ADDENDUM 01 ARFQ DOT2700000014.PDF

Date Printed: Sep 16, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Highways

Proc Folder: 2036788 Reason for Modification:

Doc Description: ASPHALT CRACK SEALANT

District 5

ADDENDUM 01

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2026-09-16 2026-09-22 10:30 ARFQ 0803 DOT2700000014 2

BID RECEIVING LOCATION

PROCUREMENT DIVISION

DIVISION OF HIGHWAYS

BLDG 6 RM 340A

1900 KANAWHA BLVD E

CHARLESTON WV 25305

US

VENDOR

Vendor Customer Code:

Vendor Name :

Address :

Street :

City :

State : Country : Zip :

Principal Contact :

Vendor Contact Phone: Extension:

FOR INFORMATION CONTACT THE BUYER

James F Moffatt 304-414-0815 james.f.moffatt@wv.gov

Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation

Date Printed: Sep 16, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

ADDENDUM 01

ADDENDUM 01 IS ISSUED FOR THE FOLLOWING REASONS:

1. MODIFY SPECIFICATIONS OF PRODUCT OR SERVICE BEING SOUGHT.

2. TO ATTACH RESPONSES TO QUESTIONS FROM VENDORS

NO OTHER CHANGES

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

VARIOUS LOCATIONS AS

INDICATED BY ORDER

No City WV No City WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

1 FIBER ASPHALT SEALANT 540 OR

EQUIVALENT

2250.00000 LB

Comm Code Manufacturer Specification Model # 31201700

Extended Description:

AS PER SPECIFICATIONS

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

2 FIBER ASPHALT SEALANT 540 (FULL

TRUCK LOAD) OR EQUIVALENT

45000.00000 LB

Comm Code Manufacturer Specification Model # 31201700

Extended Description:

AS PER SPECIFICATIONS

Date Printed: Sep 16, 2026 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 3 Rent Machine to use Fiber ASPHALT

SEALANT 540 OR EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 22101627

Extended Description:

Rent Machine to use Fiber ASPHALT SEALANT 540

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

4 HP CONCRETE COLD PATCH OR

EQUIVALENT

56.00000 BAG

Comm Code Manufacturer Specification Model # 30111500

HP CONCRETE COLD PATCH

Date Printed: Sep 16, 2026 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

5 HP CONCRETE COLD PATCH (FULL

TRUCK LOAD) OR EQUIVALENT

896.00000 BAG

Comm Code Manufacturer Specification Model # 30111500

Extended Description:

HP CONCRETE COLD PATCH (FULL TRUCK LOAD)

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

6 MATRIX 501 MASTIC OR EQUIVALENT 2400.00000 LB

Comm Code Manufacturer Specification Model # 30121715

MATRIX 501 MASTIC

Date Printed: Sep 16, 2026 Page:5 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 7 MATRIX 501 MASTIC (Full Truck Load) OR

EQUIVALENT

45000.00000 LB

Comm Code Manufacturer Specification Model # 30121715

Extended Description:

MATRIX 501 MASTIC (Full Truck Load)

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 8 Rent Machine to use MATRIX 501 MASTIC

OR EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 22101627

Rent Machine to use MATRIX 501 MASTIC

Date Printed: Sep 16, 2026 Page:6 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

9 TECHCRETE - R OR EQUIVALENT 2700.00000 LB

Comm Code Manufacturer Specification Model # 31201700

Extended Description:

TECHCRETE - R

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price

10 TECHCRETE - R (FULL TRUCK LOAD) OR

EQUIVALENT

45000.00000 LB

Comm Code Manufacturer Specification Model # 31201700

TECHCRETE - R (FULL TRUCK LOAD)

Date Printed: Sep 16, 2026 Page:7 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 11 Rent Machine to use TECHCRETE - R OR

EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 22101627

Extended Description:

Rent Machine to use TECHCRETE - R

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 12 TechCrete Primer 5 Gal. Bucket OR

EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 31201700

TechCrete Primer 5 Gal. Bucket

Date Printed: Sep 16, 2026 Page:8 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 13 Detack 5 Gallon Bucket OR EQUIVALENT 1.00000 EA

Comm Code Manufacturer Specification Model # 31201700

Extended Description:

Detack 5 Gallon Bucket

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 14 RoadSaver 515 OR EQUIVALENT 2250.00000 LB

Comm Code Manufacturer Specification Model # 30111902

RoadSaver 515

Date Printed: Sep 16, 2026 Page:9 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 15 RoadSaver 515 (Full Truck Load) OR

EQUIVALENT

45000.00000 LB

Comm Code Manufacturer Specification Model # 30111902

Extended Description:

RoadSaver 515 (Full Truck Load)

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 16 Rent Machine to use RoadSaver 515 OR

EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 22101627

Rent Machine to use RoadSaver 515

Date Printed: Sep 16, 2026 Page:10 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 17 Mastic One OR EQUIVALENT 2400.00000 LB

Comm Code Manufacturer Specification Model # 31201700

Extended Description:

Mastic One

INVOICE TO SHIP TO

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 18 Mastic One (Full Truck Load) OR

EQUIVALENT

43200.00000 LB

Comm Code Manufacturer Specification Model # 31201700

Mastic One (Full Truck Load)

Date Printed: Sep 16, 2026 Page:11 FORM ID: WV-PRC-ARFQ-002 2020/05

ALL STATE AGENCIES STATE OF WEST VIRGINIA

VARIOUS LOCATIONS AS

INDICATED BY ORDER

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 19 Rent Machine to use Mastic One OR

EQUIVALENT

1.00000 EA

Comm Code Manufacturer Specification Model # 22101627

Extended Description:

Rent Machine to use Mastic One

SCHEDULE OF EVENTS

Line Event Event Date

1 TECHNICAL QUESTION DUE BY 10AM EST 2026-09-16

Revised 6/8/2012

SOLICITATION NUMBER: [Insert RFQ, RFP No.] Addendum Number: [Insert Number]

The purpose of this addendum is to modify the solicitation identified as [insert RFQ, RFP No.] (“Solicitation”) to reflect the change(s) identified and described below.

Applicable Addendum Category:

[ ] Modify bid opening date and time

[ ] Modify specifications of product or service being sought

[ ] Attachment of vendor questions and responses

[ ] Attachment of pre-bid sign-in sheet

[ ] Correction of error

[ ] Other

Description of Modification to Solicitation:

Additional Documentation: Documentation related to this Addendum (if any) has been included herewith as Attachment A and is specifically incorporated herein by reference.

Terms and Conditions:

1. All provisions of the Solicitation and other addenda not modified herein shall remain in full force and effect.

2. Vendor should acknowledge receipt of all addenda issued for this Solicitation by completing an Addendum Acknowledgment, a copy of which is included herewith.

Failure to acknowledge addenda may result in bid disqualification. The addendum acknowledgement should be submitted with the bid to expedite document processing.

Revised 6/8/2012

ATTACHMENT A

REQUEST FOR QUOTATION

Asphalt Crack Sealant Material

Revised 10/27/2014

SPECIFICATIONS

1. PURPOSE AND SCOPE: The West Virginia Purchasing Division is soliciting bids on behalf of West Virginia Division of Highways, District Five to establish an open-end contract for Fiber Asphalt Sealant 540, Machine to Melt Fiber Asphalt Sealant 540, HP Concrete Cold Patch, Matrix 501 Mastic, Machine to Melt Matrix 501 Mastic,

1. TechCrete-R, Machine to Melt TechCrete-R, TechCrete Primer, Detack, RoadSaver 515, Machine to Melt RoadSaver 515, Mastic One, and Machine to Melt Mastic One as needed. A single contract will be awarded to the vendor providing the lowest overall total bid for all requested items. Vendors must submit a bid for ALL items listed to be considered for an award.

2. DEFINITIONS: The terms listed below shall have the meanings assigned to them below. Additional definitions can be found in section 2 of the General Terms and Conditions.

2.1 “Contract Item” or “Contract Items” means the list of items identified in Section

3.1 below and on the Pricing Pages.

2.2 “Pricing Pages” means the schedule of prices, estimated order quantity, and totals contained in wvOASIS or attached hereto as Exhibit A, and used to evaluate the Solicitation responses.

2.3 “Solicitation” means the official notice of an opportunity to supply the State with goods or services that is published by the Purchasing Division.

2.4 “DOH” means Department of Highways.

2.5 “OSHA” means Occupational Safety and Health Administration.

2.6 “GHS” means Globally Harmonized System of Classification and Labeling of Chemicals.

2.7 “AASHTO” means American Association of State Highway and Transportation Officials.

2.8 “ASTM” means American Society for Testing and Materials.

Revised 10/27/2014

3. GENERAL REQUIREMENTS:

3.1 Contract Items and Mandatory Requirements: Vendor shall provide Agency with the Contract Items listed below on an open-end and continuing basis. Contract Items must meet or exceed the mandatory requirements as shown below.

3.1.1 Contract Item # 1 -Fiber Asphalt Sealant 540 Or Equivalent

3.1.1.1 Contract Item # 1 Must meet the requirements of the standards listed below:

● ASTM D5329 ● ASTM D113 ● ASTM D5167 ● ASTM

D6690 ● ASTM D36 ● ASTM D4402

3.1.1.2 Contract Item # 1 Must be both resistant to cracking in colder weather conditions and resistant to pick-up by vehicle tires in warmer weather conditions.

3.1.1.3 Contract Item # 1 Fiber must have a minimum melt temperature of 475°F and a minimum tensile strength of 70,000 PSI.

3.1.1.4 Contract Item # 1 Fiber in asphalt sealant must be a minimum of 25% by weight of polyester fibers.

3.1.1.5 Contract Item # 1 Vendor must allow DOH the opportunity to mix two different sealants on a full truckload order.

3.1.1.6 Contract Item # 1 The packaging needs to be labeled in accordance with OSHA, GHS and specification requirements.

3.1.1.7 Contract Item # 1 Must be available for delivery.

3.1.2 Contract Item # 2 Machine to Melt Fiber Asphalt Sealant 540 Or Equivalent

3.1.2.1 Contract Item # 2 Must be available for delivery Must come with all application tools.

Revised 10/27/2014

3.1.2.2 Contract Item # 2 Must be available for delivery.

3.1.3 Contract Item # 3 HP Concrete Cold Patch or Equivalent

3.1.3.1 Contract Item # 3 Must be both resistant to cracking in colder weather conditions and resistant to pick-up by vehicle tires in warmer weather conditions

3.1.3.2 Contract Item # 3 Product must have a workability of 30°F to 100°F.

3.1.3.3 Contract Item # 3 Vendor must allow DOH the opportunity to mix two different cold patches on a full truckload order.

3.1.3.4 Contract Item # 3 HP Concrete Cold Patch materials should be no mixing, heating or special installation equipment required.

3.1.3.5 Contract Item # 3 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.3.6 Contract Item # 3 Must be available for delivery.

3.1.4 Contract Item # 4 Matrix 501 Mastic or Equivalent

3.1.4.1 Contract Item # 4 Product must meet the requirements of the standards listed below:

● ASTM D6297 ● ASTM D36

● ASTM D5329

● ASTM D113

● ASTM D4402

● ASTM D5249

3.1.4.2 Contract Item # 4 Product must be formulated to provide neat, watertight and maintainable.

3.1.4.3 Contract Item # 4 Vendor must allow DOH the opportunity to mix two different mastics with a full truckload order.

Revised 10/27/2014

3.1.4.4 Contract Item # 4 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.4.5 Contract Item # 4 Must be available for delivery.

3.1.5 Contract Item #5 Machine to Melt Matrix 501 Mastic or Equivalent

3.1.5.1 Contract Item # 5 Must come with all application tools.

3.1.5.2 Contract Item # 5 Must be available for delivery.

3.1.6 Contract Item #6 TechCrete -R or Equivalent

3.1.6.1 Contract Item # 6 Product must meet the requirements of the standards listed below:

● ASTM D6307

● ASTM D5444

● ASTM 5329

● AASHTO T140 Modified TTM5

● ASTM D5329 MODIFIED

● ASTM D2794 MODIFIED

● ASTM D3111

3.1.6.2 Contract Item # 6 Minimum application Temperature 330F.

3.1.6.3 Contract Item # 6 Maximum Heating Temperature of 400F.

3.1.6.4 Contract Item # 6 Must be available for delivery.

3.1.7 Contract Item #7 Machine to Melt TechCrete-R or Equivalent

3.1.7.1 Contract Item # 7 Must come with all application tools.

3.1.7.2 Contract Item # 7 Must be available for delivery.

Revised 10/27/2014

3.1.8 Contract Item # 8 TechCrete Primer or Equivalent

3.1.8.1 Contract Item # 8 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.8.2 Contract Item # 8 Must be available for delivery.

3.1.9 Contract Item # 9 Detack or Equivalent

3.1.9.1 Contract Item # 9 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.9.2 Contract Item # 9 Must be available for delivery.

3.1.10 Contract Item # 10 RoadSaver 515 or Equivalent

3.1.10.1 Contract Item # 10 Product must meet the requirements of the standards listed below:

● ASTM D6690

● AASHTO M173 MODIFIED

● AASHTO M324

● ASTM D1190

● ASTM D36

● Federal Specification SS-S-164

3.1.10.2 Contract Item # 10 Minimum Application Temperature 380°F.

3.1.10.3 Contract Item # 10 Maximum Heating Temperature of 400°F

3.1.10.4 Contract Item # 10 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.10.5 Contract Item # 10 Must be available for delivery.

Revised 10/27/2014

3.1.11 Contract Item # 11 Machine to Melt RoadSaver 515 or Equivalent

3.1.11.1 Contract Item # 11 Must come with all application tools.

3.1.11.2 Contract Item # 11 Must be available for delivery.

3.1.12 Contract Item # 12 Mastic One or Equivalent

3.1.12.1 Contract Item # 12 Product must meet the requirements of the standards listed below:

● ASTM D8260 TYPE 1

● ASTM D5329

● ASTM D36

● ASTM D3111 MODIFIED ● ASTM D2794

● ASTM C1305 MODIFIED

● ASTM C131

3.1.12.2 Contract Item # 12 Minimum Application Temperature 375°F.

3.1.12.3 Contract Item # 12 Maximum Application Temperature of 400°F

3.1.12.4 Contract Item # 12 The packaging needs to be labeled in accordance with OSHA, GHS, and specification requirements.

3.1.12.5 Contract Item # 12 Must be available for delivery.

3.1.13 Contract Item # 13 Machine to Melt Mastic One or Equivalent

3.1.13.1 Contract Item # 13 Must come with all application tools.

3.1.13.2 Contract Item # 13 Must be available for delivery

4. CONTRACT AWARD:

4.1 Contract Award: The Contract is intended to provide Agencies with a purchase price on all Contract Items. The Contract shall be awarded to the Vendor that provides the Contract Items meeting the required specifications for the lowest overall total cost as shown on the Pricing Pages.

Revised 10/27/2014

4.2 Pricing Pages: Vendor should complete the Pricing Pages by filling in the price for the contract items. Vendor should complete the Pricing Pages in their entirety as failure to do so may result in Vendor’s bids being disqualified.

The Pricing Pages contain a list of the Contract Items and estimated purchase volume. The estimated purchase volume for each item represents the approximate volume of anticipated purchases only. No future use of the Contract or any individual item is guaranteed or implied.

Vendor should electronically enter the information into the Pricing Pages through wvOASIS, if available, or as an electronic document. In most cases, the Vendor can request an electronic copy of the Pricing Pages for bid purposes by sending an email request to the following address:

dotprocurement@wv.gov

5. ORDERING AND PAYMENT:

5.1 Ordering: Vendor shall accept orders through wvOASIS, regular mail, facsimile, e-mail, or any other written form of communication. Vendor may, but is not required to, accept on-line orders through a secure internet ordering portal/website. If Vendor has the ability to accept on-line orders, it should include in its response a brief description of how Agencies may utilize the on-line ordering system. Vendor should ensure that its on-line ordering system is properly secured prior to processing Agency orders on-line.

Vendor MUST allow DOH to mix two different sealants in a full truckload order.

5.2 Payment: Vendor shall accept payment in accordance with the payment procedures of the State of West Virginia.

6. DELIVERY AND RETURN:

6.1 Delivery Time: Vendor shall deliver standard orders within 30 working days after orders are received. Vendor should deliver emergency orders within 10 working days after orders are received. Vendor shall ship all orders in accordance with the above schedule and shall not hold orders until a minimum delivery quantity is met.

6.2 Late Delivery: The Agency placing the order under this Contract must be notified in writing if orders will be delayed for any reason. Any delay in delivery that could

Revised 10/27/2014 cause harm to an Agency will be grounds for cancellation of the delayed order, and/or obtaining the items ordered from a third party.

Any Agency seeking to obtain items from a third party under this provision must first obtain approval of the Purchasing Division.

6.3 Delivery Payment/Risk of Loss: Standard order delivery shall be F.O.B. destination to the Agency’s location. Vendor should include the cost of standard order delivery charges in its bid pricing/discount and is not permitted to charge the Agency separately for such delivery. The Agency will pay delivery charges on all emergency orders if Vendor invoices those delivery costs as a separate charge with the original freight bill attached to the invoice.

6.4 Return of Unacceptable Items: If the Agency deems the Contract Items to be unacceptable, the Contract Items shall be returned to Vendor at Vendor’s expense and with no restocking charge. Vendor should either plan for the return within five (5) days of being notified that items are unacceptable or permit the Agency to arrange for the return and reimburse Agency for delivery expenses. If the original packaging cannot be utilized for the return, Vendor will supply the Agency with appropriate return packaging upon request. All returns of unacceptable items shall be F.O.B. the Agency’s location. The returned product shall either be replaced, or the Agency shall receive full credit or refund for the purchase price, at the Agency’s discretion.

6.5 Return Due to Agency Error: Items ordered in error by the Agency will be returned for credit within 30 days of receipt, F.O.B. Vendor’s location. Vendor shall not charge a restocking fee if returned products are in a resalable condition. Items should be deemed to be in a resalable condition if they are unused and in the original packaging.

Any restocking fee for items not in a resalable condition shall be the lower of the Vendor’s customary restocking fee or 5% of the total invoiced value of the returned items.

7. VENDOR DEFAULT:

7.1 The following shall be considered a vendor default under this Contract.

7.1.1 Failure to provide Contract Items in accordance with the requirements contained herein.

7.1.2 Failure to comply with other specifications and requirements contained herein.

Revised 10/27/2014

7.1.3 Failure to comply with any laws, rules, and ordinances applicable to the Contract Services provided under this Contract.

7.1.4 Failure to remedy deficient performance upon request.

7.2 The following remedies shall be available to Agency upon default.

7.2.1 Immediate cancellation of the Contract.

7.2.2 Immediate cancellation of one or more release orders issued under this Contract.

7.2.3 Any other remedies available in law or equity.

8. MISCELLANEOUS:

8.1 No Substitutions: Vendor shall supply only Contract Items submitted in response to the Solicitation unless a contract modification is approved in accordance with the provisions contained in this Contract.

8.2 Vendor Supply: Vendor must carry sufficient inventory of the Contract Items being offered to fulfill its obligations under this Contract. By signing its bid, Vendor certifies that it can supply the Contract Items contained in its bid response.

8.3 Reports: Vendor shall provide quarterly reports and annual summaries to the Agency showing the Agency’s items purchased, quantities of items purchased, and total dollar value of the items purchased. Vendor shall also provide reports, upon request, showing the items purchased during the term of this Contract, the quantity purchased for each of those items, and the total value of purchases for each of those items.

Failure to supply such reports may be grounds for cancellation of this Contract.

8.4 Contract Manager: During its performance of this Contract, Vendor must designate and maintain a primary contract manager responsible for overseeing Vendor’s responsibilities under this Contract. The Contract manager must be available during normal business hours to address any customer service or other issues related to this Contract. Vendor should list its Contract manager and his or her contact information below.

Contract Manager: ______________________ Telephone Number: ________________________

Fax Number: ______________________________ Email Address: ____________________________

Revised 11/1/2022

ADDENDUM ACKNOWLEDGEMENT FORM

SOLICITATION NO.:

Instructions: Please acknowledge receipt of all addenda issued with this solicitation by completing this addendum acknowledgment form. Check the box next to each addendum received and sign below. Failure to acknowledge addenda may result in bid disqualification.

Acknowledgment: I hereby acknowledge receipt of the following addenda and have made the necessary revisions to my proposal, plans and/or specification, etc.

Addendum Numbers Received:

(Check the box next to each addendum received)

[ ] Addendum No. 1 [ ] Addendum No. 6 [ ] Addendum No. 2 [ ] Addendum No. 7 [ ] Addendum No. 3 [ ] Addendum No. 8 [ ] Addendum No. 4 [ ] Addendum No. 9 [ ] Addendum No. 5 [ ] Addendum No. 10

I understand that failure to confirm the receipt of addenda may be cause for rejection of this bid.

I further understand that any verbal representation made or assumed to be made during any oral discussion held between Vendor’s representatives and any state personnel is not binding. Only the information issued in writing and added to the specifications by an official addendum is binding.

Company

Authorized Signature

Date

NOTE: This addendum acknowledgement should be submitted with the bid to expedite document processing.

1. Modify specifications of product or service being sought

2. To attach vendor questions and responses.

No other changes