W9127824Q0010 Solicitation-Attachment_2_Sample_Fingerprint_Card.pdf
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- Solicitation number
- W9127824Q0010
About this file
This document is a Solicitation for Provide Park Attendant services at various recreational areas in the U.S. Army Corps of Engineers, Mobile District, Alabama, Mississippi, and Georgia.
The solicitation is a 100% Set Aside for Small Businesses with a NAICS code of 721211 and a size standard of average annual gross revenue not exceeding $10.0M for the past three years. The scope of services is for Park Attendant positions, which may consist of two teams performing on a rotating days on/days off schedule or a single team working a specific number of days per week, with each team consisting of two persons. All quotes must be submitted in accordance with the attached Scope of Work. The solicitation will only be issued as a direct download at SAM.gov, and the Government reserves the right to revert to paper medium when it is determined to be in the Government's best interest.
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Text version
SF 87 (REV. DECEMBER
2017) US OFFICE OF
PERSONNEL
MANAGEMENT
E.O. 10450
SIGNATURE OF PERSON FINGERPRINTED
RESIDENCE OF PERSON FINGERPRINTED
LEAVE BLANK
R I s N
TYPE OR PRINT ALL INFORMATION IN BLACK EBI
LAST NAME NAM FIRST NAME MIDDLE NAME LEAVE BLANK
I SERIAL NO. (OPM USE ONLY) OCA
I~ l'PAC MISCELLANEOUS NO. MNU DATE OF BIRTH DOB
MONTH DAY
ALIASES AKA SEX I RACE ti GT. I ',<YGT. I EYES I HAIR PLACE OF BIRTH POB
DATE I SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
LEAVE BLANK
TITLE AND.ADDRESS SCARS, MARKS, AND TATTOOS
CLASS
POSITION TO WHICH APPOINTED FBI NO. EB!
REF.
DEPARTMENT, BUREAU, AND DUTY STATION (CITY AND STATE) SOCIAL SECURITY NO. SOC
1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE
6. L. THUMB 7. L. INDEX 8. L. MIDDDLE 9. L. RING 10. L. LITTLE
LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
YEAR
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