Site Visit_Foreign National_W912P525QA032_Nickajack Lock Gearbox Rehab_updated.pdf
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- Attached to
- Nickajack Lock Tow Haulage Gearbox Rehab
- Solicitation number
- W912P525QA032
About this file
This document is a Foreign National (FN) Pre-Bid Meeting or Site Visit Request Form for the U.S. Army Corps of Engineers Nashville District. The form is specifically for the Nickajack Lock Tow Haulage Gearbox Rehabilitation project (Solicitation Number W912P525QA032), with a scheduled site visit on 07/16/2025 at 10:30 am CST. Non-U.S. citizens, including permanent residents, must complete this form and submit legible color copies of two approved verification documents (such as passports or immigration forms) two weeks prior to the meeting to obtain security approval for site visit attendance.
The form requires detailed personal information including full name, date of birth, citizenship, passport number, and contact details. The site visit is associated with a total small business set-aside procurement for commercial and industrial machinery equipment repair and maintenance, with the place of performance at Nickajack Lock in Jasper, TN. Foreign national site visit requests require additional approval at the U.S. Army Corps of Engineers Headquarters level, with exceptions considered on a case-by-case basis. Interested parties must submit their security request forms to the designated contract specialists Jori Cox and Bridget Passatore, following specific email subject line instructions.
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Version 2019
Nashville District Corps of Engineers *Foreign National (FN)
Pre-Bid Meeting or Site Visit Request Form
This Request Form is for non-U.S. Citizens, including permanent residents requesting approval to attend a pre-bid meeting or site visit at one of the Nashville District (LRN) field locations.
LRN Pre-Bid Meeting and/or Site Visit POC: __________________________________
Date request is submitted to District Security Office (LRN-SM) (mm/dd/yyyy) ___________________
FULL Name (As Listed on Passport) __________________________________________ (Last, First, Middle)
Date of Birth (mm/dd/yyyy): ______________ Citizenship (Country): ______________
Passport #: __________ Project Site to be Visited: ___________________________
Date of Proposed Visit (mm/dd/yyyy) ____________________________
Approved Verification Documents:
Passport (unexpired or expired)
Certificate of U.S. Citizenship (INS Form N-560 04 N-561)
Certificate of Naturalization (INS Form N-550 or N-570)
Unexpired foreign Passport with I-551 stamp or attached INS Form I-94 indicating unexpired employment authorization
Alien Registration Receipt Card with photo (INS Form I-151 or I-551)
Unexpired Temporary Resident Card (INS Form I-688)
Unexpired Employment Authorization Card (INS Form I-688A)
Unexpired Reentry Permit (INS Form I-327)
Unexpired Refugee Travel Document (INS- Form I-571)
This completed form and legible color copies of two of the verification documents listed above should be submitted two (2) weeks prior to the meeting or site visit to the Nashville District Security Management
Office for approval. Exceptions will be considered on a case by case basis but will be limited.
Please Provide Phone Number, if we have questions: __________________________
Nashville District Corps of Engineers Security Office Contact Information:
Tracy Dorrough, Security Technician, 615-73-7397 email: tracy.dorrough@usace.army.mil Jay Klinger, Security Manager, 615-736-2185 email: jason.j.klinger@usace.army.mil John Carter, Security Specialist, 615-736-5567 email: john.j.carter@usace.army.mil
PRIVACY ACT STATEMENT
Information is solicited in accordance with Title 10, US Code Section 552 and is used to provide information necessary in preparation for a pre-bid meeting or site visit and to verify positive identification of visitor. Solicited information is voluntary; however, failure to provide information may result in access denial.
This form is available at: https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-
Bid%20Meeting%20AUG2015_508.pdf mailto:tracy.dorrough@usace.army.mil mailto:jason.j.klinger@usace.army.mil mailto:john.j.carter@usace.army.mil https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf https://www.lrn.usace.army.mil/Portals/49/docs/Security/FN%20Pre-Bid%20Meeting%20AUG2015_508.pdf
| Passport: |
| USACE Site POC: Nickajack Lock Highspeed Gearbox Rehabilitation - JORI COX |
| Date submited mm/dd/yyyy: |
| FULL name as listed on passport: |
| Country of Citizenship: |
| Date of Birth mm/dd/yyyy: |
| Name of Project Site (e: |
| g: |
| Barkley Dam): Nickajack Lock, 3490 TVA Rd. Jasper, TN 37343 |
| Date visit mm/dd/yyyy: 07/16/2025 at 10:30 am CST |
| Phone Number to be contacted at: |
File details come from the government source that posted it. Updated .