9-J-14-C-48 C-104 C-105-revised.pdf

PDF 227 KB Posted

Attached to
Beauregard Street Shared Use Path, City of Alexandria
Solicitation number
2014
Issued by
Alexandria City, Virginia

About this file

This is a Subcontractor/Supplier Solicitation and Utilization, and Vendor Survey Form (Form C-48) issued by the Commonwealth of Virginia Department of Transportation for the Beauregard Street Shared Use Path project in the City of Alexandria, Virginia. The form is mandatory for all prime contractors submitting bids on this project and requires vendors to provide detailed information regarding their solicitation efforts and utilization of subcontractors and suppliers. Prime contractors must complete the form by identifying all subcontractors and suppliers contacted for project participation, noting whether each firm was ultimately utilized, and providing direct contact information for all named firms. Additionally, prime contractors are required to submit a completed vendor survey for themselves and for each subcontractor or supplier who submitted a bid or quote, ensuring comprehensive documentation of the bidding team composition.

The vendor survey section collects critical business information including each vendor's full legal name, vendor identification number, business address, years in operation, and annual gross receipts categorized into ranges from $0-25 million up to more than $75 million. All vendors completing the form must certify under penalty of law that the information provided is accurate and complete to the best of their knowledge. Federal law mandates this documentation from all vendors submitting bids or offers as prime contractors, and bidders must sign each page of the form, including any additional sheets required to list all subcontractors and suppliers contacted during the bidding process.

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Text version

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

Form C-48 Rev. 10-03-25

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION,

AND VENDOR SURVEY FORM (ALL VENDORS)

PROJECT

NO.

CONTRACT I.D.

NO.

FHWA NO. DATE SUBMITTED

All vendors submitting a bid as a Prime Contractor shall complete and submit with their bids the following information as requested for (1) Subcontractor/Supplier Solicitation, and Utilization, and (2) for Vendor Survey.

The vendor certifies this form accurately represents its solicitation and utilization or non-utilization, as indicated, of the firms listed below for performance of work on this contract. The vendor also certifies he/she has had direct contact with the named firms regarding participation on this project.

Vendor Signature:

Vendor ID No. Title:

Vendor’s Address: ____________________________________

City: __________________

State: __________________ Zip Code: _________

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION (ALL)

VENDOR

NUMBER

NAME OF SUBCONTRACTOR/SUPPLIER TELEPHONE

NUMBER

UTILIZED

(Y/N)

NOTE: ATTACH ADDITIONAL PAGES, IF NECESSARY.

BIDDER MUST SIGN EACH ADDITIONAL SHEET TO CERTIFY ITS CONTENT AND COMPLETION OF FORM.

FEDERAL LAW REQUIRES ALL VENDORS SUBMITTING BIDS OR OFFERS PROVIDE THE INFORMATION

REQUESTED IN THIS FORM.

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

Form C-48 Rev. 10-03-25

VENDOR SURVEY

WHEN SUBMITTING A BID OR OFFER AS A PRIME CONTRACTOR, THE BIDDER MUST SUBMIT A

VENDOR SURVEY FOR THEMSELVES AND A VENDOR SURVEY FOR EACH SUBCONTRACTOR

AND SUPPLIER WHO SUBMITTED A BID OR QUOTE TO THE BIDDER.

VENDOR’S FULL LEGAL NAME: ________________________________________

VENDOR ID NO.: __________________

ADDRESS: ____________________________________

CITY: ____________________________________

STATE: _______________ ZIP CODE: _________

VENDOR’S YEARS IN BUSINESS: _____________

VENDOR’S ANNUAL GROSS RECEIPTS: ____ $ 0 - 25 million ____ $ 25 - 50 million ____ $ 50 - 75 million ____ More than $75 million

THE UNDERSIGNED, ON BEHALF OF VENDOR IDENTIFIED ABOVE, ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY STATES THE INFORMATION CONTAINED HEREIN TO THE BEST OF VENDOR’S

KNOWLEDGE.

Printed Full Legal Name of Person Signing for Vendor

Signature: ____________________________________________

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