Attachment B - Job Site Verification Form - Page 1.docx

DOCX document 27 KB Posted

Attached to
Remove and Replace Lights - LDH State and local contract opportunity
Solicitation number
3000024569
Issued by
Rapides Parish, Louisiana

About this file

This document is a Job Site Verification Form for RFx: 3000024569, involving the Louisiana state government and specifically the Central Louisiana State Hospital located in Pineville, Louisiana. The form requires vendors interested in bidding on the project to schedule an inspection with Derrick Sarver at 318-484-6213 or derrick.sarver@la.gov prior to submitting their bid. Vendors must complete and sign this verification form, certifying they have visited the jobsite and understand the project specifications. Failure to provide this completed form or an alternative signed letter from an agency representative will result in bid disqualification.

The form serves as a critical compliance document for the bidding process, ensuring that potential vendors have direct, firsthand knowledge of the project site and its associated conditions before submitting a competitive proposal. While specific project details are not outlined in this document, the verification requirement suggests a significant procurement opportunity at the Central Louisiana State Hospital, with strict procedural requirements for vendor participation and bid submission.

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Other files for this state and local contract opportunity

Other files attached to Remove and Replace Lights - LDH, newest first.
File Type Posted
3000024569.pdf PDF
Attachment C - Specifications - Page 1.docx DOCX document
Attachment A - Special Terms and Conditions Pages 1-14.docx DOCX document

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Text version

RFx: 3000024569

ATTACHMENT B -

JOBSITE VERIFICATION FORM

JOBSITE VISIT CERTIFICATION

Vendor must contact Derrick Sarver at 318-484-6213 or derrick.sarver@la.gov to schedule an appointment for inspection.

This signed statement certifies that the vendor named below has visited the jobsite(s) and is familiar with all conditions surrounding fulfillment of the specifications for this project.

Jobsite Location:

Central Louisiana State Hospital 242 W Shamrock Ave Pineville, Louisiana 71360

Vendor’s Company Name

Vendor’s Signature Print Name

Agency Signature Print Name

Date

NOTE: This certification should be signed by vendor and Agency representative and should be submitted with the bid submission. A signed letter from the agency representative stating that vendor has visited the jobsite may be substituted for the above. Failure to provide this form or a signed letter from an Agency representative shall eliminate your bid from consideration.

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