Attachment E - State Corporation Commission Form QQ #70470.pdf

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Attached to
Elevator Preventative Maintenance & Repair
Solicitation number
70470
Issued by
Richmond City, Roanoke City, Nathalie CDP, Virginia

About this file

This document is a State Corporation Commission Form that is required as part of the bidder's response to a state and local contract opportunity. The contract opportunity is to provide elevator preventative maintenance and repairs for two DFS Labs locations in Richmond and Norfolk, Virginia. Vendors must complete Attachment A for the lots they are bidding on and submit the total cost electronically. Vendors may bid on one or both lots but are not required to bid on both. A mandatory site visit is required. The contract will be awarded on an annual basis.

The pricing terms and other details are not provided in this document. However, the contract opportunity is open to all qualified vendors, and there is no indication of any set-asides or incumbent contractors. The source of funding for this contract is not specified.

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Text version

QQ-70470, ATTACHMENT E

STATE CORPORATION COMMISSION FORM

The following information is required as part of the Bidder’s response to this solicitation. Failure to complete and provide this form may result in bid being declared nonresponsive. (In the case of a Combined Two-Step UIFB, it may cause the Technical Proposal to be determined to be not acceptable.)

Virginia State Corporation Commission (“SCC”) registration information: The Bidder:

is a corporation or other business entity with the following SCC identification number:

-OR-

is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust

-OR-

is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the Bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from Bidder’s out-of-state location)

-OR-

is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned Bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

**NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver):

Signature: Date:

Name:

Print

Title:

Name of Firm:

STATE CORPORATION COMMISSION FORM
Virginia State Corporation Commission (“SCC”) registration information: The Bidder:
-OR-
-OR-
-OR-

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