838996wasteCumber.pdf
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- Attached to
- Cumberland County Refuse Hauling Services
- Solicitation number
- 08-14-2026 REFUSE
- Issued by
- Clarke County, Virginia
About this file
This Request for Proposals (RFP) is issued by Cumberland County, Virginia for refuse hauling and disposal services across three transfer station sites. The county is soliciting qualified contractors to provide hauling, disposal of refuse, processing of recyclable materials, and all necessary equipment for the Madison, Hamilton, and Randolph transfer stations. Equipment requirements include multiple compactors, open-top containers of varying capacities (30 and 40-cubic-yard), tire storage containers, and cardboard containers at each location. The county anticipates an annual waste volume not exceeding 8,000 tons across all three facilities, with approximately 50 to 60 percent of waste collected at the Madison site. The RFP was issued on August 14, 2026, with proposals due September 11, 2026 by 2:00 p.m. EST. A pre-proposal meeting is scheduled for August 26, 2026 at 2:00 p.m. in the Cumberland County Administration basement conference room. The contract will be awarded for an initial 24-month period, continuing on a month-to-month basis thereafter, not to exceed a total of 48 months. During the month-to-month extension period, the county retains the right to terminate the contract without cause with 30 days' notice.
Proposals shall include a detailed fee schedule with a not-to-exceed inflationary adjustment factor to allow the county to calculate future maintenance costs. All prices must be quoted F.O.B. Cumberland County, Virginia. The contractor is responsible for installation of compactors at no charge, with the county providing electrical power to a fused disconnect box within 15 feet of equipment locations. Contractors must maintain comprehensive insurance coverage including workers' compensation, employer's liability of $1,000,000, commercial general liability of $1,000,000 combined single limit, automobile liability of $1,000,000 combined single limit, miscellaneous error and omissions of $1,000,000 per occurrence, and umbrella/excess liability of $5,000,000. Evaluation criteria include relevant experience with similar projects, qualifications of key team members, references from comparable projects, price, methodology to perform services, and proposed contract terms. Offerors must submit one original and three copies of proposals, each containing original signatures, along with completed State Corporation Commission forms, insurance requirement documentation, certificates of insurance, and minimum six references demonstrating comparable service experience.
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Cumberland RFP REFUSE 1 of 14
REQUEST FOR PROPOSALS
Title: Cumberland County Refuse Hauling Services
Issue Date: August 14, 2026
Due Date: September 11, 2026 by 2:00 pm (EST)
By Mail: Cumberland County In Person: Administrator’s Office
Attn: Jennifer Crews 1 Courthouse Circle
P.O. Box 110 County Administration
Cumberland, VA. 23040 Cumberland, VA 23040
Pre-proposal Meeting: A pre-proposal meeting to be held in the Cumberland County Administration Basement
Conference room on August 26, 2026 at 2:00 pm.
Inquiries: Questions related to this project should be directed to:
Jennifer Crews, Assistant County Administrator 804-492-3563 jcrews@cumberlandcounty.virginia.gov
Note: This public body does not discriminate against faith-based organizations in accordance with the
Code of Virginia, § 2.2-4343.1 or against an offeror because of race, religion, color, sex, national origin, age, disability, family status or any other basis prohibited by state or federal law relating to discrimination in employment.
In compliance with this Request for Proposal (RFP) and all conditions imposed in this RFP, the undersigned firm hereby offers and agrees to furnish all goods and services in accordance with the attached signed proposal or as mutually agreed upon by subsequent negotiation, and the undersigned firm hereby certifies that all information provided below, and in any schedule attached hereto, is true, correct, and complete.
SHIPPING TERMS: ALL PRICES QUOTED F.O.B CUMBERLAND COUNTY, VIRGINIA.
Name and Address of Company: Signature: ____________________________________
____________________________________ Name (Printed):________________________________
____________________________________ Title: _______________________________________
____________________________________ Phone Number:____________ Fax Number__________
____________________________________ Email:________________________________________
FEI/FIN#__________________________
mailto:dunmussig@cumberlandcounty.virginia.gov
Cumberland RFP REFUSE 2 of 14
CUMBERLAND COUNTY
REQUEST FOR PROPOSAL #08-14-2026-REFUSE
CUMBERLAND COUNTY REFUSE HAULING SERVICES
I. PURPOSE
The County of Cumberland is soliciting proposals from qualified contractors for hauling and disposal of refuse, processing of all recyclable material and providing all necessary equipment for three refuse transfer station sites.
II. BACKGROUND
Cumberland County is located in central Virginia, approximately one hour outside of the capital of
Richmond. The county has around 10,052 residents and has three (3) transfer stations positioned through
Cumberland.
III. SCOPE OF WORK
Contractors are to provide proposal prices for:
Contractors are to provide all containers, hauling, and disposal from three (3) transfer station sites as follows:
• Madison Station:
o Two (2) compactors for household trash o Four (4) open top 40 yard containers with approximately six (6) additional in staging.
o One (1) open top 30 yard container for tires with approximately five (5) additional in staging.
o Two (2) open top 30 yard container for recycled items o One (1) 30 yard card board container
The contractor would provide the installation of these compactors with the County providing power to a fused, electrical disconnect box within 15 feet of the locations of the power units for the compactors.
• Randolph Station:
o Two (2) compactors for household trash o Two (2) open top 30 yard containers with approximately five (5) additional in staging.
o One (1) open top 30 yard container for tires o Two (2) open top 30 yard container for recycled items o One (1) 30 yard card board container
Installation provided by contractor free-of-charge with the same prerequisites as set forth above for
Madison Transfer Station.
• Hamilton Station:
o Two (2) compactors for household trash o Two (2) open top 30 yard containers with approximately five (5) additional in staging.
o One (1) open top 30 yard container for tires o Two (2) open top 30 yard container for recycled items o One (1) 30 yard card board container
Installation provided by contractor free-of-charge with the same prerequisites as set forth above for
Madison and Randolph Transfer Stations.
Cumberland RFP REFUSE 3 of 14
• The above stated equipment requirements at the County facilities should be construed as the minimum requirement, but the Contractor is encouraged to submit a proposal that reflects any current best practices in use that will demonstrate efficiency and cost control for the Contractor and the County’s operations.
• Collected refuse, other than containers specifically used for recyclables, will be taken to a material recovery facility (MRF) where material may be sorted to reclaim maximum quantities of recyclables.
• 30 & 40-cubic-yard open-top roll-off containers are to be provided for construction and demolition debris
(C & D). Residents can also place bulky waste in these (i.e. furniture, mattresses, etc.). The contractor will accept all the material collected in these cans.
• Contractor will provide a tire storage container at each transfer station to accumulate tires. Recycling and stacking of collected tires in provided container will be the responsibility of contractor.
• Provide for removal of waste and replacement with empty containers on a schedule sufficient to allow the
County to provide a full range of service during all regular hours of operation at the Madison, Hamilton and
Randolph refuse transfer stations. Contractor shall be given necessary access to transfer stations for pick-up of refuse after regular hours of operation.
• Contractor is responsible for all clean up around open tops behind the wall and in the staging areas of the transfer stations.
• All Containers are to be placed in the designated staging areas of the transfer stations.
• Bins and/or containers may be requested on a one-time basis from time-to-time at an additional charge.
• Contractor will provide monthly reports to the County to support the data requirements for the County
Solid Waste Management Plan.
ADDITIONAL INFORMATION
Applicants should assume that the total annual waste will not exceed 8,000 tons at the Madison, Hamilton and Randolph transfer stations combined with approximately 50 - 60% of this waste collected at the
Madison site.
Current Hours of operation: (subject to change, including an increase in hours)
Madison Transfer Station
Monday – Sunday (7 days a week) 8:00 am – 5:00 pm
Hamilton & Randolph Transfer Stations
Monday, Wednesday, Friday, Saturday 8:00 am – 5:00 pm
Sunday, Thursday 1:00 pm – 5:00 pm
Closed on Tuesday
IV. PROVIDED
The details of this proposal shall include information on all of the following items. Additionally, each prospective firm may submit other information as deemed appropriate for the proper evaluation of his or her proposal. The proposal shall include:
Cumberland RFP REFUSE 4 of 14
1. An informative narrative introducing your firm, including a statement of qualifications for all individuals responsible for providing service under this contract. Summary resumes of all full time employees dedicated to technical services (to include any required certifications) are mandatory
2. Proposals shall be for a 2-year contract period, to continue after the initial 24 month period on a month-by-month basis, not to exceed a total of 48 months for the entire contract period. During the month-by-month period the contract can be terminated without cause at the convenience of the
County with thirty (30) days prior notice. The firm may never cancel the contract for any reason other than non-payment by Cumberland County. The contract must include a detailed fee schedule with a not to exceed inflationary adjustment factor so Cumberland can calculate future maintenance costs for an indefinite time.
3. All work must be done in accordance with current and applicable standards published by international, national, state and local standards organizations.
4. Applicant will maintain working conditions that are safe, non-hazardous, sanitary, and protective of persons and property.
IV. PROPOSAL SUBMISSION GUIDELINES
A. Proposals MUST contain the following information, in the order listed:
1. Cover page of this RFP, which contains:
i. Requested contact information.
ii. Original signature of an agent authorized to bind the company.
iii. Company FEI/FIN number
2. Completed SCC required form (Attachment A).
3. Insurance Requirement Form (Attachment B).
4. Certificate of Insurance Form (Attachment C).
5. Signed acknowledgement of each addendum generated during the open period of this solicitation.
Each addendum will be available for download from the County website.
6. Completed References: A minimum of Six (6) references for which Offeror has completed services comparable to those described in this RFP. For each reference, detail:
a) Name of firm;
b) Address of firm;
c) Name, title, address, e-mail address, and phone and facsimile numbers of a contact for the firm;
d) Number of years Offeror has served the firm; and
e) Brief summary of scope of services provided.
B. All proposals should include a detailed outline of work to be done.
C. An authorized representative of the Offeror shall sign the proposal. Offerors shall submit all information requested; failure to submit all information requested may result in the Owner requiring prompt submission of the missing information and/or giving lowered evaluation of the proposal.
Proposals which are substantially incomplete or lacking information may be rejected by the Owner in its sole discretion. Mandatory requirements are those required by law or regulation or are such that they cannot be waived and are not subject to negotiation.
D. Proprietary Information--Ownership of all data, materials, and documentation originated and prepared for Cumberland County pursuant to the RFP shall belong exclusively to Cumberland County and be subject to public inspection in accordance with the Virginia Freedom of Information Act. Trade secrets or proprietary information submitted by an offeror shall not be subject to public disclosure under the
Virginia Freedom of Information Act; however, the offeror must invoke the protections of § 2.2-4342F of the Code of Virginia, in writing, either before or at the time the data or other material is submitted.
The written notice must specifically identify the data or materials to be protected and state the reasons why protection is necessary. The proprietary or trade secret material submitted must be identified by some distinct method such as highlighting or underlining and must indicate only the specific words, Cumberland RFP REFUSE 5 of 14 figures, or paragraphs that constitute trade secret or proprietary information. The classification of an entire proposal document, line item prices, and/or total proposal prices as proprietary or trade secrets is not acceptable and will result in rejection of the proposal.
E. Offeror must submit one (1) original and three (3) copies of each proposal to Cumberland
County. Each copy must contain an original signature. All pages of the RFP should be numbered.
No other distribution of the proposal shall be made by the Offeror.
F. Offeror must also submit a copy of the RFP, any addenda, attachments and other documentation in an electronic format which must be Microsoft Windows compatible.
G. Submit Proposals in a sealed envelope or package. Clearly label the shipping/mailing packaging as well as the outside of your sealed envelope or package with the proposal item number, closing date and time, and your firm’s name and address. Proposals received by telephone, telegraph, facsimile, or any other means of electronic transfer shall not be accepted. Proposals will be received on or before September 11, 2026 at 2:00 p.m. to Jennifer Crews at County Administration unless otherwise modified by subsequent Addenda.
H. Awards made in response to this RFP will be made to the highest qualified offeror whose proposal is determined, in writing, to be the most advantageous to the Owner taking into consideration the evaluation factors set forth in this RFP. The Owner reserves the right to reject any or all proposals and to waive any informality in proposals received whenever such rejection or waiver is in the best interest of the Owner. Award may be made to as many offerors as deemed necessary to fulfill the anticipated requirements of the Owner.
The official time used for the receipt of responses is determined by reference to the clock designated by the Administration department. The Administration department shall determine when the Proposal
Receipt Deadline has arrived and shall announce that the deadline has arrived and that no further proposals or proposal modifications will be accepted.
Cumberland County reserves the right to reject any or all proposals, to waive or not waive informalities or irregularities, and select the firm whose qualifications, experience, and proposed services are, in the sole judgment of the County, determined to be in the County’s best interest.
Cumberland County is an Equal Opportunity Employer and will not discriminate on the basis of race, creed, color, sex, national origin, age, handicap, or familial status.
V. CLARIFICATION OF TERMS
Please direct any questions or requests for documents to Jennifer Crews at jcrews@cumberlandcounty.virginia.gov or by phone 804-492-3563. Deadline to contact Jennifer Crews for concerns, questions or requests is September 2, 2026 at 4:30 p.m. All questions or requests for information should be submitted on a Request for Information so that all offerors may benefit from the same information.
VI. INSURANCE
By signing and submitting a proposal under this solicitation, the Offeror certifies that if awarded the contract, it will have the insurance coverage set forth below at the time the contract is awarded. The Offeror further certifies that the contractor and any subcontractors will maintain these insurance coverages during the entire term of the contract and that all insurance coverage will be provided by insurance companies authorized to sell insurance in Virginia by the Virginia State Corporation Commission. Offeror must submit to Cumberland County Administration Department certificates of insurance prior to beginning of work. It is the responsibility of the contractor to immediately notify Cumberland County should any policy mailto:jcrews@cumberlandcounty.virginia.gov
Cumberland RFP REFUSE 6 of 14 be cancelled or changed. Failure to notify Cumberland County shall constitute a material breach of contract.
A. Minimum Insurance Coverages and Limits Required:
1. Workers’ Compensation - Statutory requirements and benefits.
2. Employer’s Liability - $1,000,000
3. Commercial General Liability: $1,000,000 combined single limit.
4. Automobile Liability - $1,000,000 combined single limit.
5. Miscellaneous Error and Omissions $1,000,000 per occurrence
6. Umbrella/Excess Liability - $5,000,000
VII. RECEIPT AND OPENING OF PROPOSALS
A) It is the responsibility of the Offeror to assure that the proposal is delivered to the place designated for receipt of proposal and prior to the time set for receipt of proposals. Proposals received after the time designated for receipt of proposals will not be considered.
B) Proposals will be opened September 11, 2026 at 2:15 p.m. in the Cumberland County Administration
Building basement Conference Room and their contents made public for the information of those submitting proposals and others interested who may be present either in person or by representative. The officer or agent of the owner, whose duty it is to open them, will decide when the specified time has arrived. No responsibility will be attached to any officer or agent for the premature opening of a proposal not properly addressed and identified.
C) The provisions of § 2.2-4342 of the Code of Virginia, as amended, shall be applicable to the inspection of proposals received.
VIII. EVALUATION OF CRITERIA
Evaluation Criteria: Proposals shall be evaluated by the Agency using the following criteria once responsiveness to submission guidelines has been met:
1. Relevant experience with similar projects
2. Qualifications and experience of key contract team members who are actively involved throughout the entire contract.
3. References from other similar projects.
4. Price
5. Specific plan and/or methodology to be used to perform the services.
6. Contract duration and terms proposed.
IX. ANNOUNCEMENT OF AWARD
Upon the award or the announcement of the decision to award the contracts as a
Result of this solicitation, Cumberland County will publicly post for inspection in the County
Administration office and on the Cumberland County website at https://www.cumberlandcounty.virginia.gov/bids-proposals.
X. AWARD
After evaluation of the Proposals received in response to the RFP, Cumberland County shall engage in individual discussions and interviews with proposers deemed fully qualified, responsible and suitable on the basis of initial responses, and with professional competence to provide the required services. Repetitive informal interviews are permitted. Proposers shall be encouraged to elaborate on their qualifications, performance data, and staff expertise relevant to the proposed contract. Proposers may also propose alternate concepts or methodology. At the conclusion of the informal interviews and on the basis of the information provided and developed in the selection process to this point, the Cumberland County shall rank, in the order of preference, the interviewed proposers whose professional qualifications and proposed services are deemed most meritorious. Price shall be considered, but need not be the sole determining factor. After negotiations have been conducted with each offeror so selected, the Cumberland County https://www.cumberlandcounty.virginia.gov/bids-proposals
Cumberland RFP REFUSE 7 of 14
Board of Supervisors may decide which, in its opinion, has made the best proposals, and shall award the contracts to those offerors. Cumberland County may cancel this Request for Proposals or reject proposals at any time prior to an award, and is not required to furnish a statement of the reasons why a particular proposal was not deemed to be the most advantageous (Code of Virginia, § 2.2-4359D). The award document will be a contract incorporating by reference all the requirements, terms and conditions of the solicitation and the contractor’s proposal as negotiated.
XI. PREPROPOSAL CONFERENCE
A pre-proposal meeting to be held in the Cumberland County Administration Basement Conference room on August 26, 2026 at 2:00 p.m.
XII. GENERAL TERMS AND CONDITIONS
A. APPLICABLE LAWS AND COURTS
This solicitation and any resulting contract shall be governed in all respects by the laws of the
Commonwealth of Virginia, and any litigation with respect thereto shall be brought in the courts of
Cumberland County. Cumberland County and the contractor are encouraged to resolve any issues in controversy arising from the award of the contract or any contractual dispute using Alternative Dispute
Resolution (ADR) procedures (Code of Virginia, § 2.2-4366). ADR procedures are described in
Chapter 9 of the Vendors Manual. The contractor shall comply with all applicable federal, state and local laws, rules and regulations.
B. ANTI-DISCRIMINATION
1. During the performance of this contract, the contractor agrees as follows:
a) The contractor will not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, disability, family status or any other basis prohibited by state or federal 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 these requirements.
2. The contractor will include the provisions of paragraph 1 above in every subcontract or purchase order over $10,000 so that the provisions will be binding upon each subcontractor or vendor.
C. ETHICS IN PUBLIC CONTRACTING
By submitting their proposals, offerors certify that their proposals are made without collusion or fraud and that they have not offered or received any kickbacks or inducements from any other offeror, supplier, manufacturer or subcontractor in connection with their proposal, and that they have not conferred on any public employee having official responsibility for this procurement transaction 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.
D. IMMIGRATION REFORM AND CONTROL ACT OF 1986
By entering into a written contract with Cumberland County, the Contractor certifies that the
Contractor does not, and shall not during the performance of the contract for goods and services in
Cumberland County, knowingly employ an unauthorized alien as defined in the federal Immigration
Reform and Control Act of 1986.
E. DEBARMENT STATUS
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By submitting their proposals, offerors certify that they are not currently debarred by the
Commonwealth of Virginia from submitting proposals on contracts for the type of goods and/or services covered by this solicitation, nor are they an agent of any person or entity that is currently so debarred.
F. ANTITRUST
By entering into a contract, the contractor conveys, sells, assigns, and transfers to Cumberland County all rights, title and interest in and to all causes of action it may now have or hereafter acquire under the antitrust laws of the United States and the Commonwealth of Virginia, relating to the particular goods or services purchased or acquired by Cumberland County under said contract.
G. AUTHORIZATION TO CONDUCT BUSINESS IN THE COMMONWEALTH
A contractor organized as a stock or nonstock corporation, limited liability company, business trust, or limited partnership or registered as a registered limited liability partnership shall be authorized to transact business in the Commonwealth as a domestic or foreign business entity if so required by Title
13.1 or Title 50 of the Code of Virginia or as otherwise required by law. Any business entity described above that enters into a contract with a public body pursuant to the Virginia Public Procurement Act shall not allow its existence to lapse or its certificate of authority or registration to transact business in the Commonwealth, if so required under Title 13.1 or Title 50, to be revoked or cancelled at any time during the term of the contract. A public body may void any contract with a business entity if the business entity fails to remain in compliance with the provisions of this section.
H. PROHIBITION OF ALCOHOL AND OTHER DRUGS
§2.2-4312 of the Code of Virginia shall be applicable. It provides as follows:
“During the performance of this contract, the contractor agrees 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 or marijuana 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 of the contractor that the contractor maintains a drug-free workplace; and (iv) include the provisions of the foregoing clauses in every subcontract or purchase order 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 connection with a specific contract awarded to a contractor in accordance with this chapter, 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.”
(b) The Contractor shall also establish, maintain and enforce policies, which prohibit the following acts by all Contractor, Subcontractor and Supplier personnel at the Site:
(1) The manufacture, distribution, dispensation, possession, or use of alcohol, marijuana or other drugs, except possession and medically prescribed use of prescription drugs; and
(2) The impairment of judgment or physical abilities due to the use of alcohol, marijuana or other drugs, including impairment from prescription drugs.
XIII. SPECIAL TERMS AND CONDITIONS
A. AGENCY’S RIGHT TO ISSUE RFP’S AND PROJECT ORDERS
The Owner reserves the right, at its sole discretion, to issue RFPs for similar work, for other disciplines or types of work, and for other projects as the need may occur. The contractor may have only one
Maintenance Program term contract in effect with an agency or its subsidiaries or branches at any time.
The Owner also reserves the right to issue project orders to other contractors under term contracts at its sole discretion, based on its evaluation of each Contractors expertise, current workload, capabilities, performance record, location or distance to the project, and other factors as may be pertinent to the particular project. The Owner also reserves the right under the provisions of this Contract to issue a
Cumberland RFP REFUSE 9 of 14 project order to the contractor to provide services of a similar type or discipline covered by this RFP to a subsidiary, branch or state agency in the same geographic area.
B. Cumberland County reserves the right to require background checks on all employees involved in the project due to compactor location on public school property.
C. AUDIT
The contractor shall retain all books, records, and other documents relative to this contract for five (5) years after final payment.
D. PAYMENT
Invoices for each individual project shall be submitted by the contractor to the Cumberland County
Finance Department and shall be paid in accordance with state and federal law. All invoices shall be in strict accordance with the terms of any contract awarded in response to this Request for Proposals. The fees for the services on each project shall be negotiated individually on a lump sum basis considering the scope of services required, the estimated man-hours required for each skill level/discipline, and the labor rates agreed up on listed in the contract. The compensation shall be determined by the certified record of man-hours expended by classification, skill level and discipline, and the hourly rates for each as listed in the contract. The contract prepared will document the negotiated acceptable labor rates for the various classifications, skill levels and disciplines. These rates will be used by the County for arriving at a lump sum fee total. If a project is to be performed on a lump sum basis, the County shall determine a lump sum based on the scope of service required, the estimated man-hours required for each classification, skill level and discipline, and the labor rates agreed upon during the contract negotiations.
E. WITHDRAWAL OR MODIFICATION OF PROPOSALS
Proposals may be withdrawn or modified by written notice received from offerors prior to the deadline fixed for proposal receipt. The withdrawal or modification may be made by the person signing the proposal or by an individual(s) who is authorized by him/her on the face of the proposal. Written modifications may be made on the proposal form itself, on the envelope in which the proposal is enclosed, or on a separate document. Written modifications, whether the original is delivered, or transmitted by facsimile, must be signed by the person making the modification or withdrawal.
F. PROPOSAL BINDING
Offeror must agree that this proposal be binding and may not be withdrawn for a period of ninety (90) days after the scheduled closing date of this RFP.
G. ATTACHMENTS
a) State Corporation Commission Form
b) Insurance Requirement Form (Insurance Declaration page)
c) Certificate of Insurance
d) Request for Information Form
Cumberland RFP REFUSE 10 of 14
Attachment A
STATE CORPORATION COMMISSION FORM
Virginia State Corporation Commission (SCC) registration information. The offeror:
[ ] 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 here 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).
Cumberland RFP REFUSE 11 of 14
Attachment B
INSURANCE REQUIREMENT FORM
Insurance: The contractor shall maintain adequate liability insurance, which shall protect and save harmless the
County of Cumberland, Virginia, and its officials from all suits and actions of every kind and description arising from injury or damage to persons and property in the prosecution of said work or in failure to properly safeguard same, and from all claims arising under the workmen’s compensation laws. The contractor shall furnish proof of insurance prior to commencement of services. Separate forms, which name the County as additional insured and as alternate employer, must be included with the Certificate of Insurance.
The Commonwealth of Virginia requires construction contractors and subcontractors to obtain and maintain workers’ compensation insurance while performing work on behalf of the County. Evidence of coverage needs to be provided prior to commencement of work.
Contractor shall have ten (10) days from notice of intent to award to provide insurance documentation. Failure to and forms within this period may be cause for the County to award a contract to the next responsive bidder, and hold the original contractor liable for excess costs.
Type of Insurance Coverage & Limits
1. Workers’ Compensation - Statutory requirements and benefits.
2. Employer’s Liability - $1,000,000
3. Commercial General Liability: $1,000,000 combined single limit.
4. Automobile Liability - $1,000,000 combined single limit.
5. Miscellaneous Error and Omissions $1,000,000 per occurrence
6. Umbrella/Excess Liability - $5,000,000
Return Insurance Declaration page as Attachment B with proposal.
Cumberland RFP REFUSE 12 of 14
Attachment C
CERTIFICATE OF INSURANCE
Project:
Location: County of Cumberland
Owner: County of Cumberland
1 Courthouse Circle
Cumberland, VA 23040
Contractor (Insured):___________________________________________________________________
Address:_____________________________________________________________________________
The undersigned hereby certifies that the following policies, subject to their terms, conditions and exclusions have been issued by the named companies to the above insured and are presently in full force and effect:
A. WORKMEN’S COMPENSATION:
Policy No.___________________________ Expiration Date:____________________________
Insurance Co._________________________Address:__________________________________
Coverage: Statutory Workmen’s Compensation. Employers liability limit $__________ each accident.
B. COMPREHENSIVE GENERAL LIABILITY & PROPERTY DAMAGE:
Policy No.___________________________ Expiration Date:_____________________________
Insurance Co. ________________________ Address: ___________________________________
LIMITS:
Bodily Injury. Including Personal Injury
$_______________ Each person property damage / $ _____________ Each occurrence
$_______________ Each Occurrence / $ ______________ Aggregate
$_______________ Aggregate Other_________________________________________________
C. COMPREHENSIVE AUTOMOBILE LIABILITY & PROPERTY DAMAGE
Policy No.___________________________ Expiration Date:____________________________
Insurance Co._________________________Address:___________________________________
LIMITS:
Bodily Injury $_______________ Each person property damage / $ _____________ Each occurrence
Other__________________________________________________________________________
COVERAGE PROVIDED – For operation of all owned, non-owned and hired vehicles.
Cumberland RFP REFUSE 13 of 14
Continued.
D. UMBRELLA EXCESS LIABILITY:
Policy No.___________________________ Expiration Date:_____________________________
Insurance Co._________________________Address:___________________________________
LIMITS: Single Limit Bodily Injury and Property Damage $____________________ Each Occurrence.
COVERAGE PROVIDED – Applies in excess of the coverage’s listed above for Employer’s Liability, Comprehensive General, Automotive and Property Damage Coverage.
The undersigned further certifies that in the event of cancellation or any material change in any of the above policies, thirty (30) days prior written notice of such cancellation or change shall be delivered by registered mail to the above Owner.
NAME OF AGENCY: ________________________________________________________________
Address____________________________________________________________________________
Date:_____________________________By:______________________________________________
Authorized Insurance Representative
(Signature Required)
Cumberland RFP REFUSE 14 of 14
Attachment D
REQUEST FOR INFORMATION
RFP# 08-14-2026-REFUSE Addendum:___________
Date: ______________
Company Name: _________________________________
Address: ________________________________________
Information Requested:
Response:
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