OKANG COVID-19 Site Visit Questionaire.docx
DOCX document 16 KB Posted
- Attached to
- Energy Project - HVAC Controls Federal contract opportunity
- Solicitation number
- W50S8U20B0001
- Issued by
- Department of the Army National Guard
About this file
This solicitation requests proposals for an energy project to update HVAC and DDC systems at multiple facilities. The project scope includes replacing the hydronic system and split systems at specific buildings, replacing RTUs and modifying ductwork at another building, and replacing a boiler at a third building. Contractors must also provide temporary boilers and chillers to maintain temperatures during renovations. The solicitation includes a justification and requirement for Automated Logic Controls systems. Drawings and specifications are provided. The solicitation was released by the Department of the Army National Guard for project work at an unspecified location.
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Text version
Oklahoma Air National Guard COVID-19 Risk Assessment
LAST NAME:
FIRST NAME:
DATE:
Risk Assessment: Initial Screening Questions
| 1. |
| Have you had, in the last 14 days, or are currently experiencing any of the symptoms listed below? |
| · Fever > 38°C or subjective fever or 100.4F |
| Yes |
| No |
| · Cough |
| Yes |
| No |
| · Shortness of breath/breathing difficulties |
| Yes |
| No |
· Other symptoms such as muscle aches, fatigue, headache, sore throat, runny nose, diarrhea.
If yes, were you treated by a physician?
Yes
Yes No
No
| 2. |
| Have you traveled outside of the United States or domestically outside your regular commuting area within the last 14 days? |
| Yes |
| No |
| 3. |
| Have you had close contact (face-to-face contact within 2 meters/6 feet) with someone who is ill with cough and/or fever who has traveled internationally within 14 days prior to their illness onset? (Contact may be during travel) |
| Yes |
| No |
| 4. |
| In the last 14 days, have you or someone in your household been in close contact with someone directed to self-quarantine or who is symptomatic with laboratory-confirmed COVID-19? |
| Yes |
| No |
| 5. |
| Have you attended a gathering of 500 or more people where social distancing was not possible? |
| Yes |
| No |
If all answers are "NO", the member may attend the site visit.
If any of the above answers are “YES” do not attend the Tulsa ANG site visit. Please send a company representative that can answer “No” to all of the above questions.
Signature / DATE:
File details come from the government source that posted it. Updated .