159209 Attachments.pdf
PDF 1005 KB Posted
- Attached to
- IFB 159209 - Deliver and Tailgate Spread Stone
- Solicitation number
- 78530
- Issued by
- Grayson County, Virginia
About this file
This document is the Attachments for an Invitation for Bid (IFB) issued by the Virginia Department of Transportation (VDOT) Bristol District for Contract #159209 to Deliver and Tailgate Spread Stone. The requested services include delivering and spreading stone at project sites within the Wytheville Residency of the Bristol District. The IFB includes required forms such as the Virginia State Corporation Commission registration information, normal and emergency contacts for the contractor, a list of quarry sources and phone numbers, and a subcontractor approval request form. The bid is set-aside for small businesses, and the contract term and renewal options are not specified.
The pricing terms, funding sources, and incumbent contractor information are not provided in the attachments. The set-aside for small businesses indicates this is a targeted procurement opportunity. No additional salient information is included in the attachments beyond the forms and administrative requirements for the bidding process.
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Other files
| File | Type | Posted |
|---|---|---|
| 159209 Attachments.pdf | ||
| 159209 Attachments.pdf | ||
| 159209 Specifications.pdf | ||
| 159209 Specifications.pdf | ||
| 159209 Specifications.pdf | ||
| Notice of Award and Bid Tab for IFB 159209 | — |
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Text version
Administrative Services/Procurement
Bristol District/
IFB #
ATTACHMENT A
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):
IFB #
ATTACHMENT B
NORMAL AND EMERGENCY CONTACTS
Send Contracts To:
Bidder's Name/Title Primary Phone
Number
Bidder's
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
IFB #
ATTACHMENT C
QUARRY SOURCE OF MATERIAL
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
DISTRICT: _______________________________________________________________________________
SOURCE OF MATERIAL: __________________________________________________________________
PHONE NUMBER TO PLACE ORDERS:______________________________________________________
IFB #
ATTACHMENT D
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):
Cer Certificat
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
| Bristol SCC form |
| Bristol Normal and Emergency Contacts 11-4 |
| Bristol Quarry Source Attachment |
| Bristol Subcontractor form |
| Virginia State Corporation Commission SCC registration information The bidder: |
| is a corporation or other business entity with the following SCC identification number: |
| 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: |
| IFB Title: Delivered Aggregate |
| DISTRICT: |
| SOURCE OF MATERIAL: |
| PHONE NUMBER TO PLACE ORDERS: |
| DISTRICT_2: |
| SOURCE OF MATERIAL_2: |
| PHONE NUMBER TO PLACE ORDERS_2: |
| DISTRICT_3: |
| SOURCE OF MATERIAL_3: |
| PHONE NUMBER TO PLACE ORDERS_3: |
| DISTRICT_4: |
| SOURCE OF MATERIAL_4: |
| PHONE NUMBER TO PLACE ORDERS_4: |
| DISTRICT_5: |
| SOURCE OF MATERIAL_5: |
| PHONE NUMBER TO PLACE ORDERS_5: |
| DISTRICT_6: |
| SOURCE OF MATERIAL_6: |
| PHONE NUMBER TO PLACE ORDERS_6: |
| NAME ADDRESS 1: |
| NAME ADDRESS 2: |
| NAME ADDRESS 3: |
| NAME ADDRESS 4: |
| PHONE NUMBER 1: |
| PHONE NUMBER 2: |
| PHONE NUMBER 3: |
| PHONE NUMBER 4: |
| TYPE OF WORK TO BE PERFORMED 2: |
| TYPE OF WORK TO BE PERFORMED 3: |
| TYPE OF WORK TO BE PERFORMED 4: |
| TYPE OF WORK TO BE PERFORMED 5: |
| 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: |
| 1: |
| 2: |
| Division/Residency: Wytheville Residency |
| Description: Deliver and Spread Stone |
| IFB#: 159209 |
| Set-Aside for Small Business: Set-Aside for Small Business |
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