A.03.16 Appendix E - E-QIP.pdf
PDF 23 KB Posted
- Attached to
- FDA Reconstruction of San Juan Campus
- Solicitation number
- W912EP20R0006
About this file
This document contains an E-QIP initiation form and information about a federal contract opportunity for design-build services. The E-QIP initiation form requests applicant information to initiate suitability background investigations for FDA employment or access requiring submission of forms SF-85 or SF-85P through the Electronic Questionnaires for Investigations Processing system.
The federal contract opportunity is a single-award firm-fixed-price design-build services contract issued by the Army Corps of Engineers Jacksonville District on behalf of the FDA. The scope of work is to design and construct a new administration building on the FDA campus in San Juan, Puerto Rico, including demolition and remodeling of an existing building, with a period of performance of 864 days after notice to proceed. The estimated value is between $5-10 million. This is an 8(a) small business set-aside solicitation under NAICS code 236220 with a size standard of $39.5 million.
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Text version
E-QIP Initiation Form In line with new regulations mandated by the U.S. Office of Personnel Management Investigative Services and the Department of Health and Human Services, the FDA Personnel Security Branch is implementing the Electronic Questionnaires for Investigations Processing (E-QIP) System. As a result, electronic submission of the standard form 85, for suitability background investigations (NACI) or the Standard Form 85P, for Public Trust, is now required. The FDA requires all applicants to be processed for a suitability background investigation, in accordance with Executive Order 10450 and the Homeland Security Presidential Directive (HSPD-12), in order to obtain employment, gain access to FDA property and/or receive an FDA badge.
The following information is required in order to initiate the applicant into the Electronic Questionnaires for Investigations Processing (E-QIP) system. After the applicant is initiated into E-QIP, they will receive an email containing the website including instructions and additional forms needed for the suitability background investigation.
The below contact information is pertaining to the applicant only.
First Name Middle Name (if none, write NMN) Last Name
Position Title or Name of Contractor FDA Center
Social Security Number Date of Birth (mm/dd/yyyy)
Place of Birth: City State or Foreign Country
Phone Number Email address
Have you ever been investigated by another FEDERAL AGENCY? (If yes, complete name of agency)
Are you a member of the USPHS commissioned corps?
Are you a foreign national? If yes, how long have you been in the US?
**All SF-85 for contractor requests also require submission of OF-306 (Declaration of Federal Employment), which should accompany this form as well.**
OSO/PERSONNEL SECURITY OFFICE USE ONLY:
e-QIP Initiation Date: ___________ ID#: _________________
FP Date: _________ Results: _______ Date FP Results Recd: __________
Release to OPM/HHS Date: _____________ EASE Entry Date: __________
| First Name: |
| Position Title or Name of Contractor: |
| Social Security Number: |
| Place of Birth City: |
| Phone Number: |
| Have you ever been investigated by another FEDERAL AGENCY If yes complete name of agency: |
| Are you a member of the USPHS commissioned corps: |
| Are you a foreign national If yes how long have you been in the US: |
| eQIP Initiation Date: |
| ID: |
| FP Date: |
| Results: |
| Date FP Results Recd: |
| Release to OPMHHS Date: |
| EASE Entry Date: |
| Middle Name: |
| Last Name: |
| FDA Center: |
| Date of Birth (mm/dd/yyyy): |
| State or Foreign Country: |
| Email Address: |
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