statement explaining the purpose of collecting personal information. The document emphasizes the importance of providing accurate and complete information, noting that failure to do so may result in delayed approval or denial of visitor access. The form is marked with a MAR 2024 version date and includes guidance for submission available at a specified website link.
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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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