1175th RFQ HOTEL ROSTER2.xlsx

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1175TH TC DEPLOYMENT LODGING TULAHOMA TN
Solicitation number
W912L724Q0503
Issued by

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This document is a federal purchase request and commitment form for lodging services. The 1175th Tennessee Army National Guard is seeking to procure single and double hotel rooms for up to 168 room nights in Tullahoma, Tennessee from October 8-11, 2023. The form includes a roster listing 68 individuals requiring double rooms and 6 requiring single rooms along with their ranks and arrival/departure dates but does not include any pricing. The purchase request is to be certified and approved by the specified officers by the noted dates. The Department of the Army is identified as the contracting agency.

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Q A LODGING 23Q0503.docx DOCX document
SOLICITATION REQUEST FOR QUOTE 1175th LODGING1.docx DOCX document

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TOTAL

SUGGESTED VENDOR:
ADDRESS
VENDOR POC AND PHONE:
TYPE OF ROOMQUANTITYPRICETOTAL
SINGLE ROOMS6$0.00$0.00autofill
DOUBLE ROOMS162$0.00$0.00autofill
TOTAL COST$0.00
1175TH TC COMPANY
UNIT POC
UNIT
EMAIL
PHONE
Any questions, please contact Rhonda Lien @ rhonda.m.lien.civ@army.mil
615-313-0530

1202 EAST CARROLL STREET, TULLAHOMA TN - NEED HOTEL CLOSE BY

SINGLE ROOMS

#ROOM TYPENAMEGENDERRANKCHECK INCHECK OUTTotal DaysPrice per dayTotal
Column1
1SINGLEMILLER EVERETTMCPTSunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0SINGLE
2SINGLESHORES CYRUS EDWARD JRMMSGSunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0DOUBLE
$ - 0$ - 0
$ - 0$ - 0MALE
$ - 0$ - 0FEMALE
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0PVT
$ - 0$ - 0PV2
$ - 0$ - 0PFC
$ - 0$ - 0SPC
TOTAL ROOM DAYS6Total Cost$ - 0

DOUBLE ROOMS

#ROOM TYPENAMEGENDERRANKNAMECHECK INCHECK OUTTotal DaysPrice per dayTotal
Column1
1DOUBLE1LTCAFFEY WILLIAM PMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0SINGLE
2DOUBLE1LTTHOMAS WILLIAM DAVIDEDWARDM$ - 0$ - 0DOUBLE
3DOUBLE2LTHANSEL JACOBMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
4DOUBLE2LTHUGHES TREVOR VINTONM$ - 0$ - 0
5DOUBLESFCCHILDS SETH TILGHMANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0MALE
6DOUBLESFCRUSHING STEVEN TODDM$ - 0$ - 0FEMALE
7DOUBLESFCHARRIS JAMESMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
8DOUBLESFCSISK CHRISTOPHER LEEM$ - 0$ - 0
9DOUBLESFCNOVOTNY DONALDMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0PVT
10DOUBLESFCWINCHESTER BILLYM$ - 0$ - 0PV2
11DOUBLESFCOWENS JOHNHENRY DAVIDMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
12DOUBLESFCRYAN MICHAEL TERRYM$ - 0$ - 0
13DOUBLESFCRHONE BRANDY DENISEFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
14DOUBLESSGOWENS CAROL RENEEF$ - 0$ - 0
15DOUBLESSGARNOLD TREVIS RICHARDMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
16DOUBLESSGBARKER CHRISTOPHERM$ - 0$ - 0
17DOUBLESSGBROWN MATTHEW DONLEEMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
18DOUBLESSGCAMPBELL CHRISTOPHER MICHAEM$ - 0$ - 0
19DOUBLESSGCARLSON BRENT ALLENMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
20DOUBLESSGCASTLEMAN EDWARDM$ - 0$ - 0
SSGCOOPER CODYMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGCURRY MICHAEL LM$ - 0$ - 0
SSGHAMMONDS HERBERTMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGHOLLEY DUSTIN HAYESM$ - 0$ - 0
SSGNDIRITU SAMUEL NGUNJEMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGPALMER SEDRICKM$ - 0$ - 0
SSGPOPE DENNIS SPENCERMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGPRINCE JONATHAN LOUISM$ - 0$ - 0
SSGREID BRANTLEY CURTIS JRMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGSIMMONS MICHAEL BENJAMINM$ - 0$ - 0
SSGWESTMORELAND SHAWN ERICMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SSGWICKWIRE BRANDON JACOBM$ - 0$ - 0
SGTADAMS ANDREW BORKLUNDMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTBEASON JERRYM$ - 0$ - 0
SGTCHURCHILL AMBERFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTMAYFIELD KASSIDYF$ - 0$ - 0
SGTCONE BRANDON SCOTTMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTCOTHAM HOLLISM$ - 0$ - 0
SGTDAVIS CLEVEN IIIMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTDEATON NICHOLAS SHAUNM$ - 0$ - 0
SGTEBERHARDT MARKELL DASHAWNMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTEVANS JORDAN THOMASM$ - 0$ - 0
SGTGALISON ARTERRIUS TYSHUNMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTGONZALEZ GONZALO LOPEZM$ - 0$ - 0
SGTHANNAH CHRISTIAN MICHAELMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTHERNANDEZ JOSE ANGELM$ - 0$ - 0
SGTCRUTCHFIELD MEGAN VIRGINIAFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTHARRELSON KAITLYN MICHELLEF$ - 0$ - 0
SGTHUGHES COLT DEWAYNEMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTHUGHES JOSHUA CALEBM$ - 0$ - 0
SGTLATHAM CHRISTOPHERMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTMITTEL DUSTIN ALLENM$ - 0$ - 0
SGTMOONEY STEVEN DEWAYNEMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTMOORE JAMESM$ - 0$ - 0
SGTMORRISON JONATHANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTMURCHISON JEFFERY RYANM$ - 0$ - 0
SGTMUSIC PAUL BRIAN IIMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTROGERS MICHAEL RAYM$ - 0$ - 0
SGTRUSSELL JAMES KELLY JRMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTSHOUPE JONATHAN SCOTTM$ - 0$ - 0
SGTSOURDIFFE RYANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTSTANFIELD CHACEM$ - 0$ - 0
SGTSTEWART JOHNNIE RAYMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTSULTZER SCOTT DAVID JRM$ - 0$ - 0
SGTTHOMAS JAY HUNTERMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTWAGGY BLAKE ALLENM$ - 0$ - 0
SGTWALDRON AARON NATHANIELMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SGTWILSON NATHANIEL JAMESM$ - 0$ - 0
SGTMESSICK JADAFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCWAGNER SHANNAF$ - 0$ - 0
SPCBROWN DEIDRE MONIQUEFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCBROWN DESTINY MICHELF$ - 0$ - 0
SPCBELT ALEXANDERMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCBOATENG NANA YAWM$ - 0$ - 0
SPCBOYD JOHN WILSONMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCBUSH JASONM$ - 0$ - 0
SPCDEWILDE AUSTINMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCDOUGLAS JESSEM$ - 0$ - 0
SPCEDWARDS STONE MONTANAMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCEH DAHM$ - 0$ - 0
SPCFENIH WORLANYOMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCGAMEZ MARCOSM$ - 0$ - 0
SPCJIMENEZ KEVINMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCLAMBERT DAWSONM$ - 0$ - 0
SPCMENDOZA ELBER JONATHANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCMILLER JOSEPH MICHAELM$ - 0$ - 0
SPCMITCHELL TRISTANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCPALAZZOLA GENOM$ - 0$ - 0
SPCPARTIN JEROMIAHMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCSANKS KEVINM$ - 0$ - 0
SPCTHOMPSON BILLYMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCTORBETT CLAY NOLANM$ - 0$ - 0
SPCGLENN DYLANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCHILL ADARIUSM$ - 0$ - 0
SPCTRULL AUSTINMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCUNDERWOOD CALEBM$ - 0$ - 0
SPCWALLACE CHASEMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
SPCWILLIAMS DONALDM$ - 0$ - 0
SPCWINSTEAD NATHANMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
PV2BERNAL JONATHANM$ - 0$ - 0
PFCFOSTER ISAIAHMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
PV2GROSS BRIANM$ - 0$ - 0
PFCJORDAN TANNERMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
PFCLOPEZ CASTRO VILYM$ - 0$ - 0
PFCSELLERS CALEB ANDREWMDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
PFCTALLEY RAYTAVIOUS ROCHELLEM$ - 0$ - 0
PFCDOUGLAS AVALEONAFDOUBLESunday, October 08, 2023Wednesday, October 11, 20233$ - 0$ - 0
PFCMCCULLAH HALEYF$ - 0$ - 0
54 DOUBLE ROOMS x 3 NIGHTS162TOTAL COST$ - 0

DA 3953

PURCHASE REQUEST AND COMMITMENT1. PURCHASE INSTRUMENT NO.2. REQUISITION NO.3. DATEPAGEOF
For use of this form, see AR 37-1; the proponent agency is OASA(FM)PAGES
4. TO:5. THRU:6. FROM:
It is requested that the supplies and services enumerated below or on attached list be
7. PURCHASED FOR8. DELIVERED TO9. NOT LATER THAN
(Date)
The supplies and services listed below cannot be secured through normal supply channels or other Army supply sources in the immediate vicinity, and their procurement will not violate existing regulations pertaining to local purchases for stock,10. NAME OF PERSON TO CALL FOR ADDITIONAL11. TELEPHONE NUMBER
INFORMATION
12. LOCAL PURCHASES AUTHORIZED AS THE NORMAL13. REQUISITIONING DISCLOSES NONAVAILABILITYFUND CERTIFICATION
MEANS OF SUPPLY FOR THE FOREGOING BYOF ITEMS AND LOCAL PURCHASE IS AUTHORIZED BYThe supplies and services listed on this request are properly chargeable to the following allotments, the available balances of which are sufficient to cover the cost thereof, and funds have been committed.
EMERGENCY SITUATION PRECLUDES USE OF REQUISITION CHANNELS FOR SECURING ITEM
19. ACCOUNTING CLASSIFICATION AND AMOUNT
14.15.16.17.18. ESTIMATED
ITEMDESCRIPTION OF SUPPLY OR SERVICESQUANTITYUNIT
UNIT PRICETOTAL COST
ab
1SINGLE ROOMS6EA$0.00$0.00
2DOUBLE ROOMS60EA$0.00$0.00
20. TYPED NAME AND TITLE OF21. SIGNATURE22. DATE
CERTIFYING OFFICER

23. DISCOUNT TERMS

24. PURCHASE
Total Cost$0.00ORDER NUMBER
26. DELIVERY REQUIREMENTS
25. THE FOREGOING ITEMS ARE REQUIRED NOT LATER THAN AS INDICATED ABOVE FOR THE FOLLOWING PURPOSE
ARE MORE THAN 7 DAYS REQUIRED TO INSPECT AND ACCEPT THE REQUESTED
GOODS OR SERVICESYESNO
IF YES, NUMBER OF DAYS REQUIRED
27. TYPED NAME AND GRADE OF INITIATING28. SIGNATURE29. DATE34. TYPED NAME AND GRADE35. SIGNATURE36. DATE
OFFICEROF APPROVING OFFICER OR DESIGNEE

30. TELEPHONE NUMBER

31. TYPED NAME AND GRADE OF SUPPLY32. SIGNATURE33. DATE
OFFICER

DA FORM 3953, MAR 91 EDITION OF AUG 76 IS OBSOLETE USAPPC V2.00

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