161321 FILLABLE ATTACHMENTS.pdf
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- Attached to
- IFB 161321 - EMER TOWING SERVICES - PAGE COUNTY
- Solicitation number
- IFB-130931
- Issued by
- Pittsylvania County, Virginia
About this file
This file contains the fillable attachments and vendor qualification forms for IFB 161321, issued by the Virginia Department of Transportation (VDOT) Administrative Services Division/Procurement for emergency towing services in Page County. The solicitation requires bidders to provide emergency towing services as needed throughout the county. The document specifies that all bidders must complete equipment information certification (Attachment B) detailing owned, rented/leased, subcontracted, or future-purchase equipment, with particular emphasis on minimum 25-ton heavy-duty wreckers and minimum 5-ton medium wreckers. Failure to fully complete the equipment attachment may render a bid non-responsive. VDOT will verify all offered equipment prior to issuing a Notice of Intent to Award, with different verification methods depending on equipment status: in-person evaluation for owned equipment, rental agreements for leased equipment, subcontractor approval forms for subcontracted equipment, and proof of purchase with confirmed delivery dates for equipment to be purchased.
The attachments also require bidders to submit normal and emergency contact information, a list of at least three professional references with complete contact details, and subcontractor approval forms if any portion of work or equipment will be subcontracted. Bidders must identify whether any listed equipment is currently committed to other VDOT or non-VDOT contracts. All required documentation must be submitted to the Contract Officer within two business days of request, or the bidder will be deemed non-responsive. The file does not specify pricing terms, set-asides, contract duration, or award dates in the attachments provided.
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A
161321
IFB #: 161321
Administrative Services Division/Procurement
ATTACHMENT B
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
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.
min 25 Ton Heavy Duty Wrecker min 5 Ton Medium Wrecker
ATTACHMENT ___C__
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
161321
ATTACHMENT D
NORMAL AND EMERGENCY CONTACTS
Solicitation # 161321
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 E
Solicitation # 161321
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 #
| 161321 ATTACHMENT A SCC FORM.pdf |
| 161321 ATTACHMENT B EQUIPMENT VERIFICATION FORM rev |
| ASD-08 Equipment Form & Vendor Qualification_091526.pdf |
| ATTACHMENT Normal and Emergency Contacts.pdf |
| NORMAL AND EMERGENCY CONTACTS |
| Solicitation # ___________ |
| Subcontracting Approval Request.pdf |
| Solicitation #: |
| FIRM INDIVIDUAL’S |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE |
| FOR VDOT USE ONLY: |
| 161321 ATTACHMENT C SUBCONTRACTOR APPROVAL |
| Solicitation #: |
| FIRM INDIVIDUAL’S |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE |
| FOR VDOT USE ONLY: |
| 161321 ATTACHMENT D NORMAL AND EMERGENCY CONTACTS |
| NORMAL AND EMERGENCY CONTACTS |
| Solicitation # ___________ |
| 161321 ATTACHMENT E REFERENCES |
| ATTACHMENT _____ |
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| 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: |
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