Addendum 03 ARFQ DEP26-090 Tyler Co. Well Plugging Package - Group B.pdf

Date Printed: Jun 29, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Construction

Proc Folder: 1979047 Reason for Modification:

Doc Description: Tyler Co. Well Plugging Package - Group B Addendum No. 3 is issued to publish and distribute the attached information to the Vendor community..... See Page 2 for complete infoProc Type: Agency Purchase Order

Date Issued Solicitation Closes Solicitation No Version

2026-06-29 2026-07-07 10:30 ARFQ 0313 DEP2600000090 4

BID RECEIVING LOCATION

ALL BIDS MUST BE SUBMITTED ELECTRONICALLY

wvOASIS Vendor Self Service (VSS)

Register and bid online at:

www.wvOASIS.gov WV 00000

US

VENDOR

Vendor Customer Code:

Vendor Name :

Address :

Street :

City :

State : Country : Zip :

Principal Contact :

Vendor Contact Phone: Extension:

FOR INFORMATION CONTACT THE BUYER

Herminio David Robles

(304) 414-1155 david.h.robles@wv.gov

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

Date Printed: Jun 29, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

Reason for Modification:

Addendum No. 3 is issued to publish and distribute the attached information to the Vendor community.

1 .To Publish the federal wage determinations.

No Other Changes

ADDITIONAL INFORMATION

The West Virginia Department of Environmental Protection Office of Oil and Gas is soliciting bids to establish a contract for the Construction/Reclamation/Plugging Project in Tyler County on ten (10) wells collectively known as Tyler Co. Well Plugging Package

- Group B

***Directions to mandatory Pre-Bid location can be found in the technical specifications***

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Permitting 10.00000 EA

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Permitting

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 2 Well Plugging - API# 47-095-00067

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Plugging - API# 47-095-00067

Date Printed: Jun 29, 2026 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 3 Well Reclamation - API# 47-095-00067

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-00067

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 4 Well Plugging - API# 47-095-00080

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-00080

Date Printed: Jun 29, 2026 Page:4 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 5 Well Reclamation - API# 47-095-00080

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-00080

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 6 Well Plugging - API# 47-095-00126

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-00126

Date Printed: Jun 29, 2026 Page:5 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 7 Well Reclamation - API# 47-095-00126

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-00126

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 8 Well Plugging - API# 47-095-00253

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-00253

Date Printed: Jun 29, 2026 Page:6 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 9 Well Reclamation - API# 47-095-00253

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-00253

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 10 Well Plugging - API# 47-095-02792

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02792

Date Printed: Jun 29, 2026 Page:7 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 11 Well Reclamation - API# 47-095-02792

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-02792

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 12 Well Plugging - API# 47-095-02917

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02917

Date Printed: Jun 29, 2026 Page:8 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 13 Well Reclamation - API# 47-095-02917

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-02917

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 14 Well Plugging - API# 47-095-02918

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02918

Date Printed: Jun 29, 2026 Page:9 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 15 Well Reclamation - API# 47-095-02918

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-02918

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 16 Well Plugging - API# 47-095-02919

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02919

Date Printed: Jun 29, 2026 Page:10 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 17 Well Reclamation - API# 47-095-02919

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation - API# 47-095-02919

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 18 Well Plugging - API# 47-095-02923

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02923

Date Printed: Jun 29, 2026 Page:11 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 19 Well Reclamation- API# 47-095-02923

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation- API# 47-095-02923

INVOICE TO SHIP TO

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 20 Well Plugging - API# 47-095-02924

Comm Code Manufacturer Specification Model # 71141102

Well Plugging - API# 47-095-02924

Date Printed: Jun 29, 2026 Page:12 FORM ID: WV-PRC-ARFQ-002 2020/05

ENVIRONMENTAL

PROTECTION

ENVIRONMENTAL

PROTECTION

OFFICE OF OIL & GAS OFFICE OF OIL & GAS

601 57TH ST SE 601 57TH ST SE

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 21 Well Reclamation- API# 47-095-02924

Comm Code Manufacturer Specification Model # 71141102

Extended Description:

Well Reclamation- API# 47-095-02924

SCHEDULE OF EVENTS

Line Event Event Date 1 Mandatory Pre-Bid Meeting on site at 9:00 am eastern 2026-06-24

2 Technical Questions Deadline at 2:00pm eastern 2026-06-29

3 Mandatory Pre-Bid Meeting May Continue if necessary 2026-06-25

The Purpose of this addendum is to modify the solicitation identified as (“Agency Solicitation”) to reflect the change(s) identified and described below.

Applicable Addendum Category:

[ ] Modify bid opening date and time

[ ] Modify specification 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:

This Addendum issued to publish and distribute the attached documentation to the vendor community.

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 provision of the Agency 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 Agency Solicitation by completing an Addendum Acknowledgement, 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.

SOLICITATION NUMBER – ______________

Addendum Number: ____

Office of Oil and Gas 601 57th Street, S.E.

Charleston, WV 25304 Phone: (304) 926-0450 Fax: (304) 926-0452

Harold D. Ward, Cabinet Secretary dep.wv.gov

Promoting a healthy environment.

June 29, 2026

MULTI-WELL PLUGGING CONTRACT FOR ORPHANED, ABANDONED WELLS

TYLER COUNTY GROUP B PROJECT

ADDENDUM TO INCORPORATE APPLICABLE WAGE DETERMINATIONS

Pursuant to 29 CFR 1.6(c)(3)(i), any contracting agency required to incorporate applicable wage rates into federally funded contracts must ensure that those wage rates are current and up to date (within 10 days) at the time of the bid opening.

Accordingly, DEP hereby incorporates into this contract, ARFQ DEP26*90, the following county-specific wage determinations, which have been posted on the Federal Register for at least ten days prior to the bid opening date (July 7, 2026).

County General Decision Number Modification Date

TYLER WV20260062 5/18/2026

"General Decision Number: WV20260062 05/18/2026

State: West Virginia

Construction Types: Heavy

Counties: West Virginia Counties of Doddridge and Tyler

Modification Number Publication Date 0 01/02/2026 1 05/18/2026

ELEC0307-008 12/01/2025

Rates Fringes

ELECTRICIAN.........................................$ 42.20 20.39

ENGI0132-016 12/01/2024

Rates Fringes

POWER EQUIPMENT OPERATOR: GROUP 4 OILER.............$ 34.62 20.45

POWER EQUIPMENT OPERATOR: GROUP 3 ROLLER............$ 38.08 20.45

POWER EQUIPMENT OPERATOR: GROUP 2 LOADERS UP TO SIX

(6) CUBIC YARD CAPACITY, BULLDOZERS, BOBCAT/SKID

STEER/SKID LOADER, FORKLIFT, DRILL..................$ 39.19 20.45

POWER EQUIPMENT OPERATOR: GROUP 1 CRANES (ALL

TYPES), BOOM TRUCKS, LOADERS OF SIX (6) CUBIC YARD

CAPACITY AND OVER...................................$ 41.95 20.45

IRON0549-012 12/01/2024

Rates Fringes

IRONWORKER, ORNAMENTAL, REINFORCING AND STRUCTURAL..$ 35.50 29.11

LABO0379-021 12/01/2023

Rates Fringes

LABORER: GROUP 2 FLAGGER............................$ 25.26 16.80

LABORER: GROUP 1 CHAIN SAW, CONCRETE WORKER, HAND

HELD DRILL, FORM WORK, GRADE CHECKER, SIGNAL MAN....$ 28.02 16.80

PLAS0926-001 12/01/2025

Rates Fringes

CEMENT MASON/CONCRETE FINISHER......................$ 35.77 27.54

SUWV2012-060 08/13/2012

Rates Fringes

TRUCK DRIVER: SINGLE AND DOUBLE AXLE DUMP TRUCKS....$ 23.44 12.52

OPERATOR: EXCAVATOR................................$ 24.39 15.50

OPERATOR: BACKHOE..................................$ 24.39 15.50

LABORER: PIPELAYER.................................$ 20.42 7.80

LABORER: COMMON OR GENERAL.........................$ 22.59 10.14

UAVGWV0010 01/01/2019

Rates Fringes

LABORER: MASON TENDER - CEMENT/CONCRETE.............$ 26.17 16.50

UAVGWV0012 01/01/2024

Rates Fringes

POWER EQUIPMENT OPERATOR: MECHANIC..................$ 36.57 19.18

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year.

Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at https://www.dol.gov/agencies/whd/government-contracts.

Note: Executive Order 13658 generally applies to contracts subject to the Davis-Bacon Act that were awarded on or between January 1, 2015 and January 29, 2022, and that have not been renewed or extended on or after January 30, 2022. Executive Order 13658 does not apply to contracts subject only to the Davis-Bacon Related Acts regardless of when they were awarded. If a contract is subject to Executive Order 13658, the contractor must pay all covered workers at least $13.65 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract from May 11, 2026, through December 31, 2026. The applicable Executive Order minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under Executive Order 13658 is available at www.dol.gov/whd/govcontracts.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (iii)).

The body of each wage determination lists the classifications and wage rates that have been found to be prevailing for the type(s) of construction and geographic area covered by the wage determination. The classifications are listed in alphabetical order under rate identifiers indicating whether the particular rate is a union rate (current union negotiated rate), a survey rate, a weighted union average rate, a state adopted rate, or a supplemental classification rate.

Union Rate Identifiers

A four-letter identifier beginning with characters other than �SU�, �UAVG�, �SA�, or �SC� denotes that a union rate was prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2024. PLUM is an identifier of the union whose collectively bargained rate prevailed in the survey for this classification, which in this example would be Plumbers.

0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2024 in the example, is the effective date of the most current negotiated rate.

Union prevailing wage rates are updated to reflect all changes over time that are reported to WHD in the rates in the collective bargaining agreement (CBA) governing the classification.

Union Average Rate Identifiers

The UAVG identifier indicates that no single rate prevailed for those classifications, but that 100% of the data reported for the classifications reflected union rates. EXAMPLE:

UAVG-OH-0010 01/01/2024. UAVG indicates that the rate is a weighted union average rate. OH indicates the State of Ohio.

The next number, 0010 in the example, is an internal number used in producing the wage determination. The date, 01/01/2024 in the example, indicates the date the wage determination was updated to reflect the most current union average rate.

A UAVG rate will be updated once a year, usually in January, to reflect a weighted average of the current rates in the collective bargaining agreements on which the rate is based.

Survey Rate Identifiers

The �SU� identifier indicates that either a single non-union rate prevailed (as defined in 29 CFR 1.2) for this classification in the survey or that the rate was derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As a weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SUFL2022-007 6/27/2024. SU indicates the rate is a single non-union prevailing rate or a weighted average of survey data for that classification. FL indicates the State of Florida. 2022 is the year of the survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. The date, 6/27/2024 in the example, indicates the survey completion date for the classifications and rates under that identifier.

�SU� wage rates typically remain in effect until a new survey is conducted. However, the Wage and Hour Division (WHD) has the discretion to update such rates under 29 CFR 1.6(c)(1).

State Adopted Rate Identifiers

The �SA� identifier indicates that the classifications and prevailing wage rates set by a state (or local) government were adopted under 29 C.F.R 1.3(g)-(h). Example: SAME2023-007 01/03/2024. SA reflects that the rates are state adopted. ME refers to the State of Maine. 2023 is the year during which the state completed the survey on which the listed classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination.

The date, 01/03/2024 in the example, reflects the date on which the classifications and rates under the �SA� identifier took effect under state law in the state from which the rates were adopted.

WAGE DETERMINATION APPEALS PROCESS

1) Has there been an initial decision in the matter? This can be:

a) a survey underlying a wage determination

b) an existing published wage determination

c) an initial WHD letter setting forth a position on a wage determination matter

d) an initial conformance (additional classification and rate) determination On survey related matters, initial contact, including requests for summaries of surveys, should be directed to the WHD Branch of Wage Surveys. Requests can be submitted via email to davisbaconinfo@dol.gov or by mail to:

Branch of Wage Surveys Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 Regarding any other wage determination matter such as conformance decisions, requests for initial decisions should be directed to the WHD Branch of Construction Wage Determinations.

Requests can be submitted via email to BCWD-Office@dol.gov or by mail to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2) If an initial decision has been issued, then any interested party (those affected by the action) that disagrees with the decision can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7).

Requests for review and reconsideration can be submitted via email to dba.reconsideration@dol.gov or by mail to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210.

END OF GENERAL DECISION

Revised 04/21/2021

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 .To Publish the federal wage determinations.

No Other Changes