2-Part G - Attachment C - Required Information Form.pdf

PDF 227 KB Posted

Attached to
Durant Roof Replacement
Solicitation number
2036
Issued by
Alexandria City, Virginia

About this file

This is a Required Information Form attachment for a roof replacement project issued by the City of Alexandria, Virginia, on behalf of the Department of General Services. The project involves the complete replacement of the roof at the Oswald Durant Center located at 1605 Cameron Street, Alexandria, VA 22314. Bidders must be licensed to do business in the Commonwealth of Virginia and demonstrate qualified expertise in roofing replacement. The form requests essential information from interested bidding firms to establish their eligibility and capability to perform the work. Specific details regarding response deadlines, site visit requirements, bidder conferences, and project timelines should be referenced in the primary RFP documentation.

The Required Information Form serves as a standardized submission document to collect critical data from prospective bidders, including contractor qualifications, licensing documentation, references, and financial capacity. Pricing and cost proposal details are to be submitted in accordance with the RFP instructions. Additional information regarding set-asides, incumbent contractors, current facility conditions, project funding sources, and budget allocations would be specified in the main solicitation documents and any related addenda.

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Text version

City of Alexandria

Attachment C

Required Information Form

Each Respondent must provide the following information:

1. Minority Business Firm Yes [ ] No [ ] Partnership Yes [ ] No [ ] Small Business Firm Yes [ ] No [ ] Corporation Yes [ ] No [ ] Sole Proprietorship Yes [ ] No [ ]

2. Partnerships* and Sole Proprietorships must provide the following information:

Name: __________________________________________________________ Address: __________________________________________________________ City and State: __________________________________________________________

* Partnerships must complete this information for all partners

3. Corporations must provide the following information:

State of Incorporation: ________________ Date of Incorporation: _________________ Charter Number of the Virginia Certificate of Authority: ___________________________ Foreign corporations desiring to transact business in the State of Virginia shall register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia, as amended.

Corporations must provide the names of the following officers:

President: ____________________________________________________ Vice President: ____________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Registers Agent(s): ____________________________________________________

Bidder/Offeror Name: __________________________Date: ____________________________ Signature of Authorized Signatory: _________________________________________________ Name & Title of Authorized Signatory: ______________________________________________

No.:

Name:
Address:
City and State:
State of Incorporation:
Date of Incorporation:
Charter Number of the Virginia Certificate of Authority:
Corporations must provide the names of the following officers:
Vice President 1:
Vice President 2:
Vice President 3:
Registers Agents:
BidderOfferor Name:
Date:
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:
Check Box3:
0:
0: Off
1: Off
1:
0: Off
1: Off
2:
0: Off
1: Off
3:
0: Off
1_es_:signature: Off
4:
1_es_:signature: Off
5:
1_es_:signature: Off
Enter Solicitation Type Abbreviation_es_:sender:
Enter Solicitiation Type_es_:sender:
Enter Title_es_:sender:
Enter No_es_:sender:

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