161210_Fillable Forms.pdf
PDF 66 KB Posted
- Attached to
- UIFB# 161210 30 Ton Tilt Trailer
- Solicitation number
- QQ-127902
- Issued by
- Roanoke County, Salem City, Virginia
About this file
This file contains fillable forms for the Virginia Department of Transportation (VDOT) Solicitation #161210, which pertains to the procurement of one 30-ton tri-axle tilt trailer to be delivered to the Salem District Equipment Section located at 731 Harrison Avenue, Salem, Virginia 24153. The forms are designed to collect bidder contact information and environmental compliance documentation. The document includes templates for identifying normal and emergency contacts for the bidder, including primary contact persons, telephone numbers for various times of operation, cellular telephone numbers, facsimile numbers, and email addresses. Additionally, the forms require bidders to specify whether their materials contain plastic components and, if applicable, to identify the recycled content percentages of any plastic materials offered.
The plastic materials recycled content section requires bidders to select one of three options: confirming that no materials offered contain plastic, that no plastic materials contain recycled content, or that some or all plastic materials contain recycled content with specific percentages documented by material type. The form provides space for bidders to document up to ten different material types and their corresponding recycled content amounts, enabling VDOT to evaluate environmental and sustainability compliance as part of the procurement evaluation process.
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| File | Type | Posted |
|---|---|---|
| 161210_Specifications.pdf |
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Text version
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: __________________
| NORMAL AND EMERGENCY CONTACTS |
| Solicitation # ___________ |
| 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: |
| CONTACTS: A |
| PLASTIC: B |
| Solicitation: 161210 |
| 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: |
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