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

This is a Job Site Verification Form for RFx 3000026041, issued by the state of Louisiana for work at the Richard K. Yancey Wildlife Management Area located at 12648 Highway 15 in Vidalia, Louisiana. Vendors are required to schedule a jobsite visit appointment by contacting either Schuyler Dartez at (337) 735-8682 or Arthur Hebert at (337) 735-8681 prior to bid submission. The form serves as certification that the vendor has physically visited the jobsite and is familiar with all conditions necessary to fulfill the project specifications. The completed form must be signed by both the vendor and an agency representative and submitted with the bid proposal.

Failure to submit either the signed Job Site Verification Form or an alternative signed letter from the agency representative confirming the vendor's jobsite visit will result in bid disqualification. The form requires the vendor to provide company name, signature, and printed name, as well as corresponding agency representative signature, printed name, and visit date.