US Citizen_Site Visit Form .pdf
PDF 67 KB Posted
- Attached to
- Cheatham Dam Stoplog Storage Slab Federal contract opportunity
- Solicitation number
- W912P522B0007
About this file
This document contains a federal contract opportunity notice and related site visit request form. The U.S. Army Corps of Engineers Nashville District intends to issue an Invitation for Bid for construction of a concrete stoplog storage slab at Cheatham Dam in Ashland City, Tennessee between $1,000,000 to $5,000,000. The work includes excavating and installing a reinforced concrete slab measuring 125 feet long by 50 feet wide and 1.5 feet deep, with lateral supports to store stoplogs provided through separate contracts. Additional work may be added through options for fencing, asphalt, drainage and earthwork. The NAICS code is 238110 and it is set aside 100% for small businesses. The anticipated solicitation release date is June 7, 2022, with award information to be provided in the solicitation. The related site visit request form requires submission of personal information including full legal name, date of birth and last four digits of social security number to the Corps of Engineers at least five business days before any pre-bid meeting or site visit.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 01 20 00 SLSSlab Bid Schedule.pdf | ||
| 01 20 00 SLSSlab Bid Schedule.pdf | ||
| 09 97 02 spec.pdf | ||
| W912P522B0007 0002.pdf | ||
| 01 20 00 Spec.pdf | ||
| Cheatham Stoplog Pad Bid Opening Info.pdf | ||
| Section 01 45 00 spec.pdf | ||
| CHEATHAM LOCK DAM SITE STOPLOG SLAB-ACCESS ROAD WIDENING (Amendment 01).docx | DOCX document | |
| Section 01 20 00 spec.pdf | ||
| Q12-30 35.pdf | ||
| W912P522B0007 0001 Amendment 1.pdf | ||
| FN _Site Visit Form.pdf | ||
| TSpecs_W912P522B0007_Cheatham Stoplog Storage Slab_RTA.pdf | ||
| TPlans_W912P522B0007_Cheatham Stoplog Storage Slab_RTA_All Signatures.pdf | ||
| PIEE Offeror Submittal Guide.pdf | ||
| PIEE Vendor Registration Guide.pdf | ||
| W912P522B0007 Cheatham Stoplog Storage Slab.pdf | ||
| Bid Schedule W912P522B0007 Cheatham Dam Stoplog Storage Slab.pdf |
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Text version
Jan 2019 Version
Nashville District Corps of Engineers U.S. Citizen
Pre-Bid Meeting or Site Visit Request Form
This Request Form is for U.S. Citizens requesting approval to attend a pre-bid meeting or site visit at one of the Nashville District (LRN) Corps of Engineers field locations. The form should be submitted to the Nashville District Pre-Bid Meeting or Site Visit Point of Contact (POC) / Contracting Officer Representative (COR) to be forwarded to the LRN Security Management Office (LRN-SM) at least Five
(5) full business days prior to the proposed visit.
Guidance for submitting pre-bid meeting or site visit requests is available at https://www.lrn.usace.army.mil/Business-With-Us/Contract-Security-Requirements/
LRN Meeting/Site Visit POC: _____________________________________ Nashville District (LRN) Contact Person)
Date the Request is Being Submitted to LRN (mm/dd/yyyy) ___________________
FULL LEGAL Name _______________________________________________________
(Last, First, Middle) If you have only initials in your name, use them and state (IO). If you have no middle name, enter “NMN”. If you are a “Jr.,”Sr.,” “II,” etc., indicate your status (Do not list a Nickname) NOTE: Failure to provide FULL LEGAL name will delay approval
Date of Birth (mm/dd/yyyy) _______________
Last Four Digits of Social Security Number _________________
LRN Field Location (Project Site) to be visited:
Date of Proposed Visit (mm/dd/yyyy) ____________________________
In Case of Questions, Please Provide Phone Number: __________________________
IMPORTANT: Submit form directly to COR. DO NOT submit the form directly to the Security Office Unless Directed. For questions regarding the site visit contact the COR.
For questions regarding completing the form, contact one of the individuals listed below:
Tracy Dorrough, Personnel Security Specialist, 615-736-7397 email: tracy.w.dorrough.civ@mail.mil John Carter, Security Specialist, 615-736-5567 email: john.h.carter@usace.army.mil Jay Klinger, District Chief of Security, 615-736-2185 email: jason.j.klinger.civ@mail.mil
PRIVACY ACT STATEMENT
AUTHORITY: Information is solicited pursuant to Title 10, U.S. Code, Section 3013 and E.O. 9397.
PRINCIPAL PURPOSE: To provide information necessary for preparation of a scheduled tour of the facility, verify positive identification of visitor(s), and conduct background checks for determinations of the eligibility of access to U.S. Army Corps of Engineers facilities.
ROUTINE USES: Used by the U.S. Army Corps of Engineers to accompany a request for a scheduled tour of the facility.
MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT OF NOT PROVIDING INFORMATION: Providing the solicited information, including Social Security Number, is voluntary; however, failure to provide information may result in a denial of visitor access due to an inability to verify identification. The information provided to the U.S. Army Corps of Engineers will not be retained digitally or by hard copy after the scheduled visit.
https://www.lrn.usace.army.mil/Business-With-Us/Contract-Security-Requirements/ mailto:tracy.w.dorrough.civ@mail.mil mailto:john.h.carter@usace.army.mil mailto:jason.j.klinger.civ@mail.mil
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