18Mar16_Attachment_1_Site_Visit_Registration_Form.pdf

Attachment 1

Registration Form

Rucker Grounds Maintenance – Airfield/Stagefield

W9124G-16-B-0002

Site Visit

Event Location: Building 5700, Room # 284, Fort Rucker, Alabama

Date/Time: Wednesday, 30 March 2016 at 9:30 a.m. Central Standard Time (CST)

This site visit is strictly voluntary. The Government WILL NOT reimburse any costs incurred prior to, during or after attendance at the site visit; all associated costs for attendance is the responsibility of the Contractor.

No more than two (2) representatives per company are allowed to attend the pre-brief and site visit tour. All attendees must be pre-registered. The Government reserves the right to deny admittance to any representatives who are not pre-registered or exceed the limitation of participants.

Contractors will have to register at the main Fort Rucker gates (Daleville or Ozark gate) and obtained a "visitors" pass to gain access to Fort Rucker (driver's license and

PROOF OF VEHICLE INSURANCE IS REQUIRED).

A signed copy of this registration form must be received from each company representative that plan to attend the site visit.

COMPANY NAME:

ADDRESS: ______________________________________________

CITY: ___________ STATE: ____________ ZIP: _______

PHONE NUMBER: ________________

REPRESENTATIVE’S NAME: _____________________________

EMAIL: _______________________________________________

SIGNATURE: ______________________________________

NUMBER ATTENDING: ___________

BUSINESS SIZE: ______________________________________

CAGE CODE________ DUNNS______________

TIN______________

Please submit your completed registration form via email NO LATER THAN 2:00 p.m.

CST, Friday, March 25, 2016 to SFC Ray Lee Jr., Contract Specialist, email:

ray.lee11.mil@mail.mil, and Elvira Lenoir, Contracting Officer, email:

Elvira.lenoir.civ@mail.mil.

mailto:ray.lee11.mil@mail.mil mailto:Elvira.lenoir.civ@mail.mil