158748 ATTACHMENTS.pdf

SBSP-IFB PIM-40

ATTACHMENT A

Small Business Subcontracting Plan

IFB#

It is the goal of the Commonwealth that over 42% of its purchases be made from small businesses. All potential bidders are required to include this document with their bid response in order to be considered responsive.

Small Business: "Small business (including micro)" means a business which holds a certification as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD) on the due date for bids.

This shall also include DSBSD-certified women- owned and minority-owned businesses and businesses with DSBSD service disabled veteran owned status when they also hold a DSBSD certification as a small business on the bid due date. Currently, DSBSD offers small business certification and micro business designation to firms that qualify.

Certification applications are available through DSBSD online at www.SBSD.virginia.gov (Customer Service).

Bidder Name:

Preparer Name:__________________ Date: _________ _

Who will be doing the work: □ I plan to use subcontractors □ I plan to complete all work

Instructions A. If you are certified by the DSBSD as a micro/small business, complete only Section A of this form.

B. If you are not a DSBSD-certified small business, complete Section B of this form. For the bid to be considered and the bidder to be declared responsive, the bidder shall identify the portions of the contract that will be subcontracted to DSBSD-certified small business for the initial contract period in relation to the bidder's total price for the initial contract period in Section B.

Section A If your firm is certified by the DSBSD provide your certification number and the date of certification.

Certification number: ___________ _ Certification Date: _______ _

Section B If the "I plan to use subcontractors box is checked," populate the requested information below, per subcontractor to show your firm's plans for utilization of DSBSD-certified small businesses in the performance of this contract for the initial contract period in relation to the bidder's total price for the initial contract period. Certified small businesses include but are not limited to DSBSD-certified women-owned and minority-owned businesses and businesses with DSBSD service disabled veteran owned status that have also received the DSBSD small business certification. Include plans to utilize small businesses as part of joint ventures, partnerships, subcontractors, suppliers, etc. It is important to note that these proposed participation will be incorporated into the subsequent contract and will be a requirement of the contract. Failure to obtain the proposed participation percentages may result in breach of the contract.

158748

B

C

D

E

F

Administrative Services/Procurement Staunton District John Deere Equipment Repair Services

IFB #0000158748

ATTACHMENT G

DAILY REPORT AND PROJECT DIARY

CONTRACTOR:

CONTRACT #

CONTRACT ADMINISTRATOR:

PROJECT DESCRIPTION:

DATE:

LABOR COSTS

LABOR CATEGORY TIME IN TIME

OUT

TOTAL HRS X HOURLY RATE

TOTAL COST

GRAND TOTAL OF LABOR COSTS:

GRAND TOTAL FOR THE DAY:

DESCRIPTION OF WORK PERFORMED DURING THE DAY:

THE ABOVE QUANTITIES, SHOWN FOR THE WORK PERFORMED, HAVE BEEN AGREED UPON AND VERIFIED.

CONTRACTOR’S REPRESENTATIVE SIGNATURE VDOT’S REPPRESENTATIVE SIGNATURE

PRINT NAME PRINT NAME

ATTACHMENT H

WORK REQUEST/ESTIMATE FORM – Equipment Repairs

Work Order Number Work Order Date

Part I – REQUEST (Completed by Requestor) Location:

Scope of Work:

Name of VDOT Contact: Phone:

Part II – ESTIMATE (Completed by Contractor) Contractor:

LABOR CATEGORY ESTIMATED HOURS X HOURLY RATE $ = TOTAL COSTS $

Total Labor Cost $

DESCRIPTION OF MATERIALS QUANTITY X COST $ = TOTAL COSTS $

Total Material Cost $ GRAND TOTAL ESTIMATE FOR REPAIRS (Labor costs + material costs) $

Remarks:

Enclosures:

Signature: Date:

Part III: Authorization (Completed by Requestor) Purchase Order Number: Date:

Signature This signature authorizes that work can be performed. It is understood the invoice submitted for the project will be based on actual labor and material costs and that this may differ from the estimate. The actual cost invoiced shall be supported by actual hours worked and actual invoice cost of materials. A change order will be processed to reflect to the actual cost of the project.

Part IV: Documentation (Completed by Contractor)

When the project is completed indicate reasons why the estimate differs from the actual cost:

Note: If the original estimate is to be exceeded by 10% contact L.T. Williams for approval to proceed.

Part V: Completion of Project (Completed by Requestor) Date work was completed: Was work completed to the satisfaction of VDOT? Yes No

Attachment I

ATTACHMENT J

STAUNTON DISTRICT ADDRESSES & DIRECTIONS

Berryville Area Headqaurters, 77 Smallwood Lane, Berryville, VA 22611 On Route 340, ½ mile South of Berryville on Route 680 (Clarke County)

Camp 7 Area Headquarters, 4053 Stonewall Jackson Highway, Whitepost, VA 22663 ¼ mile South intersection of Routes 340, 552, and 227 on Route 340 and Route 522 (Clarke County)

Camp 10, 356 Spitler Circle, Greenville, VA 24440 On Route 11, 2 miles South of Greenville, I-81 Exit 213 (NB) or 213A (SB) (Augusta County)

NOTE: UNMANNED LOCATION

Chimney Rock Area Headquarters, 15164 Runions Creek Road, Broadway, VA 22815 On Route 612, .4 mile North of Route 259 (Rockingham County)

NOTE: UNMANNED LOCATION

Covington Area Headquarters, 815 Grayson Ave., Covington, VA 24426 Exit 16A off I-64, take Route 60 West, turn right onto Route 784 (Alleghany County)

Cross Junction Area Headquarters, 6346 North Frederick Pike, Winchester, VA 22603 ½ mile South of Cross Junction on Route 522 (Frederick County)

NOTE: UNMANNED LOCATION

Edinburg Residency, 14031 Old Valley Pike, Edinburg, VA 22824 On Route 11, 1 mile South of Edinburg (Shenandoah County)

Fairfield Area Headquarters, 7 Swoope Lane, Fairfield, VA 14435 On Route 710, 2 miles West of I-81 interchange, Exit 200 (Rockbridge County)

Fancy Hill Area Headquarters, 3915 South Lee Highway, Natural Bridge, VA 24578 Take Natural Bridge exit off of I-81, North on Route 11, 2 miles on right (Rockbridge County)

NOTE: UNMANNED LOCATION

Harrisonburg Residency, 3536 North Valley Pike, Harrisonburg, VA 22802 Exit 251 off of I-81 on Route 11 South (Rockingham County)

Fishersville Area Headquarters, 297 Expo Road, Fishersville, VA 22939 Off Route 608 onto Route 935 (Augusta County)

Front Royal Area Headquarters, 260 Duck Street, Front Royal, VA 22630 In North Front Royal, .10 mile North of intersection of Route 340 and Route 55, West on Duck Street, .4 mile (Warren County)

Kerrs Creek Area Headquarters, 1027 Fredericksburg Road, Rockbridge Baths, VA 24473 From Lexington, take I-64 West, go approximately 7 miles, take Exit 50 to Route 623, turn right, go approximately 2 miles, location is on left (Rockbridge County)

Lexington Residency Office, 275 Aphin Lane, Lexington, VA 24450 I-81 to Exit 191 (also known as the I-81/I-64 interchange). Go to 1st exit (Exit 55) off of I-64. Take a right onto Route 11 North. Left at the first stoplight onto Route 39 (Maury River Road). Follow Route 39 for .7 miles and right onto Alphin Lane. Residency Office is on the right. (Rockbridge County)

Lexington Residency Bridge Office, 626 Waddell Street, Lexington, VA 24450 Exit 188 off of I-81, take Route 60 West to Route 11 Bypass South. Turn right onto Route 11 North Business, right onto Waddell Street (Rockbridge County)

Luray Area Headquarters, 551 Mechanics Street, Luray, VA 22835 In Northwest Luray, .7 mile West of Route 340 on Mechanic Street (Page County)

Mauzy Area Headquarters, 226 Cowan Lane, Broadway, VA 22815 I-81 North to exit 257, Route 11 North, ½ mile to Route 845 East .2 mile (Rockingham County)

McDowell Area Headquarters, 8220 Highland turnpike, McDowell, VA 24458 ½ mile West of McDowell on Route 250 (Highland County)

McGaheysville Area Headquarters, 10237 White Rose Road, McGaheysville, VA 22840 At intersection of Route 33 and Route 641, turn right onto Route 641, ½ mile to Route 649 and turn left, .10 mile (Rockingham County)

Millboro Area Headquarters, 30904 Mountain Valley Road, Millboro, VA 24460 On Route 42, ¼ mile North of intersection of Route 42 and 39 (Bath County)

Mint Springs Area Headquarters, 29 Swartzel Shop Road, Swoope, VA 24479 On Route 11, 1.4 miles North of I-81 interchange, Exit 221, South at intersection Route 694 (Augusta County)

NOTE: UNMANNED LOCATION

Monterey Area Headquarters & Shop, 125 Fleisher Avenue, VA 24467 Northeast of intersection of Route 250 and 220, on Fleisher Avenue (Highland County)

Moscow Area Headquarters, 1142 Mount Solon Road, Mount Solon, VA 22843 On Route 607, 2 miles South of Route 42 (Augusta County)

NOTE: UNMANNED LOCATION

Mt. Crawford Area Headquarters, 1897 Friedens Church Road, Mount Crawford, VA 22841

John Deere Equipment Repair Services

IFB #0000158748

On Route 682 East, approximately ½ mile East of I-81, Exit 240 (Rockingham County)

Mt. Jackson Area Headquarters, 4900 Old Valley Pike, New Market, VA 22844 On Route 11, 3 miles South of Mt. Jackson, may be reached from Exit 273 off I-81 by way of Route 703 (Shenandoah County)

Stanley Area Headquarters, 733 Forrest Drive, Stanley, VA 22851 Northwest of Stanley on Route 760, .4 mile East of Route 622 (Page County)

Staunton District Complex, 811 Commerce Road, Staunton, VA 24401 I-81 to Exit 225, West on Route 262 (old Route 275) to Route 11, turn left onto Route 11, stay left on Route 11 Bypass, Complex is approximately 1.5 miles on the left (Augusta County)

Stephens City Area Headquarters, 301 Fairfax Pike, Stephens City, VA 22655 On Route 277, ¼ mile East of intersection of I-81 and Route 277, Exit 307 (Frederick County)

Swoope Area Headquarters, 5125 Morris Mill Road, Swoope, VA 24479 Route 42, 2.5 miles North of Route 254, ½ mile West of Route 42 on Route 720, South of Churchville (Augusta County)

Toms Brook Area Headquarters, 1832 Mount Olive Road, Toms Brook, VA 22660 On Route 651, ½ mile West of I-81, Exit 291 (Shenandoah County)

Triangle Area Headquarters & Shop, 3706 Forty Two Road, Clifton Forge, VA 24422 ½ mile North of I-64, Exit 29 onto Route 42 (Alleghany County)

Verona Area Headquarters, 184 Laurel Hill Road, Verona, VA 24482 Exit 227 off I-81, West onto Route 612, ¼ mile (Augusta County)

Warm Springs Area Headquarters, 14277 Sam Snead Highway, Warm Springs, VA 24484 1 mile North of Route 39, on Route 220 (Bath County)

Winchester Area Headquarters & Shop, 2275 Northwestern Pike, Winchester, VA 22603 I-81, Exit 310 to Route 37 North to Route 50 West, 1 mile on left (Frederick County)

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ATTACHMENT J VDOT LOCATIONS