836878siteWise.pdf

Wise County Industrial Development Authority

Request for Proposals

General Engineering Services

JJ Kelly Site Development Project

RFP# 2026-01

July 31, 2026

Background

The Wise County Industrial Development Authority (IDA) is accepting sealed proposals from a licensed architectural and engineering (A/E) firm to provide professional services for design and engineering of a site development project. The project will consist of site preparation, grading, stormwater management, earthwork, erosion and sediment control, seeding, and other construction and related activities to support potential single or multi-family housing development. The project will be located on the former JJ Kelly High School site at 716 Birchfield Rd. Wise, Virginia 24293

Scope of Work

Project initiation and Programming

• Site Assessment, evaluate the site for zoning, topography, environmental constraints, utility access, and future development potential.

• Establish a preliminary construction budget and project timeline while incorporating value engineering.

Design Phase

• Schematic design, provide initial site layouts and elevation sketches.

• Design development, refine the design to include specific dimensions and layouts.

• Construction documents, deliver final, stamped architectural and engineering drawings and technical specifications required for permitting and contractor bidding.

Bidding and Procurement

• Bid packages, prepare the bid documents, participate in pre-bid meetings, and respond to contract requests for information (RFIs).

• Bid evaluation, review construction bids for accuracy, completeness, and adherence to the budget, advising on contractor selection.

Construction Administration

• Submittal review, evaluate contractor submittals (materials, equipment, shop drawings) for compliance with the design intent.

• Site observations, conduct periodic site visits to ensure construction quality and adherence to plans.

• Change orders and closeout, process design modifications, review payment applications, and conduct the final walk-through to generate punch lists and record as-built drawings.

All services in accordance with all federal, state, and local requirements.

Evaluation Criteria

Proposals will be evaluated based on the following criteria:

1. Specialized skills and experience of the firm(s) and assigned individuals, with particular emphasis on site development for future housing development (30 Points)

2. Proven record of experience and quality of work with similar projects (20 Points)

3. Demonstration of quality of work on similar projects (20 Points)

4. Demonstrated understanding of the scope of work (15 Points)

5. Experience working with the Virginia Department of Energy Abandoned Mine Land

Economic Revitalization (AMLER) program. (15 points)

Proposal Submittal Requirements

1. Letter of Interest

2. Brief Description of firm

3. Brief narrative citing qualifications addressing the Evaluation Criteria

4. Organizational chart

5. Resumes of assigned staff

6. Example projects of similar scope

7. Forms (four [4] attached to RFP to be completed and returned with proposal)

8. References (three {3}) – including company name, contact information, description of work performed, project start and completion date

Selection Process

A Selection Committee will review and evaluate all proposals received. The Committee may engage in individual discussions with two or more offerors deemed fully qualified, responsible and suitable on the basis of initial responses and with emphasis on professional competence, to provide the required services. Repetitive informal interviews shall be permitted. At the discussion stage, the Selection

Committee may discuss nonbinding estimates of total project costs and price for services. At the conclusion of discussions, on the basis of evaluation criteria in the RFP and all information developed in the selection process to this point, the Selection Committee shall select, in the order of preference, two or more offerors whose professional qualifications and proposed services are deemed most meritorious.

Negotiations will then be conducted, beginning with the firm ranked first. If a contract that is satisfactory and advantageous to IDA can be negotiated at a price considered reasonable, the Selection

Committee will recommend the award to that firm. Otherwise, negotiations with the firm ranked first will be formally terminated and negotiations will be initiated with the firm ranked second, and so on, until such a contract can be negotiated at a fair and reasonable price. IDA reserves the right to select from the submittals or short list to presentations or other methods deemed in the best interest of the

Authority.

Proposals Due

Three (3) copies of the Proposal shall be delivered to Wise County IDA, c/o Brian Falin, P.O. Box 570, 206

E. Main Street, Room 223, Wise, Virginia 24293. Proposals must be received by 4:00 P.M. on Monday, August 31, 2026. All proposals received by the deadline will be considered. Proposals received after the deadline will not be opened.

Please refer to the “General Terms and Conditions for Professional Services”, included herein, for general conditions related to proposal submittal, licensing, insurance requirements and other items of importance.

Specific Instructions to Offerors

1. Proposals must be submitted in a sealed package and received in accordance with the instructions provided herein. All submittals shall be marked “RFP# 2026-01 - General

Architectural & Engineering Services”. Offerors shall file all documents necessary to support their submittal and include them with the submittal.

2. Offerors shall be responsible for the actual delivery of submittals during business hours to the address(es) indicated herein. It shall not be sufficient to show that the submittal was mailed in time to be received before the scheduled closing date.

3. Three (3) complete sets of the required documents shall be submitted.

4. Proposal shall address all elements described in the Evaluation Criteria. Offerors may submit other information that may be important in the evaluation of the firm’s capabilities.

5. IDA reserves the right to reject any and all submittals and to request clarification of information from any offerors.

6. Offerors may be required to submit additional information that IDA may deem necessary to further evaluate the offeror’s qualifications.

7. IDA will not reimburse offerors for any costs associated with the preparation and submittal of the proposal, or for any travel and per diem costs incurred.

8. All submittals, responses, inquiries, or correspondences relating to or in reference to this RFP, and all reports, charts, and other documentation submitted by offerors shall become the property of IDA when received.

9. IDA shall be the sole judge as to the merits of qualifications submitted by offerors. The decision of IDA shall be final.

10. The agreement term shall cover the time period for which it takes to complete the design and construction services of the JJ Kelly Site Development project.

11. Inquiries concerning specifications or other provisions of this solicitation shall be received five

(5) business days prior to the time set for receipt of proposals. All inquiries shall be sent via email to Brian Falin, Executive Director, at falin_b@wisecountyva.gov. If it becomes necessary to revise any part of this RFP, a written addendum will be issued.

12. IDA’s General Terms and Conditions for Professional Services is included herein to provide general vendor requirements related to insurance, licensure, and other contract matters.

GENERAL TERMS AND CONDITIONS FOR PROFESSIONAL SERVICES

1. Tax Exemption: Wise County IDA is exempt from and will not pay Federal Excise Tax, Transportation Tax or the Commonwealth of Virginia Sales and Use Tax. A signed certificate to document the IDA’s tax-exempt status is available upon request.

2. License/Registration: Entities (e.g., individual, partnership, or corporation) offering to provide architectural and/or engineering services shall be properly registered and licensed in their State as required, and, if incorporated, their State Corporation Commission. Other business entities must register with their State agency as required by §54.1-411., Code of Virginia, as amended.

The Architect or Engineer (i.e., the person) "in responsible charge" for each discipline shall be currently licensed in their State and shall affix his or her seal to those documents for which he or she is responsible.

3. Professional Services: The architectural, civil, structural, mechanical and electrical portions of the project shall be planned and designed by, or under the immediate supervision of, a licensed Architect or Engineer who has expertise in the particular discipline involved. Where such licensed expertise is not available within the Contractor of record or where the Contractor chooses to subcontract a part of the Work, the Contractor shall employ an associate or consulting Architectural or Engineering firm with the requisite expertise to provide the required services. The consultants, associates, or subcontractors proposed by the Contractor during the selection process to be part of the Contractor project team shall perform the Work as proposed. If circumstances require a change, the Contractor shall advise the IDA of the proposed change, the reasons therefore, and the name and qualifications of the proposed replacements. The replacements must be acceptable to Wise County IDA.

Associates, consultants, or subcontractors proposed to be part of the Contractor's project team shall be contracted by the Contractor at the beginning of the Work and shall be active participants in all phases of the Work related to their discipline from beginning to end. The Contractor shall be responsible to Wise County IDA for the Work of all associates, consultants and subcontractors, whether employees of the Contractor or not, performed under the Contract.

5. Taxpayer Identification Number: The Contractor shall furnish to Wise County IDA at the time of contract award its Federal Employer Identification Number (FEIN) if a corporation or a partnership, or its Social Security Number (SSN) if a sole proprietor.

6. Relationship of Contractor to Owner: Once the Contract for Contractor services has been fully executed, the Contractor shall be the professional advisor and consultant to Wise County IDA for technical matters related to the project and shall be responsible directly to and only to Wise County IDA.

Wise County IDA shall communicate all approvals, rejections, change requirements, and other similar information to the Contractor. The Contractor shall advise Wise County IDA of changes necessary to keep the project within the prescribed area and cost limits.

7. Code and Regulatory Compliance: The Contractor is responsible for determining the code and regulatory compliance of the JJ Kelly Site Development project. Nothing contained herein shall be construed as relieving any Contractor, professional design consultant, contractor, supplier, or any other participant from any professional or legal responsibility for performance.

8. Contractor Liability Insurance: The Contractor shall carry professional liability insurance covering negligent acts, errors, and omissions. The minimum amount of professional liability insurance required to be carried by the Contractor shall be calculated as not less than an amount equal to 5% of the estimated cost of construction of all IDA-owned projects designed by the Contractor which are currently under construction, but in no event shall the amount of professional liability insurance be less than $1,000,000 per claim. As an alternative to the calculated amount indicated above, the Contractor may work with the Owner/Agency to procure a "Project Insurance" package for that project which is satisfactory to the Owner/Agency; or, the Contractor may provide a Certificate of Insurance indicating coverage in the amount of $3,000,000 per claim and $6,000,000 in the aggregate.

The Contractor shall maintain this insurance coverage in force after completion of the services under the contract for a period of five years after final completion of construction, or the Contractor may purchase a "completed operations" coverage for the project or projects.

Neither IDA's review, approval or acceptance of, nor payment for any of the services required shall be construed to operate as a waiver by IDA of any rights or any cause of action arising out of the Contract.

The Contractor shall be and remain liable to IDA for all costs of any kind, which are incurred by IDA as a result of negligent acts, errors, or omissions on the part of the Contractor, including its subcontractors and consultants, in the performance of any of the services furnished.

9. Design Errors and/or Omissions: The Contractor shall be responsible for all costs resulting from its errors, omissions, and other breaches of the applicable standards of care established under Virginia law.

Wise County IDA shall actively pursue reimbursement of costs resulting from the Contractor’s errors, omissions, or breaches of the applicable standard of care.

10. Records Retention: The Contractor shall retain record copies of its design calculations, drawings, bid/contract documents, addenda, field orders, clarifications and responses to Requests for Information, approved shop drawings and submittals, inspection / observation reports, fiscal records, and other documents relative to the contract for five (5) years after completion of the services under the contract or five years after completion of construction, whichever occurs earlier. Should the Contractor cease its business prior to that time, the Contractor will provide those project-related documents to Wise County IDA for safekeeping.

11. Other Insurance Required of the Contractor: Prior to the start of any work under the contract, the Contractor shall provide to IDA Certificates of Insurance forms and shall maintain such insurance until the completion of all work under the contract. The minimum limits of liability shall be as follows:

a. Workers' Compensation: Standard Virginia Workers Compensation Policy with statutory requirements and benefits.

b. Employer's Liability: $1,000,000.

c. Broad Form Commercial General Liability: $1,000,000 per occurrence/$2,000,000 aggregate.

d. Automobile Liability: $1,000,000 Combined Limit for bodily injury and property damages per occurrence.

IDA shall be endorsed as an "additional insured" with respect to the services being provided. The coverage shall include:

• Premises / Operations Liability

• Products and Completed Operations Coverage

• Independent Contractors Liability

• Owners and Contractor’s Protective Liability

• Personal Injury Liability (libel, slander, defamation of character, etc.)

12. Ownership of Documents and Materials: Ownership of all materials and documentation, including the original drawings and the Plans and Specifications and copies of any calculations and analyses prepared pursuant to the Contract between Wise County IDA and the Contractor, shall belong exclusively to Wise County IDA. These materials and documentation, whether completed or not, shall be the property of Wise County IDA whether the work for which they are made is executed or not. The Contractor shall not use these materials on any other work or release any information about these materials without the express written consent of Wise County IDA.

Such material may be subject to public inspection in accordance with the Virginia Freedom of Information Act. Trade secrets or proprietary information submitted by a bidder, offeror, or contractor in connection with a procurement transaction shall not be subject to disclosure under the Virginia Freedom of Information Act, provided the bidder, offeror, or contractor invokes the protections of §2.2- 4342.F., Code of Virginia, prior to or upon submission of the data or other materials, identifies the data or materials to be protected and states the reason why the protection is necessary. Wise County IDA, as the owner of the documents prepared for its projects, has the right to use the project documents as a prototype to demonstrate scope, size, functional relationships, etc. to a Contractor designing a similar project. The Contractor for the original project design shall not be responsible or liable to Wise County IDA for any such use of the documents.

13. Subcontracts: No portion of the Contractor professional services shall be subcontracted without prior written consent of Wise County IDA. Consultants proposed by the Contractor during the selection and fee negotiation phases are assumed to be acceptable to Wise County IDA unless Wise County IDA notes otherwise during those phases. In the event that the Contractor desires to subcontract some part of the Work required by the Contract to a consultant or subcontractor not previously approved, the Contractor shall furnish Wise County IDA names, qualifications and experience of the proposed consultants. The Contractor shall, however, remain fully liable and responsible for all Work performed by his consultants and subcontractors and shall assure that their Work complies with all requirements of the Contractor’s Contract.

14. Payments to the Contractor: The following procedures are established in conformance with the Virginia Public Procurement Act (VPPA), §2.2-4300 THRU 2.2-4377, Code of Virginia as amended, and, in particular, §2.2-4347 et seq., which is referred to as the Prompt Payment Act.

a. The Contractor shall submit an invoice to Wise County IDA with the documentation required by Wise County IDA. The invoice shall generally itemize or show a breakdown of the various phases or parts of the Total Contract Amount, the value of the various phases or parts, the invoiced and approved amounts for payment, and the amount of the current invoice. The invoice shall also include a certification statement signed by the Contractor stating that the Contractor has paid its consultants, subcontractors and suppliers their individual proportional share of all previous payments, including interest, received from Wise County IDA. Invoices for reimbursables shall include documentation of costs for which reimbursement is sought. Invoices for Work being performed on an hourly rate basis shall show the technical classifications, names of the persons performing the work, person-hours expended, marked-up hourly rates for the classification, and the extended cost amount.

b. Unless there is a dispute about the compensation due the Contractor including, but not limited to claims by Wise County IDA against the Contractor, then within forty-five (45) days after receipt by Wise County IDA of the Contractor’s invoice, which shall be considered the invoice receipt date, Wise County IDA shall pay to the Contractor the amount approved less any retainage and less any prior payments or advances made to the Contractor. The date on which payment is due shall be referred to as the Payment Date.

c. Wise County IDA may agree to make progress or partial payments to the Contractor during any phase of the Work based on the estimated value of the Work completed by the Contractor on that phase. Any such progress payment shall be based on Wise County IDA opinion of the value of the Work completed as of the date of the invoice.

15. Release of Information Pertaining to Project Design: Release in any form by the Contractor of information pertaining to the estimated construction cost of a project under design to anyone other than authorized Wise County IDA personnel is prohibited. The Contractor shall not give out information concerning a project to anyone other than authorized Wise County IDA personnel without specific prior approval of Wise County IDA to release such information. This includes, but is not limited to, project photographs, floor plans, and project cost information.

16. Default: In case of the Contractor’s failure to deliver the reports, documents, "Record Drawings," or services in accordance with Contract terms and conditions, Wise County IDA, after due written notice, may procure same from other sources, and the Contractor shall be responsible for any resulting additional procurement and administrative costs. This remedy shall be in addition to any other remedies that Wise County IDA may have.

17. Termination of Contract by the Owner/Agency:

a. General: Wise County IDA may terminate the Contract for cause or for convenience after giving thirty (30) days written notice to the Contractor. The written notice shall include a statement of reasons for the termination.

b. Termination for Cause: If the Contractor should substantially breach the Contract or fail to perform the services, or any portion thereof, required by the Contract, Wise County IDA may terminate the Contract for cause by giving written notice as set forth above or may give the Contractor a stated period of time within which to remedy its breach of contract. If the Contractor shall fail to remedy the breach within the time allotted, the Contract may be terminated by Wise County IDA at any time thereafter upon written notice, effective immediately upon receipt. Wise County IDA’s forbearance in not terminating the contract shall not constitute a waiver of Wise County IDA’s right to terminate in the future for similar breaches or failures to perform. If the Contract is terminated for cause, the Contractor shall be responsible for all damages incurred by Wise County IDA as a result of the Contractor’s breach of contract or failure to perform, including but not limited to, all costs and expenses incurred in securing a replacement Contractor to fulfill the obligations of the Contract.

Any termination by Wise County IDA for default, if determined by a court of competent jurisdiction not to have been justified as a termination for default, shall be deemed a termination for the convenience of Wise County IDA.

c. Termination for Convenience: Wise County IDA may terminate the Contract in whole or in part for convenience by delivering to the Contractor a written notice of termination as set forth above, specifying the extent to which performance under the contract is terminated and the effective date of the termination. Upon receipt of such notice, the Contractor must stop Work, including but not limited to Work performed by subcontractors and consultants, at such time and to the extent specified in the notice.

If the contract is terminated for convenience, the Contractor shall be entitled to those fees earned for Work performed in accordance with the Contract prior to the notice of termination.

Thereafter, the Contractor shall be entitled to any fees earned for work not terminated but shall not be entitled to lost profits for the portions of the Contract that were terminated. The Contractor will be compensated for reasonable costs or expenses for delivery to Wise County IDA of the products of the services for which the Contractor has or will receive compensation.

d. Delivery of Materials: Any termination shall not relieve the Contractor of the obligation to deliver to Wise County IDA all products or the services for which the Contractor has been or will be compensated, including, but not limited to, the original drawings and specifications, copies of CADD diskettes or tapes, calculations, and analyses. Unless otherwise agreed to in writing, the Contractor shall deliver the materials to Wise County IDA within thirty (30) days of receipt of the notice of termination. Failure to do so shall result in the withholding of final payment and shall constitute a material or substantial breach of contract.

18. Assignment of Contract: The Contractor shall not assign the Contract between Wise County IDA and the Contractor, in whole or in part, without the written consent of Wise County IDA.

19. Ethics in Public Contracting (§2.2-4367 et seq., Code of Virginia): The Contractor shall not offer or receive any kickbacks or inducements from any other offeror, supplier, manufacturer, or subcontractor in connection with this project. The Contractor shall not confer on any public employee having official responsibility for this project any payment, loan, subscription, advance, deposit of money, services, or anything of more than nominal value, present or promised, unless consideration of substantially equal or greater value was exchanged.

20. Non Discrimination: Wise County IDA does not discriminate against faith-based organizations in accordance with the Code of Virginia, §2.2-4310 and 2.2-4343.1 Code of Virginia as amended, or against a bidder or offeror because of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state law relating to discrimination in employment.

21. Contractor Anti-Discrimination: Contractors shall agree as follows pursuant to §2.2-4311, Code of Virginia, as amended:

a. The contractor will not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, disability, or other basis prohibited by state law relating to discrimination in employment, except where there is a bona fide occupational qualification reasonably necessary to the normal operation of the contractor. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause.

b. The contractor, in all solicitations or advertisements for employees placed by or on behalf of the contractor, will state that such contractor is an equal-opportunity employer.

c. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting the requirements of this provision.

The contractor will include the provisions of paragraphs a, b, and c above in every subcontract or purchase order of over $10,000, so that the provisions will be binding upon each subcontractor or vendor.

22. Drug-Free Workplace: During the performance of contracts, contractors shall agree to (i) provide a drug-free workplace for the contractor's employees; (ii) post in conspicuous places, available to employees and applicants for employment, a statement notifying employees that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance is prohibited in the contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition; (iii) state in all solicitations or advertisements for employees placed by or on behalf on the contractor that the contractor maintains a drug-free workplace; and (iv) include the provisions of the foregoing clauses in every subcontract of over $10,000, so that the provisions will be binding upon each subcontractor or vendor. For the purposes of this section, "drug-free workplace" means a site for the performance of work done in conjunction with a specific contract awarded to a contractor in accordance with this section, the employees of whom are prohibited from engaging in the unlawful manufacture, sale, distribution, dispensation, possession or use of any controlled substance or marijuana during the performance of the contract.

23. Virginia Freedom of Information Act: All proceedings, records, contracts, and other public records relating to procurement transactions shall be open to the inspection of any citizen or any interested person, firm, or corporation in accordance with the Virginia Freedom of Information Act except as provided below:

a. Cost estimates relating to a proposed procurement transaction prepared by or for a public body shall not be open to public inspection.

b. Any competitive sealed bidding bidder, upon request, shall be afforded the opportunity to inspect bid records within a reasonable time after the opening of all bids but prior to award, except in the event that Wise County IDA decides not to accept any of the bids and to reopen the contract. Otherwise, bid records shall be open to public inspection only after award of the contract. Any competitive negotiation offeror, upon request, shall be afforded the opportunity to inspect proposal records within a reasonable time after the evaluation and negotiations of proposals are completed but prior to award, except in the event that Wise County IDA decides not to accept any of the proposals and to reopen the contract.

Otherwise, proposal records shall be open to the public inspection only after award of the contract except as provided in paragraph "C" below. Any inspection of procurement transaction records under this section shall be subject to reasonable restrictions to ensure the security and integrity of the records.

c. Trade secrets or proprietary information submitted by a bidder, offeror, or contractor in connection with a procurement transaction or prequalification application submitted pursuant to the prequalification process identified in the Special Provisions, shall not be subject to the Virginia Freedom of Information Act; however, the bidder, offeror, or contractor shall (i) invoke the protections of this section prior to or upon submission of the data or other materials, (ii) identify the data or other materials to be protected, and (iii) state the reasons why protection is necessary. Any offeror shall not identify as trade secret or proprietary information their entire completed proposal.

d. Nothing contained in this section shall be construed to require IDA, when procuring by "competitive negotiation" (Request for Proposal), to furnish a statement of the reasons why a particular proposal was not deemed to be the most advantageous to IDA.

24. Applicable Law and Courts: The contract shall be governed in all respects by the laws of the Commonwealth of Virginia, and exclusive jurisdiction for the resolution of any dispute arising out of this contract shall be in the Circuit Court of Wise County, Virginia.

25. General Terms and Conditions stated herein are controlling, and any variance or inconsistency with terms elsewhere shall be resolved in favor of these General Terms and Conditions.

Signature Page (Complete and return with Proposal)

COMPANY NAME:

MAILING ADDRESS:

EMAIL ADDRESS:

TELEPHONE #: (____)_____________________ FAX # (____)_____________________

MOBILE # (____)_____________________

VA Contractor’s License # ___________________ Expiration Date: _____________ Attach Copy (if applicable)

PRINTED NAME AND TITLE OF

PERSON AUTHORIZED TO SIGN

FOR ENTITY: _____________________________________________

SIGNATURE: _____________________________________________

By signing this form, bidder or offeror certifies, acknowledges, understands, and agrees to be bound by the conditions set forth in this RFP and the General Terms, Conditions, and Instructions to Bidders/Offerors herein.

**********TO BE COMPLETED ONLY IF AN ADDENDUM IS ISSUED**********

ADDENDUM # ________ DATE issued:

ADDENDUM # ________ DATE issued:

Please return this page.

It is the intention of IDA to comply fully with relevant federal and state laws, orders, and regulations and to promote the interest of the Virginia Department of Small Business and Supplier Diversity and like agencies. The procurement practices of IDA are non-discriminatory and promote equality of opportunity for all qualified businesses.

PLEASE INDICATE THE FOLLOWING INFORMATION RELEVANT TO YOUR FIRM, IF ANY:

DESIGNATIONS: (Please refer to the definitions provided by the Virginia Department of Small Business and Supplier Diversity.)

• Micro Business [ ] Yes [ ] No

• Small Business [ ] Yes [ ] No

• Woman-Owned Business [ ] Yes [ ] No

• Minority Business [ ] Yes [ ] No

• Service-Disabled Veteran [ ] Yes [ ] No

The above information is being requested for statistical purposes only.

CONTACT FOR ADMINISTRATION

Name: _________________________________________________________________

Office Address: _________________________________________________________________

Office Phone Number: _________________________________________________________________

VENDOR ELIGIBILITY CERTIFICATION

This is to certify that this person/firm/corporation has neither been barred from bidding on contracts by any agency of the Commonwealth of Virginia, nor is this person/firm/corporation a part of any firm/corporation that has been barred from bidding on contracts by any agency of the Commonwealth of Virginia.

Name of Official

PROOF OF AUTHORITY TO TRANSACT BUSINESS IN VIRGINIA

THIS FORM MUST BE SUBMITTED WITH YOUR PROPOSAL/BID. FAILURE TO INCLUDE THIS FORM MAY

RESULT IN REJECTION OF YOUR PROPOSAL/BID.

Pursuant to Virginia Code §2.2-4311.2, an Offeror/Bidder organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 of the Code of Virginia shall include in its proposal/bid the identification number issued to it by the State Corporation Commission (“SCC”). Any Offeror/ Bidder that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 of the Code of Virginia or as otherwise required by law shall include in its proposal/bid a statement describing why the Offeror/ Bidder is not required to be so authorized. Any Offeror/ Bidder described herein that fails to provide the required information shall not receive an award unless a waiver of this requirement and the administrative policies and procedures established to implement this section is granted by the Wise County IDA as applicable.

If this quote for goods or services is accepted by Wise County IDA, the undersigned agrees that the requirements of the Code of Virginia Section 2.2-4311.2 have been met.

Please complete the following by checking the appropriate line that applies and providing the requested information.

A._____ Offeror/ Bidder is a Virginia business entity organized and authorized to transact business in Virginia by the SCC and such vendor’s Identification Number issued to it by the SCC is

B._____ Offeror/ Bidder is an out-of-state (foreign) business entity that is authorized to transact business in Virginia by the SCC and such vendor’s Identification Number issued to it by the SCC is

C._____ Offeror/ Bidder does not have an Identification Number issued to it by the SCC and such vendor is not required to be authorized to transact business in Virginia by the SCC for the following reason(s):

Please attach additional sheets if you need to explain why such Offeror/ Bidder is not required to be authorized to transact business in Virginia.

Legal Name of Company (as listed on W-9)

Legal Name of Offeror/ Bidder

Date

Authorized Signature

Print or Type Name and Title