160863 Fillable Attachments.pdf

PDF 311 KB Posted Apr 8, 2026

Attached to: IFB# 160863 Ready Mix Concrete CBurg
Solicitation number: IFB-117624
Issued by: Middlesex County, Virginia

About this file

Written by GovTribe AI · Apr 9, 2026

This document is a set of fillable bid attachments for the Virginia Department of Transportation (VDOT) in response to Invitation for Bid (IFB) #160863 for ready-mix concrete services in the Christiansburg Residency, covering Montgomery, Giles, and Pulaski counties in the Salem District. The solicitation seeks bids from VDOT-approved ready-mix concrete plants to provide on-call hydraulic cement concrete to various work locations and routes maintained by VDOT within the specified counties and associated towns and cities. The attachments are required to be completed and returned with bids; failure to submit certain attachments may result in bid rejection or deemed non-responsive status.

The attachments address multiple bid requirements including State Corporation Commission (SCC) registration information for Virginia business entities or out-of-state firms, a subcontractor approval request form requiring identification of proposed subcontractors with their qualifications and experience, a quarry source of material form for identifying up to four material supply sources with corresponding contact information and plant codes, normal and emergency contact information for the bidder with multiple contact persons and telephone numbers, and a plastic materials recycled content disclosure form requiring bidders to identify whether plastic materials contain recycled content and specify the percentage thereof. Bidders must obtain prior written consent from VDOT before subcontracting any portion of work, and the primary contractor remains fully liable for all subcontracted work. The attachments require completion of all applicable sections to ensure bid responsiveness.

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ATTACHMENT A

State Corporation Commission Form Failure to complete and return this attachment may result in your bid being REJECTED or deemed NON-RESPONSIVE.

Solicitation #:

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):

ATTACHMENT B

Solicitation #:

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

Solicitation #: ___________

ATTACHMENT C

Quarry Source of Material

1. DISTRICT:

NAME OF QUARRY SOURCE OF MATERIAL: ___________________________________

PLANT CODE: ___________________________________

QUARRY ADDRESS: ___________________________________

PHONE NUMBER TO PLACE ORDERS: ___________________________________

NAME/EMAIL TO SEND CONTRACTS TO: __________________________________

2. DISTRICT:

NAME OF QUARRY SOURCE OF MATERIAL: ___________________________________

PLANT CODE: ___________________________________

QUARRY ADDRESS: ___________________________________

PHONE NUMBER TO PLACE ORDERS: ___________________________________

NAME/EMAIL TO SEND CONTRACTS TO: __________________________________

3. DISTRICT:

NAME OF QUARRY SOURCE OF MATERIAL: ___________________________________

PLANT CODE: ___________________________________

QUARRY ADDRESS: ___________________________________

PHONE NUMBER TO PLACE ORDERS: ___________________________________

NAME/EMAIL TO SEND CONTRACTS TO: __________________________________

4. DISTRICT:

NAME OF QUARRY SOURCE OF MATERIAL: ___________________________________

PLANT CODE: ___________________________________

QUARRY ADDRESS: ___________________________________

PHONE NUMBER TO PLACE ORDERS: ___________________________________

NAME/EMAIL TO SEND CONTRACTS TO: __________________________________

ATTACHMENT D

NORMAL AND EMERGENCY CONTACTS

Solicitation # ___________

Send Contracts To:

Bidder's Name/Title

Primary Phone Number

Bidder's Mailing Address 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

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal Work Hours Telephone Number - After Work Hours Fax Number

E-mail Address

ATTACHMENT ____

PLASTIC MATERIALS RECYCLED CONTENT

Solicitation # ____________

Bidders must identify whether their plastic materials contain recycled materials and, if so, specify the amount of recycled content in such plastic materials.

☐ None of the materials offered contain plastic ☐ None of the plastic materials offered contain recycled materials ☐ Some or all of the plastic materials offered contain recycled materials. Specify the amount of recycled content below.

BID LINE(S): ______________________________________________________________________, if applicable

Type of Material: _________________________________ Amount of Recycled Content: __________________

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

-OR-

160849 Attachment C Subcontracting Approval Request.pdf

Solicitation #:

FIRM INDIVIDUAL’S

TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE

FOR VDOT USE ONLY:

160849 Attachment D Normal and Emergency Contacts.pdf

NORMAL AND EMERGENCY CONTACTS

Solicitation # ___________

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

undefined: Off

Solicitation: 160863

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:

Telephone Number:

Send Contracts To Bidders NameTitle:

Primary Phone Number:

Bidders Mailing Address:

Email Address:

Contact Persons Name:

Cellular Telephone Number:

Telephone Number Normal Work Hours:

Telephone Number After Work Hours:

Fax Number:

Email Address_2:

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_3:

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_4:

1 DISTRICT:

2 DISTRICT:

3 DISTRICT:

4 DISTRICT:

1_2:

2_2:

1_3:

2_3:

1_4:

2_4:

1_5:

2_5:

1_6:

2_6:

1_7:

2_7:

1_8:

2_8:

1_9:

2_9:

1_10:

2_10:

1_11:

2_11:

1_12:

2_12:

PLASTIC: E

None of the materials offered contain plastic: Off

None of the plastic materials offered contain recycled materials: Off

Some or all of the plastic materials offered contain recycled materials Specify the amount of: Off

BID LINES:

Type of Material:

Amount of Recycled Content:

Type of Material_2:

Amount of Recycled Content_2:

Type of Material_3:

Amount of Recycled Content_3:

Type of Material_4:

Amount of Recycled Content_4:

Type of Material_5:

Amount of Recycled Content_5:

Type of Material_6:

Amount of Recycled Content_6:

Type of Material_7:

Amount of Recycled Content_7:

Type of Material_8:

Amount of Recycled Content_8:

Type of Material_9:

Amount of Recycled Content_9:

Type of Material_10:

Amount of Recycled Content_10:

File details come from the government source that posted it. Updated Apr 9, 2026.