FWB036255_CART_PATH_EXTENSION_PROJECT_BID_REQUEST_FORM.pdf

Signature: ______________________________________________ Date: _________________________________

CITY OF BRIDGEPORT

BID REQUEST

TYPE OF SOLICITATION: BID: QUALIFICATION (RFQ): PROPOSAL (RFP): INFORMAL (RFI):

BID TITLE: ______________________________________________________________________________

PROJECT COST (APPROX): _________________________________________

CONTACT/PROJECT MANAGER: ____________________________PHONE: ________________________________

DEPARTMENT: _________________________CONTACT E-MAIL: ________________________________________

FUNDING SOURCE: CITY: STATE: FEDERAL: CDBG: HUD: OTHER:

HAS YOUR CONTRACT, IF NEEDED, BEEN REVIEWED BY THE CITY ATTORNEY’S: YES: NO:

BID OPENING DATE YOU ARE REQUESTING: __________________DATE SPECS WILL BE AVAILABLE: _______________

SITE VISIT ENCOURAGED: YES: NO: DATE & TIME _____________________________________________

MANDATORY WALK THRU: YES: NO: IF YES, ADDRESS ___________________________________________

IF MANDATORY WALK THRU IS REQUESTED, YOU MUST PROVIDE JUSTIFICATION FOR THE NECESSITY OF THE

MANDATORY WALK THRU:

NO: COST FOR BID SPECS: YES:

BONDING REQUIREMENTS: YES: NO:

PREVAILING WAGES: YES: NO:

DAVIS BACON: YES: NO:

DAS REQUIRED: YES: NO:

SCOPE OF WORK (BRIEF DESC):________________________________________________________________________

********************************PURCHASING USE ONLY BELOW THIS LINE*******************************

BID NUMBER ASSIGNED BY PURCHASING: ____________________ CONTRACT COMPLIANCE: YES NO

DATE ASSIGNED BY PURCHASING: ____________________ PREVAILING WAGES: YES NO

BUYER ASSIGNED TO BID: ____________________ DAVIS BACON: YES NO

MBE: YES NO

Comments (if any) ________________________________________________________________________________