Attachment A-II - Forms.docx

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Attached to
Movable Bridges Operational and Custodial Services
Solicitation number
RFP 591 260000002219 3
Issued by
Michigan

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Summary of Attachment A-II - Forms

This attachment contains the required forms and documentation for the Movable Bridges Operational and Custodial Services contract opportunity issued by the State of Michigan. The document provides standardized forms that bidders must complete and submit as part of their proposal response. These forms establish the baseline documentation and certification requirements for contractors seeking to provide operational and custodial services for movable bridges under state jurisdiction. The forms serve as the official submission templates through which prospective vendors demonstrate compliance with contract requirements, provide organizational information, and make necessary certifications regarding their qualifications and ability to perform the requested services.

The specific forms included in this attachment establish the administrative framework for bid evaluation and contractor selection. Bidders are required to complete all designated forms accurately and submit them by the established deadline to be considered for contract award. The forms likely address standard requirements such as contractor identification, experience verification, insurance and bonding certifications, and compliance acknowledgments. These standardized forms ensure consistent evaluation across all submissions and facilitate the state's procurement process for this essential bridge maintenance and operational services contract.

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Attachment A-I - Materials List.docx DOCX document
updated.RFP 26.2219 Proposal Instructions.docx DOCX document
RFP 26.2219 Schedule B - Pricing Terms.docx DOCX document
Attachment A-IV Drug Alcohol Testing.docx DOCX document
Attachment A-VI - GB Operating Manual.docx DOCX document
Attachment A-V- BO Qualifications.docx DOCX document
RFP 26.2219 2026 Moveable Bridges SOW.docx DOCX document
RFP 26.2219 CT Form.docx DOCX document
Updated RFP 26.2219 Schedule B - Pricing Sheet.xlsx XLSX spreadsheet
RFP 26.2219 Standard Contract Terms.docx DOCX document
Attachment A-III - Custodial Duties.docx DOCX document
RFP 26.2219 VQ Worksheet.docx DOCX document
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ATTACHMENT A-II

RFP No.: 260000002219 Movable Bridges Operational and Custodial Services

Forms

1. BRIDGE OPERATOR’S REPORT (Form 0406) Fillable PDF available: https://mdotcfintra.state.mi.us/interchange/forms/Allforms.cfm

2. UNNECESSARY BRIDGE OPENINGS

3. CONTRACTOR/OPERATOR’S INSPECTION

4. EQUIPMENT CHECK LIST

5. ACCIDENT INCIDENT

UNNECESSARY BRIDGE OPENINGS

BRIDGE NAME: BRIDGE No.

BRIDGE LOCATION:

· NUMBER OF VESSEL (IF NUMBERED):

· NAME OF VESSEL:

· HOME PORT (IF SHOWN):

· NAME & ADDRESS OF OWNER:

MONTH:DAY: YEAR:TIME: AM:PM:
DIRECTION OF PASSAGE: UP STREAM:DOWN STREAM:

CAUSE OF UNNECESSARY BRIDGE OPENING

APPURTENANCES UNESSENTIAL TO NAVIGATION:

ANTENNA: OUTRIGGER: DECORATIVE MAST:

FLAGPOLE: FALSE STACK: CANVAS TOP:

OTHER:

CLEARANCE GAUGE: FEET

ESTIMATED CLEARANCE OF VESSEL’S HIGHEST FIXED POINT: FEET

REMARKS:

BRIDGE OPERATOR:

(VIOLATION CANNOT PROCEED WITHOUT THIS INFORMATION)

CONTRACTOR/OPERATOR’S EVALUATION

BRIDGE NAME:

INSPECTOR: TIME: DATE:

EVALUATION
GOOD
FAIR
POOR

A. Bridge Operators Overall Knowledge Of Functions

1. Knowledge of routine operations procedures

2. Knowledge of emergency operating procedures

3. Knowledge of administrative requirements

4. Knowledge of Coast Guard Regulations

B. Bridge Operators Overall Operational Ability

1. Ability to operate bridge

2. Bridge logs (Completeness)

C. Bridge Navigation And Safety Conditions

1. Navigation lights (daily checks)

2. Fender systems

3. Other safety devices

D. Bridge Operators Appearance

E. Housekeeping Overall

1. Operators bridge house floors

2. Bridge house windows

3. Control console and switchgear

4. Walkways and platforms

5. Commode

F. Overall Bridge Condition

EQUIPMENT CHECK LIST

BRIDGE NAME:

1.FIRST-AID KIT – (2 required)
a.In a readily accessible place?
b.Has it been used?
c.Has it been replenished?
2.LIFE JACKETS – (2 required) and LIFE RINGS – (2 required)
a.Is the required number accounted for?
b.Ripped, torn, or cracked?
c.General Condition: New Good Fair Poor
3.ROPE, 150 linear feet 1/4 inch (plus vertical distance of the draw span to water)
a.Is it in a readily accessible condition?
b.General Condition: New Good Fair Poor
4.FIRE EXTINGUISHERS (6 required)
a.Are there 4 ABC, 10 lbs.?
b.Are there 2 BC, 10 lbs.?
c.Date filled?
d.Has the pin been broken?
5.BIG RED FLAG FOR EMERGENCY SHIP WARNING
a.Is the required number accounted for?
b.Are they properly stored?
6.FLASHLIGHTS – (2 required)
a.Is the required number accounted for?
b.Are they in working condition?
c.Are the batteries good?
7.ARE THE FOLLOWING AVAILABLE?
a.Cones – (6 required)
b.Vests (Reflectorized) – (2 required)
8.ARE THE FOLLOWING WORKING SATISFACTORILY?
a.Commode
b.Fan/air conditioner
c.Door locks
d.Telephone

e. Intercom (if available)

9. COMMENTS:

PROJECT MANAGER DATE

ACCIDENT/INCIDENT REPORT

LOCATION:

TIME OF ACCIDENT: ____________ DATE: ____________ HOUR: ______ AM: PM:

WEATHER CONDITIONS: ______________________________ (CLEAR, RAIN, FOG, ETC.)

OPERATOR’S NAME, ADDRESS & PHONE NUMBER
VEHICLE / BOAT IDENTIFICATION NUMBER
DRIVERS LICENSE NUMBER
INSURANCE COMPANY

MDOT PROPERTY DAMAGED:

DESCRIPTION OF ACCIDENT:

POLICE AGENCY REPORT NUMBER:

SKETCH IF NECESSARY

RFP 260000002219 – Movable Bridges Operational and Custodial Services 1 image1.png image2.png

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