Industry_Day__4_Registration_Form.pdf

INDUSTRY DAY #4 REGISTRATION FORM

Lake City Army Ammunition Plant (LCAAP) – Industry Day #4 Solicitation W52P1J-17-R-0141

The Army Contracting Command - Rock Island, the Project Manager, Maneuver Ammunition Systems, the Joint Munitions Command, and the LCAAP Commander will be hosting a 4th Industry Day for the planned competition for the production of small caliber ammunition and the operation, maintenance, and modernization of LCAAP beginning in Fiscal Year 2020.

Industry Day #4 will occur at LCAAP in Independence, MO on October 24-25, 2018. The event will include customized tours specific to each firm’s request. Accordingly, each firm is required to specify the areas of the plant it would like to see and the amount of time it would like to spend in each specified area. The length of customized tours will be limited to 12 hours; 8 hours on October 24th and 4 hours on October 25th. The Government will do its best to accommodate all tour requests, however, there is no guarantee.

US and Canadian citizens of firms registered with the Joint Certification Program will be allowed to request a tour. Each firm is permitted to send up to five (5) representatives per day to participate in the customized tours. Individuals from consulting firms acting on behalf of a particular company will be included in the respective company’s total representative count. The limit will be strictly enforced.

Interested companies must register for the event by submitting company information, customized tour request information, individual registrations, and conditions of entry forms to Ms. Jen Paul at jennifer.n.paul.civ@mail.mil and Mr. Ben Gillen at benjamin.j.gillen.civ@mail.mil no later than October 5, 2018.

Company Information:

Company Name:

Company Address:

US or Foreign Owned (Name of Country): Phone Number:

Company Cage Code: __________________

Customized Tour Request Form

Plant Location/Building Time Requested

INDIVIDUAL REGISTRATION FORM

Lake City Army Ammunition Plant (LCAAP) – Industry Day #4 Solicitation W52P1J-17-R-0141

October 24 – 25, 2018

Participant #1:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #2:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #3:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #4:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #5:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #6:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #7:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #8:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #9:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Participant #10:

Name: Company/Title:

Email: DOB: Sex: Race:

Citizenship: Driver’s License Number & State:

Shoe size: ______ Coat size: Day 1 (Oct 24):________ Day 2 (Oct 25):________

Conditions of Entry for Lake City Army Ammunition Plant (LCAAP)

By signing this document, I declare and acknowledge that my entry onto the Lake City Army Ammunition Plant, a Federal reservation owned by the United States Army under the exclusive jurisdiction of the United States Government, will be permitted under the following conditions:

1. The Lake City Army Ammunition Plant (“LCAAP”) is a Command designated Restricted Area. All persons, vehicles and property entering the Lake City Army Ammunition Plant are subject to search. I acknowledge that I have no expectation of privacy-either on my person or on any property that I own or possess-when entering LCAAP.

2. I will not carry and/or possess any of the following items on LCAAP:

Cameras (Camera use authorization by permit must be approved in advance prior to the visit)

Binoculars

Firearms (Note: A license to carry a concealed weapon issued by any state is not an exception to this Federal prohibition. This prohibition applies to all areas of LCAAP, to include parking areas & roadways)

Firearms Silencer or Firearms Muffling Device

Ammunition

Knifes with a blade length over 4 inches (to include any and all switchblades and “butterfly” knives)

Fireworks and incendiary/explosive devices (to include flame producing devices)

Bladed or impact weapons (to include “brass knuckles” or similar type devices)

Alcoholic beverages (No one under the influence of alcohol / drugs is permitted on plant property under any circumstances)

Illegal / Illicit drugs

Any other weapons (including aerosol restraints (such as Mace, Tear Gas, or Oleoresin Capsicum (OC) spray), electric immobilization defense devices (“Stun Guns,” “TASERs,” etc.), Martial Arts Weapons

Note: These prohibitions do not apply to Law Enforcement Officers from any Federal, State or local law enforcement agency who are authorized by their agency to carry firearms in the performance of their duties.

3. Upon entry of this facility, all visitors shall have their appropriate identification badge in his/her possession at all times and displayed in the upper left quarter of their outer garment while on the installation.

4. Visitors are authorized to bring cellular telephones onto the facility that have photographic or digital video recording capability. Visitors are prohibited under any circumstances from using the cellular telephone’s camera/ video recording capability on the installation. Violations of this provision will result in confiscation of the cellular telephone.

With my signature provided below, I understand and acknowledge that should I violate any of the aforementioned prohibitions, I am trespassing on LCAAP and I am not authorized to enter or remain on LCAAP and that such violation may be criminally prosecuted under Title 18 USC 1382 and/or other Federal Statutes / Regulations and/or Missouri statutes that can be assimilated into Federal Law.

Name (Please print clearly):_________________________________________________________

Signature:_____________________________________________ Date: _____________________