158812 Attachments.pdf

PDF 2 MB Posted

Attached to
158812- Underground SWM Facility Maintenance
Solicitation number
63279
Issued by
Dickenson County, Virginia

About this file

This document is an Invitation for Bid (IFB) issued by the Virginia Department of Transportation (VDOT) for on-call maintenance services for underground stormwater management facilities along Highway 23 and Fremont Area Headquarters in Dickenson County, Virginia. The contract term is not specified. The IFB requires bidders to provide their Virginia State Corporation Commission (SCC) registration information, as well as contact information for normal and emergency situations. The procurement is set aside for small businesses.

The pricing terms, funding sources, and any incumbent contractor information are not provided in the document. However, the IFB indicates this is a set-aside procurement for small businesses in Virginia.

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IFB 158812 Specifications.pdf PDF

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Text version

Administrative Services/Procurement

Bristol District/

IFB #

ATTACHMENT

STATE CORPORATION COMMISSION FORM

Failure to complete and return this attachment may result in your bid being deemed NON-RESPONSIVE.

Virginia State Corporation Commission (SCC) registration information. The bidder: _____________________________ is a corporation or other business entity with the following SCC identification number: ___________________ -OR-is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust

-OR-

is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder’s out-of-state location) -OR-is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

**NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver):

Bristol District/

IFB

ATTACHMENT

NORMAL AND EMERGENCY CONTACTS

Send Contracts To:

Bidder's Name/Title Primary Phone

Number

Bidder's

E-mail

Address:

Bidder’s Mailing

Address:

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal

Work Hours

Telephone Number - After

Work Hours

Fax Number

E-mail Address

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal

Work Hours

Telephone Number - After

Work Hours

Fax Number

E-mail Address

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal

Work Hours

Telephone Number - After

Work Hours

Fax Number

E-mail Address

Bristol District/Roadside

Underground SWM Facility Maintenance Service

Set-Aside for Small Businesses

IFB # 158812

ATTACHMENT C

Plan sheets

The Following five pages

Att A SCC
Att B Normal and Emergency Contacts
Att C Plan sheets
Virginia State Corporation Commission SCC registration information The bidder:
is a corporation or other business entity with the following SCC identification number:
Division/Residency: Roadside Section
Description: Underground SWM Facility Maintenance Service
IFB#: 158812
Set-Aside Award Priority: Set-Aside for Small Businesses
Letter: A
Check Box10: Off
Group11: Off
Send Contracts To Bidders NameTitle:
Primary Phone Number:
Bidders Email Address:
Bidders Mailing Address:
Contact Persons Name:
Cellular Telephone Number:
Telephone Number Normal Work Hours:
Telephone Number After Work Hours:
Fax Number:
Email Address:
Contact Persons Name_2:
Cellular Telephone Number_2:
Telephone Number Normal Work Hours_2:
Telephone Number After Work Hours_2:
Fax Number_2:
Email Address_2:
Contact Persons Name_3:
Cellular Telephone Number_3:
Telephone Number Normal Work Hours_3:
Telephone Number After Work Hours_3:
Fax Number_3:
Email Address_3:
Contact Att #: B
Res/Div: Roadside Section
IFB Title: Underground SWM Facility Maintenance Service
IFB #: 158812
Set-Aside for SWAM: Set-Aside for Small Businesses

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