ATTACHMENT Subcontracting Approval Request (2).pdf
PDF 53 KB Posted
- Attached to
- IFB 160873 Delivered Stone
- Solicitation number
- IFB-119435
- Issued by
- Craig County, Virginia
About this file
This is a Subcontractor Approval Request form issued by the Virginia Department of Transportation (VDOT) for Solicitation #160873. The form establishes the requirements and procedures for contractors to obtain prior written approval before subcontracting any portion of work or equipment to other firms or individuals. Contractors must submit detailed information about proposed subcontractors, including firm or individual names and addresses, contact persons with phone numbers, types of work to be performed, equipment to be provided, and qualifications or experience levels. The primary contractor retains full liability and responsibility for all work performed by approved subcontractors and must ensure compliance with all contract requirements.
The form requires contractors to identify which proposed subcontractors hold Small Business, Women-Owned Business, or Minority-Owned Business (DSBSD) certifications and provide associated certification numbers. VDOT authorization representatives must review and approve all proposed subcontractors in writing before work commences, with approval documented through signature, date, and telephone number. The form accommodates multiple subcontractors with separate fields for up to four proposed entities, each requiring complete documentation of qualifications, experience levels, and equipment specifications to facilitate VDOT's evaluation and approval process.
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Text version
ATTACHMENT C
Solicitation #:
SUBCONTRACTOR APPROVAL REQUEST
No portion of the work (including equipment) shall be subcontracted to another firm or individual without prior written consent of Virginia Department of Transportation (herein referred to as VDOT). In the event that the contractor desires to subcontract some part of the work specified herein, the contractor shall furnish VDOT with the names, qualifications, and experience of their proposed subcontractors for agency approval. The primary contractor shall, however, remain fully liable and responsible for the work performed by its subcontractor(s) and shall assure compliance with all requirements of the contract.
List proposed subcontractor(s), including name, address, contact person, and type of work to be performed under this contract below.
FIRM INDIVIDUAL’S
NAME & ADDRESS
CONTACT PERSON AND
PHONE NUMBER
TYPE OF WORK TO BE
PERFORMED
TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE
QUALIFICATIONS / EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR
Please indicate which above proposed subcontractors are certified (with DSBSD) as Small, Women Owned or Minority Businesses.
Certification Number(s):
FOR VDOT USE ONLY:
The proposed subcontractor(s) listed above is/are approved and accepted under the terms and conditions of the contract requirements herein.
Signature of Authorized VDOT Representative Date Telephone Number
| Solicitation #: |
| FIRM INDIVIDUAL’S |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE |
| FOR VDOT USE ONLY: |
| Solicitation: 160873 |
| NAME ADDRESS 1: |
| NAME ADDRESS 2: |
| NAME ADDRESS 3: |
| NAME ADDRESS 4: |
| PHONE NUMBER 1: |
| PHONE NUMBER 2: |
| PHONE NUMBER 3: |
| PHONE NUMBER 4: |
| PERFORMED 1: |
| PERFORMED 2: |
| PERFORMED 3: |
| PERFORMED 4: |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE 1: |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE 2: |
| QUALIFICATIONS EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR 1: |
| QUALIFICATIONS EXPERIENCE LEVEL OF PROPOSED SUBCONTRACTOR 2: |
| Certification Numbers 1: |
| Certification Numbers 2: |
| contract requirements herein: |
| The proposed subcontractors listed above isare approved and accepted under the terms and conditions of the: |
| Telephone Number: |
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