161206_Attachments.pdf
PDF 737 KB Posted
- Attached to
- IFB 161206 Equipment with operator - Bridge
- Solicitation number
- IFB-130650
- Issued by
- Wise County, Virginia
About this file
Summary of IFB 161206 Attachments
This document package comprises the required attachments for Invitation for Bid (IFB) 161206 issued by the Virginia Department of Transportation (VDOT) for equipment with operator services in multiple localities including Grayson County and Wythe County. The solicitation requires bidders to provide a comprehensive equipment inventory that includes pickup trucks, tandem and single-axle dump trucks, specialized construction equipment such as excavators, loaders, asphalt pavers, rollers, and support equipment including pumps, compressors, and traffic control devices. Bidders must submit responses with detailed equipment specifications including year, make, model, capacity, and vehicle identification numbers for owned, rented, leased, subcontracted, or future-purchase equipment. All required attachments must accompany the bid submission, including State Corporation Commission registration forms, small business subcontracting plans, vendor qualification certifications, subcontractor approval forms, normal and emergency contact information, references, and contractor license documentation. The solicitation is classified as highway construction and includes supplemental line items for equipment rental on an as-needed basis.
Prevailing wage rates have been established by the Virginia Department of Labor and Industry for both Grayson County and Wythe County, with wage determinations applicable to various operator classifications and trade positions ranging from common laborers at $12.77 to crane operators at $26.68 per hour. Bidders must demonstrate that their firm and all subcontractors maintain proper licensing as Class A, B, or C Virginia Contractors depending on contract value thresholds. The solicitation mandates compliance with the Commonwealth's small business purchasing goal of 42 percent, requiring bidders to complete small business subcontracting plans identifying certified women-owned, minority-owned, and service-disabled veteran-owned businesses from the Virginia Department of Small Business and Supplier Diversity. Failure to complete required attachments or provide accurate equipment verification through rental agreements, purchase documentation, or in-person inspection prior to award may result in bids being deemed non-responsive.
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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):
SBSP-IFB PIM-40
ATTACHMENT B
Small Business Subcontracting Plan
IFB # ____________
It is the goal of the Commonwealth that over 42% of its purchases be made from small businesses.
All potential bidders are required to include this document with their bid response in order to be considered responsive.
Small Business: "Small business (including micro)” means a business which holds a certification as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD) on the due date for bids. This shall also include DSBSD-certified women- owned and minority-owned businesses and businesses with DSBSD service disabled veteran owned status when they also hold a DSBSD certification as a small business on the bid due date. Currently, DSBSD offers small business certification and micro business designation to firms that qualify.
Certification applications are available through DSBSD online at www.SBSD.virginia.gov (Customer Service).
Bidder Name:
Preparer Name: Date:
Who will be doing the work: □ I plan to use subcontractors □ I plan to complete all work
Instructions A. If you are certified by the DSBSD as a micro/small business, complete only Section A of this form.
B. If you are not a DSBSD-certified small business, complete Section B of this form. For the bid to be considered and the bidder to be declared responsive, the bidder shall identify the portions of the contract that will be subcontracted to DSBSD-certified small business for the initial contract period in relation to the bidder’s total price for the initial contract period in Section B.
Section A If your firm is certified by the DSBSD provide your certification number and the date of certification.
Certification number: Certification Date:
Section B If the “I plan to use subcontractors box is checked,” populate the requested information below, per subcontractor to show your firm's plans for utilization of DSBSD-certified small businesses in the performance of this contract for the initial contract period in relation to the bidder’s total price for the initial contract period. Certified small businesses include but are not limited to DSBSD-certified women-owned and minority-owned businesses and businesses with DSBSD service disabled veteran-owned status that have also received the DSBSD small business certification. Include plans to utilize small businesses as part of joint ventures, partnerships, subcontractors, suppliers, etc. It is important to note that these proposed participation will be incorporated into the subsequent contract and will be a requirement of the contract. Failure to obtain the proposed participation percentages may result in breach of the contract.
SBSP-IFB PIM-40
B. Plans for Utilization of DSBSD-Certified Small Businesses for this Procurement
Subcontract #1
Company Name: SBSD Cert #:
Contact Name: SBSD Certification:
Contact Phone: Contact Email:
Value % (Initial Term): Contact Address:
Description of Work:
Subcontract #2
Company Name: SBSD Cert #:
Contact Name: SBSD Certification:
Contact Phone: Contact Email:
Value % (Initial Term): Contact Address:
Description of Work:
Subcontract #3
Company Name: SBSD Cert #:
Contact Name: SBSD Certification:
Contact Phone: Contact Email:
Value % (Initial Term): Contact Address:
Description of Work:
Subcontract #4
Company Name: SBSD Cert #:
Contact Name: SBSD Certification:
Contact Phone: Contact Email:
Value % (Initial Term): Contact Address:
Description of Work:
Subcontract #5
Company Name: SBSD Cert #:
Contact Name: SBSD Certification:
Contact Phone: Contact Email:
Value % (Initial Term): Contact Address:
Description of Work:
ATTACHMENT C
IFB #: 161206
VENDOR QUALIFICATION / EQUIPMENT INVENTORY CERTIFICATION
All bidders responding to this IFB are required to complete equipment information for each piece of equipment as specified in #4.
Failure to fully complete this attachment may render the bid non-responsive.
VDOT is unable to review an inventory list or other documentation other than those specified below in #4 in order to confirm that the offered equipment meets the required specifications.
1. Name of Business:
2. Name of Owner or Chief Executive Officer: Telephone Number:
3. How many years has the firm been in the business of performing the services called for in this IFB?
4. All required equipment is listed in the table below and will require verification prior to issuance of a Notice of Intent to Award.
• OWNED Equipment:
• In the first column, place an “O” beside each piece of owned equipment.
• Complete the YEAR/MAKE/MODEL/CAPACITY/ID/VIN; place N/A next to equipment for which a column does not apply.
• Verification will be in-person: Prior to the Notice of Intent to Award, VDOT will evaluate the owned equipment as specified in the IFB.
• RENTED/LEASED Equipment:
• In the first column place an “R” beside each piece of equipment that will be rented/leased
• Verification will be by rental agreement: Prior to the Notice of Intent to Award, the bidder shall provide a signed letter from the applicable rental entity on company letterhead stating the type of equipment with detailed equipment description(s) and quantity(ies) as well as the availability for the duration of the contract period, for any equipment intended for use to perform services of this IFB. This letter shall be provided to the Contract Officer within 2 business days of request, or the bidder will be deemed non-responsive.
• SUBCONTRACTED Equipment:
• In the first column place an “S” beside each piece of equipment that will be subcontracted.
• Verification will be by Subcontractor Approval Request Form Attachment ___: Prior to the Notice of
Intent to Award, the bidder shall complete a separate Subcontractor Approval Request Form for each company they intend to subcontract equipment from, providing detailed equipment description(s) and quantity(ies) under “Type of Equipment Proposed Subcontractor Will Provide.” This form shall be provided to the Contract Officer within 2 business days of request or the bidder will be deemed non-responsive.
• FUTURE PURCHASE Equipment:
• In the first column place a “P” beside each piece of equipment that is to be purchased.
• Verification will be by proof of purchase: Prior to Notice of Intent to Award, the bidder shall provide proof of purchase with detailed equipment description(s) and quantity(ies), as well as a confirmed delivery date for any equipment intended for use to perform services of this IFB. This proof of purchase shall be provided to the Contract Officer within 2 business days of request, or the bidder will be deemed non-responsive. All purchased equipment must be available by date of award.
“O” “R” “S” “P”
DESCRIPTION YEAR MAKE MODEL CAPACITY ID / VIN
PICKUP TRUCK. A
minimum 1/2 ton, 4x4, pick-up truck with 360 degree warning light (amber only).
Tandem Dump Truck Minimum 55,000 lb. GVWR
Tandem Dump Truck Minimum 55,000 lb. GVWR
Flat Bed Truck 1 ton minimum capacity.
Single Axle Dump Truck 1 ton minimum capacity.
Single Axle Dump Truck 1 ton minimum capacity.
Boom Truck GMC C7500, GVW 31,000 lb. with F110A.22 FASSI Crane or equivalent.
Pick-up Truck equipped with a 360-degree warning light.
Road Tractor with lowboy trailer, minimum 35 ton payload.
Rubber Tire Wheel Loader 4 wheel drive, minimum 80 HP to maximum 175 HP, with minimum 2.0 cubic yard bucket.
Medium-Duty Excavator, Track Backhoe, Komatsu 200 or equivalent
Excavator with hydraulic hammer/breaker, min.
combined operating weight of 35,000 lbs.; min. 95 HP excavator with minimum of 3000 ft/lb.
Excavator-Track Backhoe w/Thumb for Brush and Limb pickup, Komatsu 200 or equivalent Heavy-Duty John Deere 350 Excavator, or equivalent.
18,000 lbs. min. lifting capacity.
“O” “R” “S” “P”
DESCRIPTION YEAR MAKE MODEL CAPACITY ID / VIN
Long Reach Track Excavator minimum 67,500 lb. operating weight with a min. 60 foot boom and minimum 168 HP.
Mini excavator with min.20 HP and a max of 70 HP, 3,600 lb. min. operating weight and 20,000 lb. max operating weight, 36 inch hydraulic or static thumb push blade, must have 7 foot min.
digging depth
Skid Steer Loader with various attachments as listed in the specifications. Unit must be minimum 52 HP and 6,000 lb. operating weight.
Rubber Tired 4x4 Backhoe, minimum 60 HP with a 12 inch to 36 inch bucket.
Trailer mounted brush chipper, 6 inch diameter with limb chipping capability.
Asphalt Paver-Self-propelled, 60HP minimum, vibratory screed, 12ft. minimum.
Steel Wheel Roller, 3/4 ton, with water system
Truck Mounted Asphalt Distributor, 1000 gal.
minimum
Small Milling Machine Self-loading, 250HP, with 7 inch cut, equal to Bartmill Model 300 or equivalent
Truck Mounted Street Sweeper, vacuum type, w/ dumping capability
Telehandler, min. 40 ft. reach with Personnel Basket.
Bucket Truck with minimum 40 foot boom.
Under Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach.
Instructions For ASD 08
VENDOR QUALIFICATION/EQUIPMENT INVENTORY CERTIFICATION
5. Is any of the equipment listed above currently committed on any other contract (VDOT / non VDOT) contracts? Yes No
If yes, identify which equipment (year, make, model, ID/VIN), where the equipment is committed, contract number(s), name the party to the contract and location.
ATTACHMENT D
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
ATTACHMENT E
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 F
Solicitation # ____________
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 G
CONTRACTOR/SUBCONTRACTOR LICENSE REQUIREMENT
Solicitation #: ___________
By my signature on this solicitation, I certify that this firm/individual and subcontractors is properly licensed for providing the goods/services specified. Furthermore, the contractor and subcontractors shall maintain the required license throughout the term of the contract. The contractor or their subcontractor shall immediately notify the contracting agency in writing in the event the license has been revoked.
Contractor Name: _____________________________________
License # _________________ Type ________________
Subcontractor Name: _________________________
License # _________________ Type ________________
CONTRACTOR REGISTRATION: If a contract for construction, removal, repair or improvement of a building or other real property is for $120,000 or more, or if the total value of all such contracts undertaken by bidder within any 12-month period is $750,000 or more, the bidder is required under Title 54.1-1100, Code of Virginia (1950), as amended, to be licensed by the State Board of Contractors a “CLASS A CONTRACTOR.” If such a contract is for $10,000 or more but less than $120,000, or if the total value of all such contracts undertaken by bidder within any 12-month period is $150,000or more, but less than $750,000 or more, the bidder is required to be licensed as a “CLASS B CONTRACTOR.” If such a contract is over $1,000 but less than $10,000, or if the contractor does less than $150,000 in business in a 12-month period, the bidder is required to be licensed as a “CLASS C CONTRACTOR.” The board shall require a master tradesmen license as a condition of licensure for electrical, plumbing and heating, ventilation and air conditioning contractors. The bidder shall place on the outside of the envelope containing the bid and shall place in the bid over his signature whichever of the following notations is appropriate, inserting his contractor license number:
Licensed Class A Virginia Contractor No. _______________Specialty _______________
Licensed Class B Virginia Contractor No. _______________Specialty _______________
Licensed Class C Virginia Contractor No. _______________Specialty _______________
If the bidder shall fail to provide this information with his bid and shall fail to promptly provide said contractor license number to the Commonwealth in writing when requested to do so before or after the opening of bids, he shall be deemed to be in violation of § 54.1-1115 of the Code of Virginia (1950), as amended, and his bid will not be considered.
If a bidder shall fail to obtain the required license prior to submission of his bid, the bid shall not be considered
IFB# 161206
ATTACHMENT H
SUPPLEMENTAL LINE ITEMS ATTACHMENT
Note: Pricing shall be provided on all line items being bid. When requested these items will be set up/operated by the skilled laborer for the actual time in use.
These lines will be added to the contract if the price is deemed to be fair and reasonable. These items will be requested as needed, and are not going to be considered in the bid evaluation.
Line UOM Description Unit Price 1 HR Concrete Bucket, minimum 1 cubic yard 2 DAY Generator, minimum 3,500 watts 3 DAY Hammer Drill, 2 inch diameter hole 4 HR Saw, Concrete/Water Cooled, diamond edge blade/abrasive wheel 5 DAY Jack Hammer, air operated, 30 lbs., for deck work, without air compressor 6 DAY Jack Hammer, air operated, 90 lbs., for substructure work, without air compressor 7 DAY Concrete Mixer, minimum 6 cubic foot capacity and towable with ball or pintle hitch capability 8 DAY 4 inch Water Pump, with suction hose and discharge hose 9 DAY 6 inch Water Pump, with suction hose and discharge hose 10 DAY 8 inch Water Pump, with suction hose and discharge hose 11 DAY 12 inch Water Pump, with suction hose and discharge hose 12 DAY Jack, minimum 40 ton 13 DAY Hanging Scaffold, 24 ft length 14 DAY Platform Scaffold, 24 ft length 15 HR Soil Tamper/Wacker, minimum 11 inch shoe tamper 16 HR Chainsaw, minimum 16 inch to 20 inch blade 17 DAY Trench Box, Tuff-Lite Shield TS-812 T4 or Equivalent 18 FTK Wooden Concrete Forms, UOM is square foot 19 FTK Steel Concrete Forms, UOM is square foot 20 HR Arrow Board, Trailer-Mounted, Portable, Type B or C per VWAPM
Specifictions 21 HR Trench Roller, 24 inch minimum, Rammax or equivalent 22 DAY Concrete Barrier, 12 foot lengths 23 HR Air Compressor, 180 PSI 24 HR Weed Eater, gasoline engine powered 25 HR Pole Saw, gasoline engine powered 26 HR Concrete Saw, 40 HP, water 27 HR Concrete Chainsaw, with bar and chain, equal to Husqvarna K970 or equivalent 28 HR Radio Remote Controlled Track Loader. Overall height- 42 inches, overall width- 42 inches, MicroTraxx Model SL436 or equivalent 29 HR Message Boards, changeable 30 DAY Concrete Pump with 100 linear feet of pump hose 31 HR Bridge Deck Grooving Machine 32 DAY TL-3 Attenuator. Contractor shall have the ability to provide a minimum of two (2) attenuators.
COMMONWEALTH of VIRGINIA
DEPARTMENT OF LABOR AND INDUSTRY
Virginia Department of Labor and Industry Wage Determination Decision
Project Name Equipment with Operator
State Project Code IFB 161206
DOLI Project Number VDOT-26-0218
County or Independent City Multiple Localities
Publication Date 10/20/2026
Construction Type Highway
GRAYSON COUNTY
Wage Determinations Wage Fringe Carpenter (Includes Form Work) $16.52 Cement Mason/Concrete Finisher $19.35 Ironworker: Reinforcing $20.80 Laborer: Asphalt (Includes Raker, Shoveler, Spreader, and Distributor) $15.90 Laborer: Common or General $14.35 Laborer: Pipelayer $16.75 Operator: Asphalt Spreader and Distributor $15.95 Operator: Backhoe/Excavator/Trackhoe $20.53 Operator: Broom/Sweeper $12.77 $0.23 Operator: Bulldozer $19.36 Operator: Crane $26.68 Operator: Grader/Blade (Includes Finishing) $26.13 Operator: Loader $19.36 Operator: Mechanic $18.57 Operator: Milling Machine $21.13
James S. Frederick
COMMISSIONER
Brookfield Place 6606 West Broad Street, Suite 500
Richmond, Virginia 23230
PHONE (804) 371-2327
FAX (804) 371-6524
ATTACHMENT I
PREVAILING WAGE RATES
Wage Determinations Wage Fringe Operator: Pavement Planer $17.28 Operator: Pavement Planer Groundsmen $14.81 $0.29 Operator: Paver (Asphalt, Aggregate, and Concrete) $16.80 Operator: Roller $15.85 Operator: Roller (Finishing) $15.17 Operator: Tractor (Utility) $12.77 $0.23 Pavement Marking Operator $19.40 Pavement Marking Truck Driver $19.00 Traffic Control: Flagger $12.77 Truck Driver: Heavy 7Cy & Under $16.69 Truck Driver: Heavy Over 7Cy $16.69 Truck Driver: Single & Multi Axle $15.63
WYTHE COUNTY
Wage Determinations Wage Fringe Carpenter (Includes Form Work) $16.52 Cement Mason/Concrete Finisher $19.35 Ironworker: Reinforcing $20.80 Laborer: Asphalt (Includes Raker, Shoveler, Spreader, and Distributor) $15.90 Laborer: Common or General $14.46 Laborer: Pipelayer $16.75 Operator: Asphalt Spreader and Distributor $15.95 Operator: Backhoe/Excavator/Trackhoe $20.53 Operator: Broom/Sweeper $12.77 $0.23 Operator: Bulldozer $19.36 Operator: Crane $26.68 Operator: Grader/Blade (Includes Finishing) $26.13 Operator: Loader $19.36 Operator: Mechanic $18.57 Operator: Milling Machine $21.13 Operator: Pavement Planer $17.28 Operator: Pavement Planer Groundsmen $14.81 $0.29 Operator: Paver (Asphalt, Aggregate, and Concrete) $16.80 Operator: Roller $15.85 Operator: Roller (Finishing) $15.17 Operator: Tractor (Utility) $12.77 $0.23 Pavement Marking Operator $19.80 Pavement Marking Truck Driver $19.00 Traffic Control: Flagger $12.77 Truck Driver: 1/Single Axle Truck $15.80
Wage Determinations Wage Fringe Truck Driver: Heavy 7Cy & Under $16.69 Truck Driver: Heavy Over 7Cy $16.69 Truck Driver: Multi Axle $15.89
ADDITIONAL NOTES
All rates are determined by DOLI and any appeals of specific classifications may be made through the Wage Determination Appeal form available at https://www.doli.virginia.gov/wp-content/uploads/2022/05/Appeal-for-Clarification-of-Wage-Determination.pdf
Any additional classifications may be requested through the Additional Wage Classification form available at https://www.doli.virginia.gov/wp-content/uploads/2022/10/Request-for-Additional-Wage-Classification-10-2022.pdf
Understand your duties as a contractor under Virginia law by referencing our Contractor Responsibilities information sheet available at https://doli.virginia.gov/prevailing-wage-law/#CR
Your employees have specific rights, which can be found on our List of Employee Rights information sheet available at https://doli.virginia.gov/prevailing-wage-law/#ERB
Any further questions should be directed to PrevailingWage@doli.virginia.gov https://www.doli.virginia.gov/wp-content/uploads/2022/05/Appeal-for-Clarification-of-Wage-Determination.pdf https://www.doli.virginia.gov/wp-content/uploads/2022/05/Appeal-for-Clarification-of-Wage-Determination.pdf https://www.doli.virginia.gov/wp-content/uploads/2022/10/Request-for-Additional-Wage-Classification-10-2022.pdf https://www.doli.virginia.gov/wp-content/uploads/2022/10/Request-for-Additional-Wage-Classification-10-2022.pdf https://doli.virginia.gov/prevailing-wage-law/#CR https://doli.virginia.gov/prevailing-wage-law/#ERB mailto:PrevailingWage@doli.virginia.gov
| 161206 Attachments_old.pdf |
| 161206 Attachments.pdf |
| 161206 Attachments.pdf |
| 161206 Attachments.pdf |
| 160919 Attachment.pdf |
| 160788 Fillable Attachment - Copy.pdf |
| 160788 Fillable Attachment_.pdf |
| 160788 Fillable Attachment.pdf |
| ATTACHMENT C State Corporation Commission Form.pdf |
| Failure to complete and return this attachment may result in your bid being deemed NON-RESPONSIVE. |
| -OR- |
ATTACHMENT D SBSP IFB 10.28.25.pdf
| 161206 Attachment C_ 211.2.26.pdf |
| 161206 Attachments_old |
| 161206 Attachments.pdf |
| 161206 Attachments |
| 161206 Attachments.pdf |
| 160919 Attachment |
| 160788 Fillable Attachment - Copy.pdf |
| 160788 Fillable Attachment_ |
| 160788 Fillable Attachment.pdf |
| ATTACHMENT E Subcontracting Approval Request.pdf |
| Solicitation #: |
| FIRM INDIVIDUAL’S |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE |
| FOR VDOT USE ONLY: |
| ATTACHMENT F Normal and Emergency Contacts.pdf |
| NORMAL AND EMERGENCY CONTACTS |
| Solicitation # ___________ |
| 160788 Fillable Attachment |
| ATTACHMENT G Contractor License and Registration.pdf |
| ATTACHMENT H References.pdf |
| ATTACHMENT _____ |
| Attachment H_Supplemental.pdf |
| 161206 Attachments |
| 161206 Attachments |
| ATTACHMENT X Prevailing Wage Rates.pdf |
| COMMONWEALTH of VIRGINIA |
| GRAYSON COUNTY |
| WYTHE COUNTY |
| ADDITIONAL NOTES |
| 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: 161206 |
| Bidder Name: |
| Preparer Name: |
| Date: |
| I plan to use subcontractors: Off |
| I plan to complete all work: Off |
| Certification number: |
| Certification Date: |
| Company Name: |
| SBSD Cert: |
| Contact Name: |
| SBSD Certification: |
| Contact Phone: |
| Contact Email: |
| Value Initial Term: |
| Contact Address: |
| Description of Work: |
| Company Name_2: |
| SBSD Cert_2: |
| Contact Name_2: |
| SBSD Certification_2: |
| Contact Phone_2: |
| Contact Email_2: |
| Value Initial Term_2: |
| Contact Address_2: |
| Description of Work_2: |
| Company Name_3: |
| SBSD Cert_3: |
| Contact Name_3: |
| SBSD Certification_3: |
| Contact Phone_3: |
| Contact Email_3: |
| Value Initial Term_3: |
| Contact Address_3: |
| Description of Work_3: |
| Company Name_4: |
| SBSD Cert_4: |
| Contact Name_4: |
| SBSD Certification_4: |
| Contact Phone_4: |
| Contact Email_4: |
| Value Initial Term_4: |
| Contact Address_4: |
| Description of Work_4: |
| Company Name_5: |
| SBSD Cert_5: |
| Contact Name_5: |
| SBSD Certification_5: |
| Contact Phone_5: |
| Contact Email_5: |
| Value Initial Term_5: |
| Contact Address_5: |
| Description of Work_5: |
| 1 Name of Business: |
| Name of Owner or Chief Executive Officer: |
| How many years has the firm been in the business of performing the services called for in this IFB: |
| O R S PRow1: |
| YEARPICKUP TRUCK A minimum 12 ton 4x4 pick up truck with 360 degree warning light amber only: |
| ID VINPICKUP TRUCK A minimum 12 ton 4x4 pick up truck with 360 degree warning light amber only: |
| O R S PRow2: |
| YEARTandem Dump Truck Minimum 55000 lb GVWR: |
| MAKETandem Dump Truck Minimum 55000 lb G-VWR: |
| MODELTandem Dump Truck Minimum 55000 lb G-VWR: |
| CAPACITYTandem Dump Truck Minimum 55000 lb GVWR: |
| ID VINTandem Dump Truck Minimum 55000 lb GVWR: |
| O R S PRow3: |
| YEARTandem Dump Truck Minimum 55000 lb GVWR_2: |
| MAKETandem Dump Truck Minimum 55000 lb GVWR_2: |
| MODELTandem Dump Truck Minimum 55000 lb GVWR_2: |
| CAPACITYTandem Dump Truck Minimum 55000 lb GVWR_2: |
| ID VINTandem Dump Truck Minimum 55000 lb GVWR_2: |
| O R S PRow4: |
| YEARFlat Bed Truck 1 ton minimum capacity: |
| MAKEFlat Bed Truck 1 ton minimum capacity: |
| MODELFlat Bed Truck 1 ton minimum capacity: |
| CAPACITYFlat Bed Truck 1 ton minimum capacity: |
| ID VINFlat Bed Truck 1 ton minimum capacity: |
| O R S PRow5: |
| YEARSingle Axle Dump Truck 1 ton minimum capacity: |
| MAKESingle Axle Dump Truck 1 ton minimum capacity: |
| MODELSingle Axle Dump Truck 1 ton minimum capacity: |
| CAPACITYSingle Axle Dump Truck 1 ton minimum capacity: |
| ID VINSingle Axle Dump Truck 1 ton minimum capacity: |
| O R S PRow6: |
| YEARSingle Axle Dump Truck 1 ton minimum capacity_2: |
| MAKESingle Axle Dump Truck 1 ton minimum capacity_2: |
| MODELSingle Axle Dump Truck 1 ton minimum capacity_2: |
| CAPACITYSingle Axle Dump Truck 1 ton minimum capacity_2: |
| ID VINSingle Axle Dump Truck 1 ton minimum capacity_2: |
| O R S PRow7: |
| YEARBoom Truck GMC C7500 GVW 31000 lb with F110A22 FASSI Crane or equivalent: |
| ID VINBoom Truck GMC C7500 GVW 31000 lb with F110A22 FASSI Crane or equivalent: |
| O R S PRow8: |
| YEARPickup Truck equipped with a 360degree warning light: |
| MAKEPickup Truck equipped with a 360degree warning light: |
| MODELPickup Truck equipped with a 360degree warning light: |
| CAPACITYPickup Truck equipped with a 360degree warning light: |
| ID VINPickup Truck equipped with a 360degree warning light: |
| O R S PRow9: |
| YEARRoad Tractor with lowboy trailer minimum 35 ton payload: |
| ID VINRoad Tractor with lowboy trailer minimum 35 ton payload: |
| O R S PRow10: |
| YEARRubber Tire Wheel Loader 4 wheel drive minimum 80 HP to maximum 175 HP with minimum 20 cubic yard bucket: |
| ID VINRubber Tire Wheel Loader 4 wheel drive minimum 80 HP to maximum 175 HP with minimum 20 cubic yard bucket: |
| O R S PRow11: |
| YEARMediumDuty Excavator Track Backhoe Komatsu 200 or equivalent: |
| ID VINMediumDuty Excavator Track Backhoe Komatsu 200 or equivalent: |
| O R S PRow12: |
| YEARExcavator with hydraulic hammerbreaker min combined operating weight of 35000 lbs min 95 HP excavator with minimum of 3000 ftlb: |
| ID VINExcavator with hydraulic hammerbreaker min combined operating weight of 35000 lbs min 95 HP excavator with minimum of 3000 ftlb: |
| O R S PRow13: |
| YEARExcavatorTrack Backhoe wThumb for Brush and Limb pickup Komatsu 200 or equivalent: |
| ID VINExcavatorTrack Backhoe wThumb for Brush and Limb pickup Komatsu 200 or equivalent: |
| O R S PRow14: |
| YEARHeavyDuty John Deere 350 Excavator or equivalent 18000 lbs min lifting capacity: |
| ID VINHeavyDuty John Deere 350 Excavator or equivalent 18000 lbs min lifting capacity: |
| MAKE100: |
| MODEL100: |
| CAPACITY100: |
| MAKE101: |
| MODEL101: |
| CAPACITY101: |
| MAKE102: |
| MODEL102: |
| CAPACITY102: |
| MAKE103: |
| MODEL103: |
| CAPACITY103: |
| MAKE104: |
| MODEL104: |
| CAPACITY104: |
| MAKE105: |
| MODEL105: |
| CAPACITY105: |
| MAKE106: |
| MODEL106: |
| CAPACITY106: |
| MAKE107: |
| MODEL107: |
| CAPACITY107: |
| O R S PRow1_2: |
| YEARLong Reach Track Excavator minimum 67500 lb operating weight with a min 60 foot boom and minimum 168 HP: |
| ID VINLong Reach Track Excavator minimum 67500 lb operating weight with a min 60 foot boom and minimum 168 HP: |
| O R S PRow2_2: |
| YEARMini excavator with min20 HP and a max of 70 HP 3600 lb min operating weight and 20000 lb max operating weight 36 inch hydraulic or static thumb push blade must have 7 foot min digging depth: |
| ID VINMini excavator with min20 HP and a max of 70 HP 3600 lb min operating weight and 20000 lb max operating weight 36 inch hydraulic or static thumb push blade must have 7 foot min digging depth: |
| O R S PRow3_2: |
| YEARSkid Steer Loader with various attachments as listed in the specifications Unit must be minimum 52 HP and 6000 lb operating weight: |
| ID VINSkid Steer Loader with various attachments as listed in the specifications Unit must be minimum 52 HP and 6000 lb operating weight: |
| O R S PRow4_2: |
| YEARRubber Tired 4x4 Backhoe minimum 60 HP with a 12 inch to 36 inch bucket: |
| ID VINRubber Tired 4x4 Backhoe minimum 60 HP with a 12 inch to 36 inch bucket: |
| O R S PRow5_2: |
| YEARTrailer mounted brush chipper 6 inch diameter with limb chipping capability: |
| ID VINTrailer mounted brush chipper 6 inch diameter with limb chipping capability: |
| O R S PRow6_2: |
| YEARAsphalt PaverSelfpropelled 60HP minimum vibratory screed 12ft minimum: |
| ID VINAsphalt PaverSelfpropelled 60HP minimum vibratory screed 12ft minimum: |
| O R S PRow7_2: |
| YEARSteel Wheel Roller 34 ton with water system: |
| MAKESteel Wheel Roller 34 ton with water system: |
| MODELSteel Wheel Roller 34 ton with water system: |
| CAPACITYSteel Wheel Roller 34 ton with water system: |
| ID VINSteel Wheel Roller 34 ton with water system: |
| O R S PRow8_2: |
| YEARTruck Mounted Asphalt Distributor 1000 gal minimum: |
| MAKETruck Mounted Asphalt Distributor 1000 gal minimum: |
| MODELTruck Mounted Asphalt Distributor 1000 gal minimum: |
| CAPACITYTruck Mounted Asphalt Distributor 1000 gal minimum: |
| ID VINTruck Mounted Asphalt Distributor 1000 gal minimum: |
| O R S PRow9_2: |
| YEARSmall Milling Machine Self loading 250HP with 7 inch cut equal to Bartmill Model 300 or equivalent: |
| ID VINSmall Milling Machine Self loading 250HP with 7 inch cut equal to Bartmill Model 300 or equivalent: |
| O R S PRow10_2: |
| YEARTruck Mounted Street Sweeper vacuum type w dumping capability: |
| MAKETruck Mounted Street Sweeper vacuum type w dumping capability: |
| MODELTruck Mounted Street Sweeper vacuum type w dumping capability: |
| CAPACITYTruck Mounted Street Sweeper vacuum type w dumping capability: |
| ID VINTruck Mounted Street Sweeper vacuum type w dumping capability: |
| O R S PRow11_2: |
| YEARTelehandler min 40 ft reach with Personnel Basket: |
| MAKETelehandler min 40 ft reach with Personnel Basket: |
| MODELTelehandler min 40 ft reach with Personnel Basket: |
| CAPACITYTelehandler min 40 ft reach with Personnel Basket: |
| ID VINTelehandler min 40 ft reach with Personnel Basket: |
| O R S PRow12_2: |
| YEARBucket Truck with minimum 40 foot boom: |
| MAKEBucket Truck with minimum 40 foot boom: |
| MODELBucket Truck with minimum 40 foot boom: |
| CAPACITYBucket Truck with minimum 40 foot boom: |
| ID VINBucket Truck with minimum 40 foot boom: |
| O R S PRow13_2: |
| YEARUnder Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach: |
| MAKEUnder Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach: |
| MODELUnder Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach: |
| CAPACITYUnder Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach: |
| ID VINUnder Bridge Access Snooper Truck with articulated boom and a minimum 35 foot reach: |
| MAKE108: |
| MODEL108: |
| CAPACITY108: |
| MAKE109: |
| MODEL109: |
| CAPACITY109: |
| MAKE110: |
| MODEL110: |
| CAPACITY110: |
| MAKE111: |
| MODEL111: |
| CAPACITY111: |
| MAKE112: |
| MODEL112: |
| CAPACITY112: |
| MAKE113: |
| MODEL113: |
| CAPACITY113: |
| MAKE114: |
| MODEL114: |
| CAPACITY114: |
| contract numbers name the party to the contract and location 1: |
| contract numbers name the party to the contract and location 2: |
| contract numbers name the party to the contract and location 3: |
| contract numbers name the party to the contract and location 4: |
| 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: |
| 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: |
| Contractor Name: |
| License: |
| Type: |
| Subcontractor Name: |
| License_2: |
| Type_2: |
| Licensed Class A Virginia Contractor No: |
| Specialty: |
| Licensed Class B Virginia Contractor No: |
| Specialty_2: |
| Licensed Class C Virginia Contractor No: |
| Specialty_3: |
| Unit PriceConcrete Bucket minimum 1 cubic yard: |
| Unit PriceGenerator minimum 3500 watts: |
| Unit PriceHammer Drill 2 inch diameter hole: |
| Unit PriceSaw ConcreteWater Cooled diamond edge bladeabrasive wheel: |
| Unit PriceJack Hammer air operated 30 lbs for deck work without air compressor: |
| Unit PriceJack Hammer air operated 90 lbs for substructure work without air compressor: |
| Unit PriceConcrete Mixer minimum 6 cubic foot capacity and towable with ball or pintle hitch capability: |
| Unit Price4 inch Water Pump with suction hose and discharge hose: |
| Unit Price6 inch Water Pump with suction hose and discharge hose: |
| Unit Price8 inch Water Pump with suction hose and discharge hose: |
| Unit Price12 inch Water Pump with suction hose and discharge hose: |
| Unit PriceJack minimum 40 ton: |
| Unit PriceHanging Scaffold 24 ft length: |
| Unit PricePlatform Scaffold 24 ft length: |
| Unit PriceSoil TamperWacker minimum 11 inch shoe tamper: |
| Unit PriceChainsaw minimum 16 inch to 20 inch blade: |
| Unit PriceTrench Box TuffLite Shield TS812 T4 or Equivalent: |
| Unit PriceWooden Concrete Forms UOM is square foot: |
| Unit PriceSteel Concrete Forms UOM is square foot: |
| Unit PriceArrow Board TrailerMounted Portable Type B or C per VWAPM Specifictions: |
| Unit PriceTrench Roller 24 inch minimum Rammax or equivalent: |
| Unit PriceConcrete Barrier 12 foot lengths: |
| Unit PriceAir Compressor 180 PSI: |
| Unit PriceWeed Eater gasoline engine powered: |
| Unit PricePole Saw gasoline engine powered: |
| Unit PriceConcrete Saw 40 HP water: |
| Unit PriceConcrete Chainsaw with bar and chain equal to Husqvarna K970 or equivalent: |
| Unit PriceRadio Remote Controlled Track Loader Overall height42 inches overall width42 inches MicroTraxx Model SL436 or equivalent: |
| Unit PriceMessage Boards changeable: |
| Unit PriceConcrete Pump with 100 linear feet of pump hose: |
| Unit PriceBridge Deck Grooving Machine: |
| Unit PriceTL3 Attenuator Contractor shall have the ability to provide a minimum of two 2 attenuators: |
File details come from the government source that posted it. Updated .