.05 Roadside Equipment Inspection Form (REI) - Washington County.pdf
PDF 134 KB Posted
- Attached to
- Tree Trimming Stump Removal Services
- Solicitation number
- 6100065310
- Issued by
- Washington County, Pennsylvania
About this file
This is a Roadside Equipment Inspection Form (REI) submitted to the Pennsylvania Department of Transportation (PennDOT) for the District 12 Tree Trimming and Stump Removal Services contract in Washington County. The form requires contractors to list all vehicles and equipment that will be utilized for tree trimming and stump removal services on State Routes, Department facilities, and other areas under PennDOT's responsibility within Washington County. Contractors must provide detailed information for each piece of equipment, including license or identification numbers, purpose, equipment type, capacity/size, age, operating hours or mileage, and any non-work hours due to equipment failure in the past 12 months. All listed vehicles and equipment must be available for inspection and demonstration by PennDOT and must meet contract specifications and Pennsylvania laws and regulations. Contractors intending to rent equipment may provide identification numbers at the time of initial inspection; however, all remaining information must be submitted with the bid. The form accommodates up to 13 pieces of equipment with space for additional pages as needed.
This procurement is restricted to certified small businesses only under Pennsylvania's Small Business Procurement Initiative (SBPI) as designated by PennDOT. All bids must be submitted electronically through the Commonwealth's SRM system via the PA Supplier Portal at www.pasupplierportal.state.pa.us. The form is mandatory; failure to complete and upload it may result in a bid being deemed non-responsive. Contractors must maintain and update their equipment list throughout the contract duration. Waste composition from trimming operations, including chips, mulch, leaves, and branches, will be primarily hauled away and disposed of, with fly chipping available upon specific project instructions.
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Text version
Tree Trimming and Stump Removal Services Roadside Equipment Inspection Form (REI)
Name: ________________________________ ______________________
List Only the Vehicles and Equipment that will be used for this Purchase Order, including Work Zone Traffic Control Vehicles and Equipment
License or ID Number
Purpose Type of Vehicle or
Equipment Capacity/
Size Age
# Hours (Equip.)
Or # Miles (Veh.)
Non-work Hours due to Equip.
Failure
(in past 12 mos)
For PennDOT Use Only
Equip.
Provided at Inspection (Pass/Fail) Comments
Vehicles and equipment utilized for maintenance contract work must meet the requirements as described in the contract specifications and the laws and regulations of Pennsylvania. The Contractor hereby verifies that all vehicles and equipment in the above table as submitted with the bid is adequate and necessary for the contract maintenance work and all listed vehicles and equipment will be available at the initial inspections/demonstration. All vehicles and equipment in the above table shall be inspected and approved by PennDOT during the inspection(s)/ demonstration(s). Where a contractor intends to rent vehicles and equipment, the identification number or license number on the table above may be provided at the time of the initial inspection/demonstration; however, all remaining information for the rented vehicles and equipment must be provided in the table above with the bid. The Contractor agrees to maintain and, as applicable, update this list of all vehicles and equipment after start of work for the duration of the contract. Upload as many pages as are necessary to report all equipment which will be used for this Purchase Order.
Name of Company: Date:
This document must be downloaded, completed, and uploaded as a response to this Invitation for Bid (IFB).
Failure to complete and upload this form may deem your Bid as non-responsive.
| RFQ Name: District 12 Tree Trimming Washington |
| RFQ: |
| License or ID NumberRow1: |
| PurposeRow1: |
| Type of Vehicle or EquipmentRow1: |
| Capacity SizeRow1: |
| AgeRow1: |
| Hours Equip Or Miles VehRow1: |
| Nonwork Hours due to Equip Failure in past 12 mosRow1: |
| Equip Provided at Inspection PassFailRow1: |
| CommentsRow1: |
| License or ID NumberRow2: |
| PurposeRow2: |
| Type of Vehicle or EquipmentRow2: |
| Capacity SizeRow2: |
| AgeRow2: |
| Hours Equip Or Miles VehRow2: |
| Nonwork Hours due to Equip Failure in past 12 mosRow2: |
| Equip Provided at Inspection PassFailRow2: |
| CommentsRow2: |
| License or ID NumberRow3: |
| PurposeRow3: |
| Type of Vehicle or EquipmentRow3: |
| Capacity SizeRow3: |
| AgeRow3: |
| Hours Equip Or Miles VehRow3: |
| Nonwork Hours due to Equip Failure in past 12 mosRow3: |
| Equip Provided at Inspection PassFailRow3: |
| CommentsRow3: |
| License or ID NumberRow4: |
| PurposeRow4: |
| Type of Vehicle or EquipmentRow4: |
| Capacity SizeRow4: |
| AgeRow4: |
| Hours Equip Or Miles VehRow4: |
| Nonwork Hours due to Equip Failure in past 12 mosRow4: |
| Equip Provided at Inspection PassFailRow4: |
| CommentsRow4: |
| License or ID NumberRow5: |
| PurposeRow5: |
| Type of Vehicle or EquipmentRow5: |
| Capacity SizeRow5: |
| AgeRow5: |
| Hours Equip Or Miles VehRow5: |
| Nonwork Hours due to Equip Failure in past 12 mosRow5: |
| Equip Provided at Inspection PassFailRow5: |
| CommentsRow5: |
| License or ID NumberRow6: |
| PurposeRow6: |
| Type of Vehicle or EquipmentRow6: |
| Capacity SizeRow6: |
| AgeRow6: |
| Hours Equip Or Miles VehRow6: |
| Nonwork Hours due to Equip Failure in past 12 mosRow6: |
| Equip Provided at Inspection PassFailRow6: |
| CommentsRow6: |
| License or ID NumberRow7: |
| PurposeRow7: |
| Type of Vehicle or EquipmentRow7: |
| Capacity SizeRow7: |
| AgeRow7: |
| Hours Equip Or Miles VehRow7: |
| Nonwork Hours due to Equip Failure in past 12 mosRow7: |
| Equip Provided at Inspection PassFailRow7: |
| CommentsRow7: |
| License or ID NumberRow8: |
| PurposeRow8: |
| Type of Vehicle or EquipmentRow8: |
| Capacity SizeRow8: |
| AgeRow8: |
| Hours Equip Or Miles VehRow8: |
| Nonwork Hours due to Equip Failure in past 12 mosRow8: |
| Equip Provided at Inspection PassFailRow8: |
| CommentsRow8: |
| License or ID NumberRow9: |
| PurposeRow9: |
| Type of Vehicle or EquipmentRow9: |
| Capacity SizeRow9: |
| AgeRow9: |
| Hours Equip Or Miles VehRow9: |
| Nonwork Hours due to Equip Failure in past 12 mosRow9: |
| Equip Provided at Inspection PassFailRow9: |
| CommentsRow9: |
| License or ID NumberRow10: |
| PurposeRow10: |
| Type of Vehicle or EquipmentRow10: |
| Capacity SizeRow10: |
| AgeRow10: |
| Hours Equip Or Miles VehRow10: |
| Nonwork Hours due to Equip Failure in past 12 mosRow10: |
| Equip Provided at Inspection PassFailRow10: |
| CommentsRow10: |
| License or ID NumberRow11: |
| PurposeRow11: |
| Type of Vehicle or EquipmentRow11: |
| Capacity SizeRow11: |
| AgeRow11: |
| Hours Equip Or Miles VehRow11: |
| Nonwork Hours due to Equip Failure in past 12 mosRow11: |
| Equip Provided at Inspection PassFailRow11: |
| CommentsRow11: |
| License or ID NumberRow12: |
| PurposeRow12: |
| Type of Vehicle or EquipmentRow12: |
| Capacity SizeRow12: |
| AgeRow12: |
| Hours Equip Or Miles VehRow12: |
| Nonwork Hours due to Equip Failure in past 12 mosRow12: |
| Equip Provided at Inspection PassFailRow12: |
| CommentsRow12: |
| License or ID NumberRow13: |
| PurposeRow13: |
| Type of Vehicle or EquipmentRow13: |
| Capacity SizeRow13: |
| AgeRow13: |
| Hours Equip Or Miles VehRow13: |
| Nonwork Hours due to Equip Failure in past 12 mosRow13: |
| Equip Provided at Inspection PassFailRow13: |
| CommentsRow13: |
| Name of Company: |
| Date: |
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