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

This document is a Job Site Verification Form for RFx: 3000024712, involving the Louisiana Department of Corrections and specifically the Dixon Correctional Institute. The form requires vendors interested in bidding on a project at Tower 11 in the Compound 2 area to schedule an on-site inspection with William Bunch by calling 225-634-6101. Vendors must complete and submit this signed certification form with their bid, confirming they have visited the jobsite and understand the project specifications. Failure to provide this form or an acceptable alternative signed letter from an agency representative will result in bid disqualification.

The verification form provides the precise location as Dixon Correctional Institute, 5568 Highway 68 in Jackson, Louisiana 70748. While specific project details are not elaborated in this document, the form is a critical component of the bidding process, requiring direct vendor engagement with the facility and mandating documented proof of site familiarity. The form includes spaces for vendor company name, vendor signature, printed vendor name, agency signature, and agency representative's printed name, emphasizing the importance of formal documentation in the procurement process.