160948_Fillable Forms.pdf
PDF 118 KB Posted
- Solicitation number
- IFB-121204
- Issued by
- Roanoke County, Salem City, Virginia
About this file
This is a fillable forms attachment for Invitation for Bid #160948 issued by the Virginia Department of Transportation (VDOT) Salem District. The solicitation seeks bids from qualified vendors to furnish and deliver 2.5 cubic yard electric one-ton abrasive spreaders and spreader stands with an electric aggregate vibrator option to the VDOT Salem District Equipment Section located at 731 Harrison Ave, Salem, VA 24153. The forms document contains three standardized attachments required for bid submission: the State Corporation Commission (SCC) registration information form, the Normal and Emergency Contacts form, and the Plastic Materials Recycled Content disclosure form. Bidders must complete and return these attachments as part of their bid package; failure to do so may result in the bid being rejected or deemed non-responsive.
The SCC registration attachment requires bidders to identify their corporate status and provide appropriate documentation depending on whether they are Virginia-registered entities, non-corporate businesses, out-of-state entities with no regular Virginia presence, or out-of-state entities that must provide legal counsel opinions regarding Virginia business contacts. The Normal and Emergency Contacts form requires bidders to provide primary and backup contact information including names, phone numbers, fax numbers, and email addresses for contract administration purposes. The Plastic Materials Recycled Content form requires bidders to disclose whether any plastic materials in their bid contain recycled content and, if applicable, specify the percentage of recycled content by material type. These forms ensure compliance with Virginia procurement requirements and establish clear communication channels for contract administration.
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Other files
| File | Type | Posted |
|---|---|---|
| 160948 Q & A.pdf | ||
| 160948_ADD1.pdf | ||
| 160948_Specifications_ADD1.pdf | ||
| 160948_Specifications.pdf |
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Text version
ATTACHMENT _____
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 ____
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
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: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
Type of Material: _________________________________ Amount of Recycled Content: __________________
| SCC: A |
| 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 |
| CONTACTS: B |
| Solicitation: 160948 |
| 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: |
| PLASTIC: C |
| 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 .