158822 Fillable Forms.pdf

PDF 410 KB Posted Apr 5, 2024

Attached to: IFB158822 - District Lawn Care Service - Culpeper
Solicitation number: 63590
Issued by: Culpeper County, Virginia

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Written by GovTribe AI · Apr 6, 2024

The document is an Invitation for Bid (IFB) from the Virginia State Corporation Commission (SCC) for lawn care services at the Culpeper District Complex located at 1601 Orange Road, Culpeper, Virginia 22701. The services are to be provided on an on-call, as needed basis. The bid requires bidders to provide their SCC registration information or indicate if they are an out-of-state business entity that does not regularly conduct business in Virginia. Bids are due by the date specified, and the contract term is not provided.

The pricing terms, set-asides, incumbents, funding requirements, and other details are not included in the document. The key focus is on the requirement for bidders to provide their SCC registration information or indicate their status as an out-of-state business entity.

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File	Type	Posted
IFB 158822 - District Lawn Care Services - Culpeper VDOT.pdf	PDF	Apr 5, 2024
Map.pdf	PDF	Apr 5, 2024

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Administrative Services/Procurement

State Corporation Commission Form

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

IFB #:

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):

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IFB #______________

NORMAL AND EMERGENCY CONTACTS

Contract Info:

Send Contracts to: _____________________________________ Title:______________________________

Mailing Address: ______________________________________________________________________________

Email Address: _____________________________________ Primary Phone #_________________________

CONTACT INFO FOR SERVICE

Contact Person - Name

Mobile Cellular Number

Telephone Number - Normal

Work Hours

Telephone Number - After Work

Hours e-mail Address

Contact Person -Name

Mobile Cellular Number

Telephone Number - Normal

Work Hours

Telephone Number - After Work

Hours e-Mail Address

Contact Person - Name

Mobile Cellular Number

Telephone Number - Normal

Work Hours

Telephone Number - After Work

Hours e-Mail Address:

Administrative Services Division/Procurement

IFB #:

REFERENCES

Bidders should provide a list of at least 3 references where similar goods and/or services have been provided. Each reference shall include the name of the organization, the complete mailing address, the name of the contact person, the email, and the telephone/fax number.

FIRM’S NAME AND ADDRESS CONTACT PERSON EMAIL ADDRESS TELEPHONE / FAX #

ATTACHMENT

SUBCONTRACTOR APPROVAL REQUEST

No portion of the work (including equipment) shall be subcontracted to another firm or individual without prior written consent of Virginia Department of Transportation (herein referred to as VDOT). In the event that the contractor desires to subcontract some part of the work specified herein, the contractor shall furnish VDOT with the names, qualifications, and experience of their proposed subcontractors for agency approval. The primary contractor shall, however, remain fully liable and responsible for the work performed by its subcontractor(s) and shall assure compliance with all requirements of the contract.

List proposed subcontractor(s), including name, address, contact person, and type of work to be performed under this contract below.

FIRM INDIVIDUAL’S

NAME & ADDRESS

CONTACT PERSON AND

PHONE NUMBER

TYPE OF WORK TO BE

PERFORMED

TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE

QUALIFICATIONS / EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR

Please indicate which above proposed subcontractors are certified (with DSBSD) as Small, Women Owned or Minority Businesses.

Certification Number(s):

FOR VDOT USE ONLY:

The proposed subcontractor(s) listed above is/are approved and accepted under the terms and conditions of the contract requirements herein.

Signature of Authorized VDOT Representative

Date Telephone Number

FIRMS NAME AND ADDRESSRow1:

CONTACT PERSONRow1:

EMAIL ADDRESSRow1:

TELEPHONE FAX Row1:

FIRMS NAME AND ADDRESSRow2:

CONTACT PERSONRow2:

EMAIL ADDRESSRow2:

TELEPHONE FAX Row2:

FIRMS NAME AND ADDRESSRow3:

CONTACT PERSONRow3:

EMAIL ADDRESSRow3:

TELEPHONE FAX Row3:

NAME ADDRESS 1:

NAME ADDRESS 2:

NAME ADDRESS 3:

NAME ADDRESS 4:

PHONE NUMBER 1:

PHONE NUMBER 2:

PHONE NUMBER 3:

PHONE NUMBER 4:

PERFORMED 1:

PERFORMED 2:

PERFORMED 3:

PERFORMED 4:

TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE 1:

TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE 2:

QUALIFICATIONS EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR 1:

QUALIFICATIONS EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR 2:

Certification Numbers 1:

Certification Numbers 2:

contract requirements herein:

The proposed subcontractors listed above isare approved and accepted under the terms and conditions of the:

Date:

Telephone Number:

undefined:

IFB:

The bidder:

is a corporation or other business entity with the following SCC identification number:

OR: Off

is not a corporation limited liability company limited partnership registered limited liability partnership or: Off

is an outofstate business entity that does not regularly and continuously maintain as part of its ordinary and: Off

is an outofstate business entity that is including with this bid an opinion of legal counsel which accurately and: Off

Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver: Off

File details come from the government source that posted it. Updated Apr 6, 2024.