ATTACHMENT FORM E - Statement of Intent To work Without Subcontracting.docx
DOCX document 25 KB Posted
- Solicitation number
- IFB-121333
- Issued by
- Portsmouth City, Virginia
About this file
This is a Statement of Intent to Work Without Subcontracting form related to the City of Portsmouth Purchasing Office's Indefinite Delivery/Indefinite Quantity contract for Sodium Hexametaphosphate in glassy plate form (IFB 57-26-SKL). The solicitation calls for 110,000 pounds of chemical packaged in 50-pound moisture-proof, multi-wall paper bags compliant with AWWA standard 8502-11 and carrying 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. The initial contract term runs two years from July 1, 2026 through June 30, 2028, with three optional one-year renewal periods available. All deliveries must reach 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). Bidders must submit inquiries by June 9, 2026 at 4:00 PM EST to Contract Specialist III Susan Kenney-Lambert.
Award will be made to the lowest responsive and responsible bidder based on grand total per-ton pricing, with all bidders required to 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. The contractor must furnish two OSHA-specified chemical warning signs and one Material Safety Data Sheet per delivery, along with certificates of compliance and NSF/UL certification documentation. All bidders must submit a completed W-9 form and satisfy Virginia State Corporation Commission registration requirements. Payment terms require invoices 30 days after receipt of proper invoice or delivery, whichever is later. Price escalation is permitted at renewal periods only, based on CPI-U indices for Other Goods and Services, with 90-day advance notice required.
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Text version
FORM E
STATEMENT OF INTENT TO WORK WITHOUT SUBCONTRACTING
Affidavit of (Name of Offeror)
I hereby certify that it is our intent to perform 100% of the work required for the
(Name of Project) In making this certification, the Offeror states that the Offeror does not customarily subcontract elements of this type project, and normally performs and has the capability to perform and will perform all elements of the work on this project with his/her own current work forces (full and part time employees working directly for the company); and The Offeror agrees to provide any additional information or documentation requested by the owner in support of the above statement.
The undersigned hereby certifies that he or she has read this certification and is authorized to bind the Offeror to the commitments herein contained.
Date: Name of Authorized Officer:
Signature:
Title:
State of , County of
Subscribed and sworn to before me this day of 20 My commission expires
SEAL
Notary Public
File details come from the government source that posted it. Updated .