eVA Attachments.pdf

PDF 127 KB Posted Jan 31, 2024

Attached to: QQ 57646 - Rte 628 Spring Cottage HP Pipe
Solicitation number: 57646
Issued by: King and Queen County, Virginia

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Written by GovTribe AI · Aug 20, 2024

This document contains attachments for a state solicitation issued by the Virginia Department of Transportation (VDOT). The attachments include instructions for bidders to provide information on the manufacturer and shipping point for bid items, normal and emergency contacts, recycled content of plastic materials, and references for similar goods and services provided. The solicitation also requires bidders to obtain VDOT approval for any proposed subcontractors, including providing information on the type of work, equipment, qualifications, and certification as a small, women-owned, or minority business. The solicitation encourages the use of recycled materials in the manufacture of products to the maximum extent possible.

The document also includes information on pricing terms, specifically that vendors must identify if any of the goods offered contain recycled materials and specify the amount of recycled content. There are no details provided on any set-asides, incumbents, funding sources or amounts, or contract term and renewal options.

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ATTACHMENT ___

NAME OF MANUFACTURER AND SHIPPING POINT

Solicitation #: _____________

Each bidder shall supply in the space below the name and address of the manufacturer of each item offered and the shipping point.

BID LINE(S): _________________________________________________________

ITEM NUMBER(S):

MANUFACTURER:

ADDRESS:

SHIPPING POINT:

BID LINE(S): _________________________________________________________

ITEM NUMBER(S):

MANUFACTURER:

ADDRESS:

SHIPPING POINT:

BID LINE(S): _________________________________________________________

ITEM NUMBER(S):

MANUFACTURER:

ADDRESS:

SHIPPING POINT:

QQ57646

ATTACHMENT ____

NORMAL AND EMERGENCY CONTACTS

Solicitation # ___________

Send Contracts To:

Bidder's Name/Title

Primary Phone Number

Bidder's Mailing Address E-mail Address

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal Work Hours Telephone Number - After Work Hours Fax Number

E-mail Address

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal Work Hours Telephone Number - After Work Hours Fax Number

E-mail Address

Contact Person’s Name

Cellular Telephone Number

Telephone Number - Normal Work Hours Telephone Number - After Work Hours Fax Number

E-mail Address

ATTACHMENT ____

PLASTIC MATERIALS RECYCLED CONTENT

Solicitation # ____________

Bidders must identify whether their plastic materials contain recycled materials and, if so, specify the amount of recycled content in such plastic materials.

☐ None of the materials offered contain plastic ☐ None of the plastic materials offered contain recycled materials ☐ Some or all of the plastic materials offered contain recycled materials. Specify the amount of recycled content below.

BID LINE(S): ______________________________________________________________________, if applicable

Type of Material: _________________________________ Amount of Recycled Content: __________________

ATTACHMENT _____

Solicitation # ____________

REFERENCES

Bidders should provide a list of at least 3 references where similar goods and/or services have been provided. Each reference shall include the name of the organization, the complete mailing address, the name of the contact person, the email, and the telephone/fax number.

FIRM’S NAME AND ADDRESS CONTACT PERSON EMAIL ADDRESS TELEPHONE / FAX #

ATTACHMENT ______

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

ATTACHMENT _____

USE OF RECYCLED MATERIALS

Solicitation # __________

Notwithstanding the prohibition against used, damaged or obsolete items, vendors are encouraged to use secondary or recycled materials in the manufacture of products to the maximum extent practicable without jeopardizing the performance or intended end use of the product unless such use is precluded due to health and welfare or safety requirements or product specifications contained herein. Please provide and submit the following information regarding goods offered or intended for use on this contract below.

A. Do any of the goods offered contain recycled materials? _____Yes _____No.

B. If so, please qualify the recycled material content.

ATTACHMENT Subcontracting Approval Request (1).pdf

Solicitation #:

FIRM INDIVIDUAL’S

TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE

FOR VDOT USE ONLY:

ATTACHMENT References.pdf

ATTACHMENT _____

ATTACHMENT Normal and Emergency Contacts (4).pdf

NORMAL AND EMERGENCY CONTACTS

Solicitation # ___________

ITEM NUMBERS:

MANUFACTURER:

ADDRESS:

undefined:

SHIPPING POINT:

BID LINES_2:

ITEM NUMBERS_2:

MANUFACTURER_2:

ADDRESS_2:

undefined_2:

SHIPPING POINT_2:

BID LINES_3:

ITEM NUMBERS_3:

MANUFACTURER_3:

ADDRESS_3:

undefined_3:

SHIPPING POINT_3:

ATTACHMENT:

Solicitation:

Do any of the goods offered contain recycled materials:

Yes:

If so please qualify the recycled material content 1:

If so please qualify the recycled material content 2:

If so please qualify the recycled material content 3:

If so please qualify the recycled material content 4:

If so please qualify the recycled material content 5:

If so please qualify the recycled material content 6:

If so please qualify the recycled material content 7:

If so please qualify the recycled material content 8:

If so please qualify the recycled material content 9:

If so please qualify the recycled material content 10:

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:

FIRMS NAME AND ADDRESSRow1:

CONTACT PERSONRow1:

EMAIL ADDRESSRow1:

TELEPHONE FAX Row1:

FIRMS NAME AND ADDRESSRow2:

CONTACT PERSONRow2:

EMAIL ADDRESSRow2:

TELEPHONE FAX Row2:

FIRMS NAME AND ADDRESSRow3:

CONTACT PERSONRow3:

EMAIL ADDRESSRow3:

TELEPHONE FAX Row3:

None of the materials offered contain plastic: Off

None of the plastic materials offered contain recycled materials: Off

Some or all of the plastic materials offered contain recycled materials Specify the amount of: Off

BID LINES:

Type of Material:

Amount of Recycled Content:

Type of Material_2:

Amount of Recycled Content_2:

Type of Material_3:

Amount of Recycled Content_3:

Type of Material_4:

Amount of Recycled Content_4:

Type of Material_5:

Amount of Recycled Content_5:

Type of Material_6:

Amount of Recycled Content_6:

Type of Material_7:

Amount of Recycled Content_7:

Type of Material_8:

Amount of Recycled Content_8:

Type of Material_9:

Amount of Recycled Content_9:

Type of Material_10:

Amount of Recycled Content_10:

Send Contracts To Bidders NameTitle:

Primary Phone Number:

Bidders Mailing Address:

Email Address:

Contact Persons Name:

Cellular Telephone Number:

Telephone Number Normal Work Hours:

Telephone Number After Work Hours:

Fax Number:

Email Address_2:

Contact Persons Name_2:

Cellular Telephone Number_2:

Telephone Number Normal Work Hours_2:

Telephone Number After Work Hours_2:

Fax Number_2:

Email Address_3:

Contact Persons Name_3:

Cellular Telephone Number_3:

Telephone Number Normal Work Hours_3:

Telephone Number After Work Hours_3:

Fax Number_3:

Email Address_4:

File details come from the government source that posted it. Updated Aug 20, 2024.