03-22-2017 Attachment 3, Roadside Equipment Inspection Form.pdf

This page is to be completed and returned within 3 days of notice of apparent low bidder status.

License or

Identification Number

Purpose

Type of

Vehicle or Equipment

Capacity/ Size

For PennDOT Use Only

Equipment Provided At

Demonstration (Pass/Fail)

Comments

The Contractor hereby verifies that all vehicles and equipment in the above table as submitted with the bid is adequate and necessary for the contract maintenance work and all listed vehicles and equipment will be available at the initial demonstration.

Completed By: ______________________________________ Date: __________

Name of Company: __________________________________________________

Service: ___________________________________________________________

For PennDOT Use Only:

•Initial or Second Demonstration: ___________________ Date of Demonstration: ______________________

•Location of Demonstration________________________________________________________________________

•By: __________________________________________________________________________________________

•Overall Demonstration (Pass/Fail): __________________________________________________________________

•Demonstration Notes:_____________________________________________________________________________

Attachment 3 - Roadside Equipment Inspection Form

Instructions On Completing Roadside Equipment Inspection Form Attachment:

a) List Only the Vehicles and Equipment that will be used for operations under this Contract, including Work Zone Traffic Control Vehicles and Equipment.

b) Vehicles and equipment utilized for operations under this maintenance contract work must meet the requirements as described in the contract specifications and the laws and regulations of

Pennsylvania.

c) All vehicles and equipment in the above table shall be inspected and approved by PennDOT during the demonstration(s).

d) Where a Contractor intends to rent vehicles and equipment, the identification number or license number on the table above may be provided at the time of the initial demonstration; however, all remaining information for the rented vehicles and equipment must be provided in the table above with the bid, and a copy of the rental agreement must be attached to the Roadside Equipment

Inspection Form at time of original submittal. If the rental agreement is for multiple pieces of equipment, Contractor shall highlight the items that will be used for operations under this

Contract

e) Where a Contractor intends to purchase vehicles and equipment, the identification number or license number on the table above may be provided at the time of the initial demonstration;

however, all remaining information for the purchased vehicles and equipment must be provided in the table above with the bid, and a copy of the purchase agreement must be attached to the

Roadside Equipment Inspection Form at time of original submittal. If the purchase agreement is for multiple pieces of equipment, Contractor shall highlight the items that will be used for operations under this Contract.

f) The Contractor agrees to maintain and, as applicable, update this list of all vehicles and equipment after start of work for the duration of the contract.

g) This Roadside Equipment Inspection Form Attachment is to be completed and returned within

3 days of notice of apparent low bidder status.