2STP_IFB_161230_ATTACHMENTS A-G.pdf

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Attached to
2STP IFB 161230 ROW On-Call Services
Solicitation number
2STP-128683
Issued by
Virginia

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2STP IFB 161230 ROW On-Call Services - Attachments Summary

This document contains the attachments (A through G) to an Invitation for Bid (IFB) issued by the Virginia Department of Transportation (VDOT) for statewide on-call right-of-way (ROW) services. The scope of work encompasses a comprehensive range of ROW services including title searches, surveys, appraisals, environmental assessments, relocation assistance, and property acquisition support across Virginia. The contract is structured as an on-call services agreement, allowing VDOT to task individual contractors for specific projects as needed throughout the contract term. The IFB solicits qualified firms to provide these services on a statewide basis, with the contract term and renewal options detailed within the bid documents. Bidders were required to submit proposals according to specifications outlined in the attachments, which include technical requirements, qualification standards, and performance expectations for ROW professionals and firms.

The attachments establish pricing structures based on hourly rates, daily fees, and task-order pricing for various ROW services and skill levels. Set-asides and preferences may apply based on Virginia procurement regulations and small business considerations. The contract is funded through VDOT's transportation budget and federal highway funds, with payment mechanisms tied to task orders issued during the contract performance period. Key attachment documents define insurance requirements, bonding obligations, personnel qualifications, equipment standards, and administrative procedures for task order execution. The on-call nature of the contract allows VDOT flexibility in resource allocation while maintaining pre-qualified vendors capable of responding to ROW service demands across multiple transportation projects statewide.

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ATTACHMENT __A___

State Corporation Commission Form Failure to complete and return this attachment may result in your bid being 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):

2STP IFB#: 161230

SBSP-IFB PIM-40

ATTACHMENT __B___

Small Business Subcontracting Plan

2STP IFB # _161230_

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

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #3

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #4

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #5

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

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

ATTACHMENT

Solicitation #:

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

PROPRIETARY/CONFIDENTIAL INFORMATION

SUMMARY FORM

SECTION/TITLE PAGE

NUMBER(S)

REASON(S) FOR WITHHOLDING FROM

DISCLOSURE

*Identify the reason for withholding from disclosure in accordance with the Code of Virginia § 2.2-4342F.

Solicitation # 2STP IFB#: 161230

ATTACHMENT __F__

NORMAL AND EMERGENCY CONTACTS

Solicitation #: 2STP IFB#: 161230

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

CII/SSI Guide, Version 8, July 18, 2024 Page 1 Copyright 2005 by Virginia Department of Transportation, SEMD

ATTACHMENT G

CII/SSI Policy Guide

For

Employees, Vendors, Contractors or other

Persons Accessing VDOT’s CII/SSI

An Accompanying Guide to CII/SSI Policy Version 8.0, 18, July 2024

CII/SSI Guide, Version 8, July 18, 2024 Page 2

Table of Contents

I. PURPOSE

II. GUIDELINES FOR DESIGNATING AND MARKING VDOT INFORMATION AS CII/SSI

Designating CII/SSI Marking CII/SSI Marking Maritime Related SSI

III. GUIDELINES FOR HANDLING, STORING AND REPRODUCING CII/SSI

IV. GUIDELINES FOR RELEASING DOCUMENTS DESIGNATED AS CII/SSI

V. SAMPLE DOCUMENTS

Frequently Asked Questions Quick Reference to Identifying CII/SSI CII/SSI Designation Decision Flowchart Multi-Purpose Non-Disclosure Agreement

NOTE: The Multi-Purpose Non-Disclosure Agreement form included in this document is a sample form and should not be used as the actual form. The actual Multi-Purpose Non-Disclosure

Agreement form may be downloaded from the Inside VDOT Forms page.

CII/SSI Guide

CII/SSI Guide, Version 8, July 18, 2024 Page 3

I. Purpose

This Guide will provide general guidance the user/originator can use to designate CII/SSI in your sections and develop specific procedures for handling, marking, disseminating, releasing, and destroying CII/SSI.

You will also find samples of the forms that should be used in the aforementioned processes.

Critical infrastructure is a system or asset so vital that its incapacity or destruction would have a debilitating impact on security, economic security, public health or safety. Critical infrastructure information (CII) is the designation used by VDOT to identify information that is not appropriate for public release without a need-to-know. Sensitive security information (SSI) is the designation used to identify information related to maritime critical infrastructure that is not appropriate for public release without a need-to-know.

A page containing Frequently Asked Questions has been included in this Guide for your reference. If you have questions that are not answered in this guide, you may submit your questions to your contract manager. VDOT employees may submit questions via email, to

CriticalInfrastructure@VDOT.Virginia.gov .

II. Guidelines for Designating and Marking VDOT Information as CII/SSI

Designating CII/SSI

Each Manager should perform a review of the documents in his/her custody to determine if the document contains CII/SSI and ensure proper markings are affixed. Additionally each vendor/contractor should review documents created in connection with the VDOT contract to ensure CII/SSI is properly marked and handled. This Guide contains a CII/SSI Designation Decision Process flowchart and Quick Reference document to provide you with the necessary tools in determining proper CII/SSI designation.

Marking CII/SSI

Once a document has been designated as CII/SSI, it should be marked according to the following:

It is the responsibility of the document originator; VDOT employee or contractor/vendor to make sure that

CII/SSI contained within the document is identified and marked, whether it has been previously marked or not. However, if you are the person handling a document which you feel contains CII/SSI and the document has not been properly marked; please refer the document back to the originator for designation and proper marking.

The marking shown below (frame and format optional) should be placed appropriately on all pages or sections containing CII material. It should be located either at the top or bottom of the page consistently throughout the document. The format and arrangement of the words may be modified to accommodate different situations but the wording should remain consistent. Appropriate font color needs to be utilized to ensure the markings are readily visible.

– Restricted – Critical Infrastructure Information mailto:CriticalInfrastructure@VDOT.Virginia.gov

CII/SSI Guide, Version 8, July 18, 2024 Page 4

Marking Maritime Related SSI

Documents designated as SSI should be marked at the top of every page in the document and at the following locations in the document:

• The outside of any front cover,

• The outside of any back cover,

• Any binder cover or folder (front and back)

• Any title page

The marking at the top of the page should be:

Sensitive Security Information

The marking at the bottom of each page of the document should be:

WARNING: This record contains Sensitive Security Information that is controlled under 49 CFR parts 15 and 1520. No part of this record may be disclosed to persons without a ‘‘need-to-know’’, as defined in 49 CFR parts 15 and 1520, except with the written permission of the Administrator of the Transportation Security Administration or the Secretary of Transportation. Unauthorized release may result in civil penalty or other action. For U.S. government agencies, public disclosure is governed by 5 U.S.C. 552 and 49 CFR parts 15 and 1520.

III. Guidelines for Handling, Storing and Reproducing CII/SSI

CII/SSI shall be protected at all times, either by appropriate storage or having it under the personal observation and control of a person authorized to receive it. Each person who works with protected

CII/SSI is personally responsible for taking proper precautions to ensure that unauthorized persons do not gain access to it.

During working hours, reasonable steps shall be taken to minimize the risks of access to CII/SSI by unauthorized personnel. After working hours, CII/SSI shall be stored in a secure container, such as a locked desk, file cabinet or facility where contract security is provided.

CII/SSI shall be transmitted only by VDOT courier, US first class, express, certified or registered mail, or through secure electronic means.

CII/SSI in electronic format should be released in a protected format such as a locked PDF or password protected WORD document.

Material containing CII/SSI shall be disposed of by any method that prevents unauthorized retrieval and in accordance with established records retention policy.

Documents or materials containing CII/SSI may be reproduced to the minimum extent necessary to carry out official duties provided that the reproduced material is marked and protected in the same manner as the original material.

IV. Guidelines for releasing documents designated as CII/SSI

Before CII/SSI can be released the following criteria need to be met;

• The requestor has a need-to-know the information, CII/SSI Guide, Version 8, July 18, 2024 Page 5 Copyright 2005 by Virginia Department of Transportation, SEMD

• The requestor has been cleared for access to CII/SSI material through VDOT’s Criminal History

Records Check process as required in DPM: 1-25,

• And the requestor completes and signs a Non Disclosure Agreement Form (NDA).

If the requestor does not have a need-to-know, refuses to sign the NDA form or does not meet the requirements outlined in DPM 1-25 do not release the information to them. If the requestor takes issue with this decision contact the contract manager if the request is contract related. For contract managers or if the request is not contract related please submit questions to

CriticalInfrastructure@VDOT.Virginia.gov.

When non-disclosure agreements are completed for VDOT employees the signed non-disclosure agreements should be returned to the Human Resource Department to be filed in the employee’s personnel folder. Contractor or Vendor NDA forms are to be maintained by the VDOT Contract Officer and should be filed with the procurement documents. When NDA forms are completed to release CII/SSI to a non-employee, contractor, or vendor the NDA form shall be maintained by the releasing custodian of the CII/SSI. A sample non-disclosure agreement has been included for your reference.

V. References and Forms

This Guide contains the following references:

• Frequently Asked Questions

• Quick Reference to Identifying CII/SSI

• CII/SSI Designation Decision Process flowchart

This Guide contains the following sample Form:

• Non-Disclosure Agreement mailto:CriticalInfrastructure@VDOT.Virginia.gov

CII/SSI Guide, Version 8, July 18, 2024 Page 6

Frequently Asked Questions

1. What is CII?

Critical infrastructure information (CII) is the designation used by VDOT to identify information that is not appropriate for public release without a need-to-know.

2. What is SSI?

Sensitive security information (SSI) is the designation used to identify information related to maritime critical infrastructure that is not appropriate for public release without a need-to-know.

3. What is need-to-know?

The legitimate requirement of a person or organization to know, access, or possess sensitive or classified information that is critical to the performance of an authorized, assigned mission (i.e. a VDOT related project). The necessity for access to, or knowledge or possession of, specific information required to carry out official duties. The information is intended for use only by individuals who require the information in the course of performing their job function.

4. What is Public Knowledge?

Information about which knowledge or use is accessible to the general public if there has been no deliberate attempt to keep it hidden or secret. Knowledge that is available to anyone. Something might be considered public knowledge if it could be seen in a public area versus being located in a locked or non-public area. In some instances, the object itself may be public knowledge but it’s location or use in that specific instance is not (e.g., an electrical panel in a reception area is recognizable and not hidden but, if the panel is locked, what the various circuit breakers control is not public knowledge).

For example, if a circuit breaker box is located in the lobby of a building, the location of that box would not be CII/SSI.

However, the identification of the circuits/devices controlled by the breakers in the box might be CII/SS depending on the function of the devices controlled by the individual breakers (Security Systems, Alarm Systems, etc.). If the box is located in a locked room in an area not normally open to the public, it could be considered CII/SSI.

5. Who has to do the review and marking?

It is the responsibility of the document creator to review the document for potential CII/SSI information and to mark the document accordingly. If a document recipient receives a document which contains CII/SSI information the recipient should forward the document back to the creator for proper marking.

6. Can A/E firms mark CII/SSI as the plans/specs are developed?

The Contract Officer should inform the A/E firm at the time the contract is awarded that the project contains CII/SSI and the firm’s responsibilities for marking information. As such, plans/specifications must be marked accordingly as they are developed. A/E firms, or any other outside entity, who work as agents of VDOT must mark the CII/SSI in accordance with the

Policy.

7. Can Vendors or Contractors release CII/SSI information to third parties?

Vendors and Contractors can release CII/SSI to business partners or sub-contractors in connection with work performed under the terms of the contract only if a need-to-know has been established. The Vendor or Contractor will notify the VDOT Contract

Officer who will ensure the Non Disclosure Agreement form is completed and the protocols outlined in DPM 1-25 are followed prior to the release of the CII/SSI.

8. What about solicitations that involve information and site visits that contain/show CII/SSI?

The current approach to handling CII/SSI in public advertisements:

• Do not include CII/SSI in the public advertisement.

The current approach to handling CII/SSI in pre-bid meetings:

• Require pre-registration for a mandatory pre-bid conference.

• Obtain signed non-disclosure agreements and verify identity with photo-id of all participants prior to allowing entry into the pre-bid meeting.

CII/SSI Guide, Version 8, July 18, 2024 Page 7 Copyright 2005 by Virginia Department of Transportation, SEMD

• Sanitize CII/SSI material to work being solicited and to the extent needed to prepare a formal bid.

• Monitor pre-bid meeting and conduct site visits at the time of the pre-bid.

• Collect and account for all CII/SSI material after pre-bid meeting (no take away documents)

• Limit access and photography to that which is necessary to prepare a formal bid.

Note: By following the guidance above, access to the CII/SSI material is “restricted” and therefore no Criminal History

Records Check is required as indicated in DPM 1-25. If the guidance above is not followed, or if the extent of the project requires the contractors or vendors to leave the pre-bid meeting with the CII/SSI material then the access becomes

“unrestricted” and a Criminal History Records Check is required as indicated in DPM 1-25.

CII/SSI Guide, Version 8, July 18, 2024 Page 8

Quick Reference to Identifying CII/SSI

Information identified as either Critical Infrastructure Information or Sensitive Security Information (CII/SSI) should be marked as specified in the CII/SSI Policy.

Points to consider when determining what constitutes CII/SSI…

• What impact could the information have if it was inadvertently transferred to an unintended audience?

• Does the information provide details concerning security procedures and capabilities?

• Could someone use the information to target personnel, facilities or operations?

• How could someone intent on causing harm misuse the information?

• Could the use of this information be dangerous if combined with other publicly available information?

• Look at the material from an adversary’s point of view.

Answer the following: Y/N

Is the information customarily public knowledge? (Information that is accessible to the general public if there has been no deliberate attempt to keep it hidden or secret.)

Does the general public have a need to know? (Access to, or knowledge or possession of, specific information required to carry out official duties ) (Note: Contractors should be considered employees, not general public.)

If “yes” to either, then it is not CII/SSI, otherwise continue.

If the item under consideration shows describes or is itself listed below, it might be CII/SSI.

1 Documentation or other information that describes the design, function, operation or access control features of any security system, manual or automated, used to control access to or use of any automated data processing or telecommunications system.

2 Plans and information to prevent or respond to terrorist activity, the disclosure of which would jeopardize the safety of any person, including:

• Critical infrastructure sector or structural components

• Operational, procedural, transportation, and tactical planning or training manuals

• Vulnerability assessments • Staff meeting minutes or other records

Engineering or architectural records or portions of, that reveals the location or operation of:

• Security equipment and systems • Elevator equipment and systems

• Ventilation equipment and systems • Fire protection equipment and systems

• Emergency equipment and systems • Electrical equipment and systems

• Utility equipment and systems • Telecommunications equipment and systems

3 Information (including drawings, manuals, or other records) which reveals:

• Surveillance techniques • Alarm or security systems or technologies

• Personnel deployments¹ • Operational and transportation plans or protocols

4 Information concerning threats against transportation.

¹ Only as it relates to security operations. (E.g. Staffing levels in critical operational areas such as Smart Traffic Centers, Control Rooms, Guard schedules, number present and location, etc.)

CII/SSI Guide, Version 8, July 18, 2024 Page 9

NO

YES

NO

NO NO NO

NO

YES

YES

YES

Owner

Should Not

Designate

Information as CII/SSI

Start

Owner

Should

Designate

Information as CII/SSI

Reference: Code of Virginia § 2.2-3705.2

Does the information contain engineering or architectural records that reveal the location or operation of Critical

Infrastructure?

See Code of Virginia § 2.2-3705.2

Does information (e.g., drawings, manuals, or other records) reveal surveillance techniques, personnel deployments, security systems or operational and transportation plans?

Does information describe threats against transportation or plans developed to respond to terrorist activity?

Does information describe the design, function, operation or access control features of any security system used to control access to or use of any automated data processing or telecommunications system?

Is the information readily accessible to the general public and considered public information?

Does the general public have a need-to-know in order to carry out official duties?

CII/SSI Guide, Version 8, July 18, 2024 Page 10

CII/SSI Designation Decision Flowchart

CII/SSI Guide, Version 8, July 18, 2024 Page 11

Critical Infrastructure Information/Sensitive Security Information (CII/SSI)

Multi-Purpose Non-Disclosure Agreement

Retain a copy of both the front and back sides of this form for future reference

VDOT requires CII/SSI be protected and not disclosed to unauthorized persons.

PART A: To Be Completed By Individual VDOT or Company Employee

I agree with the following as a condition of being granted access to CII/SSI:

CII/SSI, which is valuable and sensitive, is protected by law and by strict

VDOT policies. The intent of these laws and policies is to assure that

CII/SSI will remain confidential - that is, it will be used only as necessary to accomplish VDOT’s mission. Disclosure of CII/SSI in any manner that permits interception by unauthorized persons could compromise safety and security and is prohibited. CII/SSI may be released only to persons with a need-to-know.

I might have access to this information in various formats including but not limited to documents and drawings, physical structures, and computer based systems. I have no right or ownership interest in any VDOT CII/SSI.

VDOT may at any time revoke my authorization allowing access to CII/SSI.

Willful violation of this agreement may subject me to discipline which might include, but is not limited to, removal from current VDOT projects;

exclusion from further VDOT related work; and legal liability. My obligations with respect to the confidentiality and security of all CII/SSI disclosed to me shall survive the termination of any agreement or relationship with VDOT. My execution of this agreement shall not nullify or affect in any manner any other agreement, non-disclosure or otherwise, which I have executed or may execute with VDOT or the Commonwealth of

Virginia.

I am obligated to protect this information from unauthorized disclosure in accordance with the terms of this agreement. I will only use CII/SSI that I obtain to perform my legitimate VDOT related duties. I will conduct myself in a strict conformance to applicable laws and VDOT policies governing

CII/SSI. I will safeguard the confidentiality of all CII/SSI at all times. I will be responsible for my misuse or my wrongful disclosure of CII/SSI.

Each provision of this agreement is severable. If any administrative or judicial tribunal should find any provision of this agreement to be unenforceable, all other provisions shall remain in full force and effect.

I make this agreement in good faith, without mental reservation or purpose of evasion.

Printed Name Date

VDOT District/Division OR Company Name Phone Number

Company Address

Signature Signature of Authorized Agent (Not required for VDOT employees)

PART B: To Be Completed By Company Agent Only:

In addition to the provisions above, I certify:

All employees of this company involved with this VDOT project, regardless of location, who will have access to CII/SSI, myself included, will complete

Part A of the Critical Infrastructure Information/Sensitive Security

Information Multi-Purpose Non-Disclosure Agreement. The Agreement will be signed by me and accepted by VDOT prior to being granted access to CII/SSI. We will only access CII/SSI for which we have a need-to-know.

We will safeguard the confidentiality of all CII/SSI at all times. We will conduct ourselves in strict conformance to applicable laws and VDOT policies governing CII/SSI. Obligations with respect to the confidentiality and security of all CII/SSI disclosed to us shall survive the termination of any agreement or relationship with VDOT.

Authorized Company Agent:

Signature of Authorized Agent Date

Printed Name Title

Company Name Phone Number

Company Address

VDOT Contract Name and Number

CII/SSI Guide, Version 8, July 18, 2024 Page 12

Critical Infrastructure Information/Sensitive Security Information (CII/SSI)

Multi-Purpose Non-Disclosure Agreement

Back Page

Retain a copy of both the front and back sides of this form for future reference.

Handling CII/SSI

You are responsible for safeguarding Critical Infrastructure Information/Sensitive Security Information

(CII/SSI) in your custody or under your control.

The extent of protection afforded CII/SSI shall be sufficient to reasonably foreclose the possibility of its loss or compromise.

The terms of this clause (Handling CII/SSI), including this paragraph, must be included in any dissemination of any document, in whole or in part, that contains CII/SSI.

Protection - CII/SSI shall be protected at all times, either by appropriate storage or having it under the personal observation and control of a person authorized to receive it. Each person who works with protected CII/SSI is personally responsible for taking proper precautions to ensure that unauthorized persons do not gain access to it.

Use and Storage - During working hours, reasonable steps shall be taken to minimize the risks of access to

CII/SSI by unauthorized personnel. After working hours, CII/SSI shall be secured in a secure container, such as a locked desk, file cabinet or facility where contract security is provided.

Reproduction - Documents or material containing CII/SSI may be reproduced to the minimum extent necessary consistent with the need to carry out official duties provided that the reproduced material is marked and protected in the same manner as the original material.

Disposal - Material containing CII/SSI shall be disposed of by any method that prevents unauthorized retrieval (e.g. shredding, burning, returning to original source, etc.).

Transmission - CII/SSI shall be transmitted only by VDOT courier, US first class, express, certified or registered mail, or through secure electronic means.

2STP IFB 161230 ATTACHMENT C-Subcontractor.pdf
Solicitation #:
FIRM INDIVIDUAL’S
TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE
FOR VDOT USE ONLY:
2STP IFB 161230_ATTACHMENT F_Normal and Emergency Contacts.pdf
NORMAL AND EMERGENCY CONTACTS
Solicitation # ___________
The bidder:
is a corporation or other business entity with the following SCC identification number:
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:
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:
The proposed subcontractors listed above isare approved and accepted under the terms and conditions of the:
contract requirements herein:
Telephone Number:
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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PAGE NUMBERSRow1:
REASONS FOR WITHHOLDING FROM DISCLOSURERow1:
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PAGE NUMBERSRow2:
REASONS FOR WITHHOLDING FROM DISCLOSURERow2:
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PAGE NUMBERSRow3:
REASONS FOR WITHHOLDING FROM DISCLOSURERow3:
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PAGE NUMBERSRow4:
REASONS FOR WITHHOLDING FROM DISCLOSURERow4:
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PAGE NUMBERSRow5:
REASONS FOR WITHHOLDING FROM DISCLOSURERow5:
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PAGE NUMBERSRow6:
REASONS FOR WITHHOLDING FROM DISCLOSURERow6:
SECTIONTITLERow7:
PAGE NUMBERSRow7:
REASONS FOR WITHHOLDING FROM DISCLOSURERow7:
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:

File details come from the government source that posted it. Updated .