ATTACHMENT FORM D - S-SDV Business Subcontracting Plan.docx
DOCX document 22 KB Posted
- Solicitation number
- IFB-121333
- Issued by
- Portsmouth City, Virginia
About this file
This is a Small, Disadvantaged Veteran (S-SDV) Business Subcontracting Plan attachment form submitted by the City of Portsmouth Purchasing Office for IFB 57-26-SKL, which requests bids for 110,000 pounds of Sodium Hexametaphosphate in glassy plate form. The chemical must be packaged in 50-pound moisture-proof, multi-wall paper bags compliant with AWWA standard 8502-11 and carry NSF and/or UL certification. Bids are due June 17, 2026 at 2:00 PM EST via eVa.virginia.gov, with public opening scheduled for June 18, 2026 at 3:00 PM EST via Microsoft Teams. Bidder inquiries must be submitted by June 9, 2026 at 4:00 PM EST to Contract Specialist III Susan Kenney-Lambert. All deliveries must be made to the Lake Kilby Water Treatment Plant in Suffolk, Virginia within 14 calendar days of order receipt, Monday through Friday between 8:00 AM and 2:30 PM EST, with minimum shipments of half truckload (21,000 pounds). The initial contract term runs two years from July 1, 2026 through June 30, 2028, with three optional one-year renewal periods available.
Award will be made to the lowest responsive and responsible bidder based on grand total pricing submitted on a per-ton basis. Bidders must meet mandatory good faith efforts documentation requirements for Minority-Woman Owned Business (M/WBE) participation and earn a minimum of 90 points across 12 evaluation categories to have proposals considered responsive. Price escalation is permitted at renewal periods only, based on CPI-U indices for Other Goods and Services, with 90-day advance notice required. Payment terms require invoices 30 days after receipt of proper invoice or delivery, whichever is later. All bidders must submit a completed W-9 form, satisfy Virginia State Corporation Commission registration requirements, and provide two OSHA-specified chemical warning signs and one Material Safety Data Sheet per delivery, along with certificates of compliance and NSF/UL certification documentation.
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Text version
FORM D
LETTER OF INTENT TO PERFORM AS A SUBCONTRACTOR OR SUBCONSULTANT OR TO PROVIDE SERVICES/SUPPLIES Note: This form must be submitted on the Subcontractor/Subconsultant Company Official Stationery or Letterhead and signed by an authorized officer of the company or business Project Name: # Name of Prime Offeror:
| Address: | Street | City | State | Zip Code | |
| Telephone: | Email: |
Name of Certified Vendor The undersigned intends to perform work in connection with the above project as
| Minority Business Enterprise | Women's Business Enterprise |
| Service-disabled Enterprise |
The M/WBE status of the undersigned is/is not certified by the Commonwealth of Virginia’s Department of Minority Business Enterprise (DMBE) Our SWAM certification number is The undersigned is prepared to perform the following described work or provide materials or services in connection with the above project (specify in detail particular work items, materials or services to be performed or provided):
Note: This description is to be inserted in the submitted letter.
Date:
Name of Business:
Address: Street City State Zip Code
(Name & Title of Authorized Officer)
(Signature)
Prime Contractor/Architect: _ Address & Phone:
Project Name:
Pay Application #: Period:
Current Requested Payment Amount:
The following is a list of payments to be made to all contractors/suppliers & other providers on this project for the above-mentioned period.
| Firm Name and Address |
| *M/WBE Category |
| Amount to be Paid form this pay Request |
| Total Payments to date |
| Total Amount Committed |
*M/W/SBE categories: African American (B), Asian American (A), Hispanic (H), Native American (N), Woman (W)
Date: _ Approved/Certified By:
Name Title:
Signature:
**THIS DOCUMENT MUST BE SUBMITTED WITH EACH PAY REQUEST & FINAL PAYMENT**
File details come from the government source that posted it. Updated .