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

This is a Jobsite Verification Form attachment for RFx 3000025500, issued by a government agency for work at Naval Air Station Belle Chasse, Louisiana. The form certifies that vendors have visited the jobsite located at Building 425, 400 Russell Avenue, Belle Chasse, LA 70037, and are familiar with all conditions necessary to fulfill project specifications. Vendors must contact Gary Lipkos at (985) 634-5703 to schedule a jobsite inspection appointment. The completed form, signed by both the vendor and an agency representative, must be submitted with the bid submission. Alternatively, a signed letter from the agency representative confirming the vendor's jobsite visit may be substituted for the form.

Failure to provide either the completed Jobsite Verification Form or a signed letter of agency confirmation will result in bid disqualification. The form requires the vendor's company name, vendor signature, printed name, agency representative signature, printed name, and date of visit. This requirement ensures that all bidders have firsthand knowledge of project conditions and site-specific requirements before submitting proposals.