Gate Sign Revised to Questionnaire.docx
DOCX document 23 KB Posted
- Attached to
- Picatinny Arsenal Base Operations (BASOPS) Federal contract opportunity
- Solicitation number
- W15QKN-21-R-5005
About this file
This document contains a federal contract opportunity solicitation and related COVID-19 screening questionnaire. The Department of the Army Materiel Command Contracting Command Picatinny Arsenal is soliciting proposals for base operations services at Picatinny Arsenal under solicitation number W15QKN-21-R-5005. Interested offerors must submit proposals by 1400 hours on February 2, 2021. The incumbent contractor's performance of base operations services is concluding, and the Army is seeking a new contractor to provide services such as facility management, maintenance, logistics, and other base support functions. A COVID-19 screening questionnaire is also included to screen personnel for symptoms and potential exposure before they enter the installation, with instructions to inform screeners and depart if any symptoms or potential exposures are reported.
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Text version
ATTENTION
TODAY AND IN THE PAST 14 DAYS:
Have YOU been diagnosed with or tested positive for COVID-19?
Have you been in close contact with (less than 6 feet for 15 minutes over a 24 hour period) or provided care for anyone who has the below symptoms of COVID or was diagnosed with or tested positive for COVID-19?
Have YOU had any of the following symptoms?
FEVER
FEELING FEVERISH
COUGH
SHORTNESS OF BREATH
DIFFICULTY BREATHING
CHILLS
SHAKING WITH CHILLS
MUSCLE ACHES
BODY ACHES
HEADACHE
SORE THROAT
LOSS OF TASTE
LOSS OF SMELL
FATIGUE
CONGESTION
RUNNY NOSE
NAUSEA
VOMITING
DIARRHEA
IF YES TO ANY OF THE ABOVE, PLEASE INFORM THE SCREENER, DEPART THE INSTALLATION AND CONTACT YOUR HEATHCARE PROVIDER FOR FURTHER GUIDANCE.
4’ 6’
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