IFB 158350 Attachments.pdf

ATTACHMENT _____

State Corporation Commission Form

Failure to complete and return this attachment may result in your bid being deemed NON-RESPONSIVE.

Solicitation #:

Virginia State Corporation Commission (SCC) registration information.

The bidder:

is a corporation or other business entity with the following SCC identification number:

-OR-

is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust -OR-is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder’s out-of-state location) -OR-is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles

13.1 or 50 of the Code of Virginia.

**NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver):

B

158350

SBSP-IFB PIM-40

Small Business Subcontracting Plan

IFB # ____________

It is the goal of the Commonwealth that over 42% of its purchases be made from small businesses. All potential bidders are required to include this document with their bid response in order to be considered responsive.

Small Business: "Small business (including micro)” means a business which holds a certification as such by the Virginia Department of Small Business and Supplier Diversity (DSBSD) on the due date for bids.

This shall also include DSBSD-certified women- owned and minority-owned businesses and businesses with DSBSD service disabled veteran owned status when they also hold a DSBSD certification as a small business on the bid due date. Currently, DSBSD offers small business certification and micro business designation to firms that qualify.

Certification applications are available through DSBSD online at www.SBSD.virginia.gov (Customer Service).

Bidder Name:

Preparer Name: Date:

Who will be doing the work: □ I plan to use subcontractors □ I plan to complete all work

Instructions A. If you are certified by the DSBSD as a micro/small business, complete only Section A of this form.

B. If you are not a DSBSD-certified small business, complete Section B of this form. For the bid to be considered and the bidder to be declared responsive, the bidder shall identify the portions of the contract that will be subcontracted to DSBSD-certified small business for the initial contract period in relation to the bidder’s total price for the initial contract period in Section B.

Section A If your firm is certified by the DSBSD provide your certification number and the date of certification.

Certification number: Certification Date:

Section B If the “I plan to use subcontractors box is checked,” populate the requested information below, per subcontractor to show your firm's plans for utilization of DSBSD-certified small businesses in the performance of this contract for the initial contract period in relation to the bidder’s total price for the initial contract period. Certified small businesses include but are not limited to DSBSD-certified women-owned and minority-owned businesses and businesses with DSBSD service disabled veteran-owned status that have also received the DSBSD small business certification. Include plans to utilize small businesses as part of joint ventures, partnerships, subcontractors, suppliers, etc. It is important to note that these proposed participation will be incorporated into the subsequent contract and will be a requirement of the contract. Failure to obtain the proposed participation percentages may result in breach of the contract.

C

SBSP-IFB PIM-40

B. Plans for Utilization of DSBSD-Certified Small Businesses for this Procurement

Subcontract #1

Company Name: SBSD Cert #:

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Value % (Initial Term): Contact Address:

Description of Work:

Subcontract #2

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #3

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #4

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

Subcontract #5

Contact Name: SBSD Certification:

Contact Phone: Contact Email:

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

Fax Number

E-mail Address

D

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

E

VIRGINIA CODE RED OZONE DAYS

Solicitation # ___________

The contactor shall suspend the use of gasoline and diesel tractors, powered mowers, weed eaters, wood chippers, chainsaws, sprayer rigs and other similar field/yard maintenance equipment in ozone non-attainment or maintenance areas on predicted “code red ozone days”. The ozone season in Virginia is from May through September. The number of “code red ozone days” varies, but typically does not exceed ten (10) per season. The following counties are subject to this provision:

Commonwealth of Virginia Ozone Nonattainment, Maintenance, and Early Action Compact Areas

Ozone Nonattainment Area: An area that exceeds the Environmental Protection Agency’s (EPA) National Ambient Air Quality Standards (NAAQS) for ozone.

Ozone Maintenance Area: An area that that has previously exceeded the EPA NAAQS for ozone, but has since come back into compliance and has adopted an ozone maintenance plan.

Ozone Early Action Compact Area: An area that has previously exceeded the EPA NAAQS for ozone, but voluntarily opted-in to the Early Action Compact program to avoid an official ozone nonattainment designation.

Table 1. Jurisdictions by VDOT District located in either an Ozone Nonattainment, Maintenance, or Early Action

Compact area.

* 8-hour ozone Early Action Compact Area

DISTRICT

Northern Virginia Fredericksburg Staunton Hampton

Roads Richmond Salem

JU

R

IS

D

IC

T

IO

N

Alexandria Arlington Fairfax (County & City) Falls Church Loudoun Manassas Manassas Park Prince William

Fredericksburg Spotsylvania Stafford Gloucester

Frederick* Winchester*

Chesapeake Hampton Isle of Wight James City Newport News Norfolk Poquoson Portsmouth Suffolk Virginia Beach Williamsburg York

Charles City Chesterfield Colonial Heights Hanover Henrico Hopewell Petersburg Prince George Richmond

Botetourt* Roanoke (County & City)* Salem* Vinton*

F

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 #

G

CONTRACTOR/SUBCONTRACTOR LICENSE REQUIREMENT

Solicitation #: ___________

By my signature on this solicitation, I certify that this firm/individual and subcontractors is properly licensed for providing the goods/services specified. Furthermore, the contractor and subcontractors shall maintain the required license throughout the term of the contract. The contractor or their subcontractor shall immediately notify the contracting agency in writing in the event the license has been revoked.

Contractor Name: _____________________________________

License # _________________ Type ________________

Subcontractor Name: _________________________

License # _________________ Type ________________

CONTRACTOR REGISTRATION: If a contract for construction, removal, repair or improvement of a building or other real property is for $120,000 or more, or if the total value of all such contracts undertaken by bidder within any 12-month period is $750,000 or more, the bidder is required under Title 54.1-1100, Code of Virginia (1950), as amended, to be licensed by the State Board of Contractors a “CLASS A CONTRACTOR.” If such a contract is for $10,000 or more but less than $120,000, or if the total value of all such contracts undertaken by bidder within any 12-month period is $150,000or more, but less than $750,000 or more, the bidder is required to be licensed as a “CLASS B CONTRACTOR.” If such a contract is over $1,000 but less than $10,000, or if the contractor does less than $150,000 in business in a 12-month period, the bidder is required to be licensed as a “CLASS C CONTRACTOR.” The board shall require a master tradesmen license as a condition of licensure for electrical, plumbing and heating, ventilation and air conditioning contractors. The bidder shall place on the outside of the envelope containing the bid and shall place in the bid over his signature whichever of the following notations is appropriate, inserting his contractor license number:

Licensed Class A Virginia Contractor No. _______________Specialty _______________

Licensed Class B Virginia Contractor No. _______________Specialty _______________

Licensed Class C Virginia Contractor No. _______________Specialty _______________

If the bidder shall fail to provide this information with his bid and shall fail to promptly provide said contractor license number to the Commonwealth in writing when requested to do so before or after the opening of bids, he shall be deemed to be in violation of § 54.1-1115 of the Code of Virginia (1950), as amended, and his bid will not be considered.

If a bidder shall fail to obtain the required license prior to submission of his bid, the bid shall not be considered

H

COMMONWEALTH of VIRGINIA

DEPARTMENT OF LABOR AND INDUSTRY

Virginia Department of Labor and Industry Wage Determination Decision

Project Name Roof Repair Services – Hampton Roads District

State Project Code IFB # 158350

DOLI Project Number VDOT-23-0081

County or Independent City MULTIPLE LOCATIONS

Publication Date 07/18/2023

Construction Type Building

FRANKLIN (CITY)

Wage Determinations Wage Fringe

Asbestos Worker/Heat & Frost Insulator (Duct, Pipe & Mechanical System Insulation)* $39.27 $18.67 Carpenter $15.60 Electrician $32.44 50.45% Laborer: Common or General $12.78 $1.37 Operator: Backhoe/Excavator/Trackhoe $14.11 Pipefitter (Includes HVAC Unit Installation) $31.77 $17.40 Plumber $21.74 $5.45 Power Equipment Operator: Bulldozer $28.60 $13.05 Roofer $15.56 $3.06 Sheet Metal Worker (HVAC Duct Installation Only) $16.88 $2.30 Truck Driver: Dump Truck $12.00 $0.57

Main Street Centre 600 East Main Street, Suite 207

Richmond, Virginia 23219

PHONE (804) 371-2327

FAX (804) 371-6524

Gary G. Pan

COMMISSIONER

HAMPTON (CITY)

& Mechanical System Insulation)* $39.27 $18.67 Boilermaker $42.62 $24.81 Bricklayer $22.44 $10.23 Carpenter, Includes Acoustical Ceiling Installation, Drywall Hanging, and Form Work $18.56 Caulker $18.49 $1.33 Cement Mason/Concrete Finisher $17.48 Electrician (Includes Low Voltage Wiring and Alarm Installations) $31.30 8.5% + $6.35 Elevator Mechanic** $45.66 $36.89 Firestopper $19.82 Glazier $19.36 $4.68 HVAC Mechanic (HVAC Duct Installation Only) $20.60 $2.93 Ironworker, Reinforcing $27.18 $4.13

Ironworker, Rigger $28.87 11%

+ $14.24

Ironworker, Structural and Ornamental $28.87 11%

+ $14.24 Laborer: Common or General, Including Demolition $12.14 $1.60 Laborer: Mason Tender - Brick $13.48 $3.27 Laborer: Mason Tender - Cement/Concrete $12.96 $3.12 Laborer: Pipelayer $12.40 $1.96 Operator: Backhoe/Excavator/Trackhoe $20.69 $1.35 Operator: Bobcat/Skid Steer/Skid Loader $18.95 $4.03 Operator: Bulldozer $18.07 $3.50 Operator: Forklift $19.40 $7.00 Operator: Loader $21.28 $3.17 Operator: Roller $16.25 $4.88 Painter (Brush and Roller) $16.87 Painter (Spray Only) $18.10 $5.43 Pipefitter: Includes HVAC Pipe, Unit, and Temperature Controls Installations $31.77 $17.40 Plumber $31.77 $17.40 Power Equipment Operator: Cranes 90 Tons &Over capacity; Tower &Climbing Cranes with Controls 100

ft. Above Ground $34.17 $15.21 Power Equipment Operator: Cranes Under 90 Tons $33.26 $15.12 Roofer $18.40 $2.31

Sheet Metal Worker, Excludes HVAC Duct Installation $19.24 $2.80 Sprinkler Fitter (Fire Sprinklers) $18.91 $4.67 Tile Finisher $23.40 Tile Setter $27.80 $10.25 Truck Driver: Dump Truck $15.50 $0.75

WILLIAMSBURG (CITY)

& Mechanical System Insulation)* $39.27 $18.67 Boilermaker $42.62 $24.81 Bricklayer $22.44 $10.23 Carpenter, Includes Acoustical Ceiling Installation, Drywall Hanging, and Form Work $18.56 Caulker $18.49 $1.33 Cement Mason/Concrete Finisher $17.48 Electrician (Includes Low Voltage Wiring and Alarm Installations) $30.00

8.5% + $6.35

Elevator Mechanic** $45.66 $36.89 Glazier $19.36 $4.68 Ironworker, Reinforcing $27.18 $4.13

Ironworker, Rigger $28.87 11%

+ $14.24

Ironworker, Structural and Ornamental $28.87 11%

+ $14.24 Laborer: Common or General, Including Demolition $12.14 $1.60 Laborer: Mason Tender - Brick $13.48 $3.27 Laborer: Mason Tender - Cement/Concrete $12.96 $3.12 Laborer: Pipelayer $12.40 $1.96 Operator: Backhoe/Excavator/Trackhoe $20.69 $1.35 Operator: Bobcat/Skid Steer/Skid Loader $18.95 $4.03 Operator: Bulldozer $18.07 $3.50 Operator: Forklift $19.40 $7.00 Operator: Loader $21.28 $3.17 Operator: Roller $16.25 $4.88 Painter (Brush and Roller) $17.34 $5.59 Painter (Spray Only) $18.10 $5.43

Pipefitter: Includes HVAC Pipe, Unit, and Temperature Controls Installations $31.77 $17.40 Plumber $31.77 $17.40 Power Equipment Operator: Cranes 90 Tons &Over capacity; Tower &Climbing Cranes with Controls 100

ft. Above Ground $34.17 $15.21 Power Equipment Operator: Cranes Under 90 Tons $33.26 $15.12 Roofer $18.40 $2.31 Sheet Metal Worker, Excludes HVAC Duct Installation $19.24 $2.80 Sprinkler Fitter (Fire Sprinklers) $18.91 $4.67 Tile Finisher $23.40 Tile Setter $27.80 $10.25 Truck Driver: Dump Truck $15.50 $0.75

Additional Notes

* Asbestos Worker/Heat & Frost Insulator (Duct, Pipe & Mechanical System Insulation) * PAID HOLIDAYS: New Year's Day, Martin Luther King Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, the day after Thanksgiving and Christmas Day provided the employee works the regular work day before and after the paid holiday. *

** Elevator Mechanic ** PAID HOLIDAYS: New Year's Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, the Friday after Thanksgiving Day and Christmas Day. VACATIONS:

6% men under 5 years based on regular hourly rate and 8% men over 5 years based on regular hourly rate for all hours worked. **

All wage rates to be used on a contract will be set at the time the contract is awarded.

While DOLI maintains a list of wage determinations online for reference purposes, only the wage determinations made in an official Wage Determination Decision, sent by DOLI to the contracting agency, can be used to ascertain the exact rates to be paid for a specific contract.

All rates are determined by DOLI and any appeals of specific classifications may be made through the Wage Determination Appeal form available at https://www.doli.virginia.gov/wp-content/uploads/2022/05/Appeal-for-Clarification-of-Wage- Determination.pdf

Any additional classifications may be requested through the Additional Wage Classification form available at https://www.doli.virginia.gov/wp-content/uploads/2022/10/Request-for-Additional-Wage-Classification-10-2022.pdf Understand your duties as a contractor under Virginia law by referencing our Contractor Responsibilities information sheet available at http://www.doli.virginia.gov/wp-content/uploads/2021/04/PREVAILING-WAGE- CONTRACTOR-RESPONSIBILITIES.pdf Your employees have specific rights, which can be found on our List of Employee Rights information sheet available at http://www.doli.virginia.gov/wp-content/uploads/2021/04/PREVAILING-WAGE-EMPLOYEE-RIGHTS.pdf

Any further questions should be directed to PrevailingWage@doli.virginia.gov

DGS-30- 090 CO-10.2

(Rev 07/21) Page 1 of 2

COMMONWEALTH OF VIRGINIA

STANDARD BID BOND

KNOW ALL MEN BY THESE PRESENTS: That , the Contractor (“Principal”) whose principal place of business is located at and (“Surety”) whose address for delivery of ‘Notices’ is located at are held and firmly bound unto the Commonwealth of Virginia, , the Owner (“Obligee”) in the amount of five percent (5%) of the Amount (Total Base Bid plus all Additive Bid Items) Bid by Principal, for the payment whereof, Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Principal has submitted a bid for

NOW, THEREFORE, the conditions of this obligation are as follows. This Bid Bond shall guarantee that the Principal will not withdraw his bid during the period of thirty (30) days following the opening of bids; that if his bid is accepted, Principal will enter into a formal contract with the Owner in accordance with the Contract Between Owner and Contractor, Form CO-9, included as a part of the Invitation for Bids (IFB Documents); that Principal will submit a properly executed and authorized Standard Performance Bond and Standard Labor and Material Payment Bond on the forms included in the IFB documents; and that in the event of the withdrawal of said bid within said period, or failure to enter into said contract and give said bonds within ten (10) days after Principal has received notice of acceptance of his bid, Principal and Surety shall be jointly and severally liable to the Owner for the difference between the amount specified in said bid and such larger amount for which the Owner may contract with another party to perform the work covered by said bid, up to the amount of the bid guarantee.

This amount represents the damage to the Owner of account of the default of the bidder in any particular thereof.

The Surety represents to the Principal and to the Obligee that it is legally authorized to do business in the Commonwealth of Virginia.

DGS-30- 090 CO-10.2

(Rev 07/21) Page 2 of 2

Signed and sealed this day of

Contractor / Principal (SEAL)

_________________________________________ By:_________________________________ Witness Typed Name:

Title:

Surety (SEAL)

By:_________________________________ Attorney-in-Fact Typed Name:

AFFIDAVIT AND ACKNOWLEDGEMENT OF ATTORNEY-IN-FACT

COMMONWEALTH / STATE OF )

CITY/COUNTY/TOWN of

I, the undersigned notary public, do certify that , whose name is signed to the foregoing bid bond in the amount of five percent (5%) of the Total Bid Amount and which names the Commonwealth of Virginia, , as Obligee, personally appeared before me today in the above jurisdiction and made oath that he/she is the attorney-in-fact of , a corporation which is the Surety in the foregoing bond, that he/she is duly authorized to execute on the above Surety’s behalf the foregoing bond pursuant to the Power of Attorney noted above and attached hereto, and on behalf of the surety, he/she acknowledged the foregoing bond before me as the above Surety’s act and deed.

She/he has further certified that her/his Power of Attorney has not been revoked.

[Complete if Power is recorded: Clerk’s Office: ;

Deed Book/Page No. or Instrument No.: .]

Given under my hand this day of .

Notary Public (SEAL) My name (printed) is:

My registration number is:

My commission expires:

ASBESTOS SAMPLING RESULTS

Virginia Department of Transportation Hampton Roads District

Windsor Area Headquarters Chemical Storage #2 (#5330146)

Conducted by:

Work Environment Associates, Inc.

Richmond, Virginia

P.(). Box l,f/03

Hichmond. VA 23221

1304.35E,3363

On May 25, 2011, asbestos bulk sampling was conducted at the Windsor Area Headquarters, Chemical Storage #2 (5330146) located in Windsor, Virginia. Sampling was performed by Levin P. Dutton, III, OHST, VA Asbestos Inspector #3303-001970.

Sample results reported in percent asbestos are as follows.

SAMPLE

Bl-407, Roofing Shingle. About 6,370 sq.ft. * Layer 1: Shingle (Black) Layer 2: Shingle (Tan/Black)

Bl-408, Roofing Shingle. (amt included above)* Layer 1: Shingle (Black) Layer 2: Shingle (Tan/Black)

Bl-409, Roofing Shingle. (amt included above)* Layer 1: Shingle (Black) Layer 2: Shingle (Tan/Black)

%ASBESTOS

NAD

NAD

NAD

NAD

NAD

NAD

(* •• Unable to access roofing felt without damaging shingle. Roofing shingle lapped down over concrete sidewall.)

Bl-410, Chemical-Resistant Matting. About 1,480 sq.ft. NAD

Bl-411, Chemical-Resistant Matting. (amt included above) NAD

Bl-412, Chemical-Resistant Matting. (amt included above) NAD

" Air .(!uali~r 1f:.·sf!n,r;,· ~ On:ufuttfmutl '"'it~{cty .(:., llcwfth " rend !usjJed!t:m <':t ~amj:tliug li'azurdous /!4aterittls Planning and nesign SJ.N•q[h.·ations " l~'ueinvtnwm-.r;f Uea!fb ~ Licens.etl AslJ~·,sft},'<.' lttsfJiN.:Jors & Pl.anuers

NAD =No Asbestos Detected

Copies of the laboratory analysis report and Work Environment Associates, Inc. field sample data forms are attached.

Work Environment Associates, Inc.

Richmond, Virginia

Inspector: Levin P. Dutton, III, OHST

Homogeneous Area (HA) HA Description ID

Roofing Shingle

Roofing Shingle

Roofing Shingle

Chemical-Resistant Matting

Chemical-Resistant Matting

Chemical-Resistant Matting

NOTES:

HA

Amount About 6,370 sq.ft.

About 1,480 sq.ft.

v

ASBESTOS INSPECTION- FIELD DATA Page _.1_ of _.1_

VDOT - Hpt Rds Dist, Windsor AH, Date: 25 May 2011 Building: Chemical Storage #2 5330146)

Sample Physical F NF Analytical Sample Location Number Condition of HA Results Comments

Roof Bl-407 Fair See Note f'fgtJ Below

Bl-408 Fair rvi:Jb

Bl-409 Fair

.... v r;,"~>

Interior Bl-410 Fair Concrete Wall (1119D

Bl-411 Fair fV~O

Bl-412 Fair

J ;vf.PJ

I

Unable to access roofing felt to sample without damaging roofing shingle. Roofmg shingle is lapped down over concrete sidewalls.

F= Friable NF"" Non· Friable NAD =No Asbestos Detecred NA =Not Applicable

CR =Corridor MR =Machine Room JC ""Janitor's Closet

Inspector's Signature:~-/.~ ~

SCHNEIDER LABORATORIES

INCORPORATED

2512 W. Cary Street • Richmond, Virginia • 23220-5117

804-353-6778 • 800-785-LABS (5227) • (FAX) 804-359-1475

Excellence in Service and Technology AIHA/ELLAP 100527, NVLAP 101150-0, NYELAPINELAC 11413, CAELAP 2078, NC 593, SC 93003

ACCOUNT#:

CLIENT:

ADDRESS:

LABORATORY ANALYSIS REPORT

Asbestos ldenmication by EPA Method' 600/R-93/116

Using SLI A6

7-11-2932

WORK ENVIRONMENT ASSOC. INC

4905 RADFORD AVE STE 110

RICHMOND, VA 23230

DATE COLLECTED:

DATE RECEIVED:

DATE ANAL VZED:

DATE REPORTED:

PROJECT NAME: VDOT -Windsor A. H.

JOB LOCATION: 5330146

PROJECT NO.:

PO NO.: Sample Type:

Client SLI Sample

5/25/2011 5/25/2011 5/26/2011 5/26/2011

BULK

Sample Sample/ Identification/ PLM Analysis Results No. LayeriD Layer Name

Bl-407 31035608 Roofing Shingle

Layer 1: Root Shingle Black, Bituminous

Layer 2: Roof Shingle Tan/Black, Bituminous

Bl-408 31035609 Roofing Shingle

Layer 1: Root Shingle Black, Bituminous

Layer2: Root Shingle Tan/Black, Bituminous

Bl-409 31035610 Roofing Shingle

Layer 1: Roof Shingle Black, Bituminous

Layer2: Roof Shingle Tan/Black, Bituminous

Tote! Number of Pages In Report: 2

Asbestos Fibers

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

Other Materials

20% MINERAUGLASS WOOL

80% NON FIBROUS MATERIAL

20% MINERAUGLASS WOOL

80% NON FIBROUS MATERIAL

20% MINERAUGLASS WOOL

80% NON FIBROUS MATERIAL

20% MINERALJGLASS WOOL

80% NON FIBROUS MATERIAL

20% MINERALJGLASS WOOL

80% NON FIBROUS MATERIAL

20"k MINERALJGLASS WOOL

80% NON FIBROUS MATERIAL

Results relate only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.

Sampl~ analyzed by the EPA Test Method are subject to the limitations of fight microscopy including matrix Interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting lim/! of 1% or greater. Visual estimafion contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other govY agency endorsement.

Account - Workorder 7-11-2932 (Continued)

Client Sample No.

Bl-410

SLI Sample Sample/ Identification/ Layer ID Layer Name

31035611 Chemicai-Resis Mat

Layer 1: Bituminous Material Black, Bituminous

Bl-411 31 035612 Chemical -Resis Mat

Layer 1: Bituminous Material Black, Bituminous

Bl-412

Layer 1:

Analyst:

31035613 Chemicai-Resis Mat

Bituminous Material Black, Bituminous

SAMANI ABDELFADIEL

Total Number of Pages In Report: 2

Page 2 (Continued)

PLM Analysis Results

Asbestos Fibers Other Matarlals

None Detected 15% SYNTHETIC FIBER

85% NON FIBROUS MATERIAL

None Detected 15% SYNTHETIC FIBER

85% NON FIBROUS MATERIAL

None Detected 15% SYNTHETIC FIBER

85% NON FIBROUS MATERIAL

Revlewed By: Thorla Nadiem, Analyst

Resuns relate only to samples as received by the laboratory. Vis~ www.slabinc.com for current certifications.

Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bOund materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except In full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement.

Work Environment Associates, Inc. Site: VO"T • ""f"'IISt~lf 1!.1-).

Bldg: CHfJI!I,.,l S' f~tt. "'' E' :#" .l.

....-------. (:it S"H 11 'I b) Richmond, Virginia

Building Description

111~11/~ VI· tl II 81 -lf!1

\)1.91'11'1'ill =- t 3 . .., -f'f (llt.t~l'lffll.tN I:':; '-tH>/'5 -f 1

Lead Paint Inspection Results

Hampton Roads District

Windsor Area Headquarters Chemical Storage #2 (5330146)

Conducted by:

Work Environment Associates, Inc.

Richmond, Virginia box Richn;ond, VA ?,3221

304,3fY3.3-363

4905 Radford Avenue

Suftc '110

Flici!F!Gnd, V;\ ~?3230

On May 25, 2011 an XRF inspection for lead coatings was conducted at the Windsor Area Headquarters, Chemical Storage #2 (5330146) by Levin P. Dutton, II, OHST, MS, VA Lead Risk Assessor #3356-000430. The following materials were found to meet or exceed the HUD action level for lead of 1.0 mg/cm2 by XRF analysis. OSHA considers any amount of lead to be a potential hazard.

No presence of lead-based paint found I detected.

A summary report of positive XRF readings is attached. A sequential report of ill! XRF readings in the orders in which they were taken is attached as well.

LEAD PAINT INSPECTION REPORT

REPORT NUMBER: 05/25/11 07:30

INSPECTION FOR: Lead Based Paint

PERFORMED AT: Virginia Department of Transportation Hampton Roads District Windsor Area Headquarters Chemica Storage #2 (5330146)

INSPECTION DATE: 05/25/11

INSTRUMENT TYPE: R M D

MODEL LPA-1

XRF TYPE ANAL VZER

Serial Number: 01204

ACTION LEVEL: 1.0 mqlcm2

OPERATOR LICENSE: .23:!.!35!26-0::!!0!!!04!!!3:!.!0!...--__ _

SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR: Lead Based Paint

Inspection Date:

Report Date:

Abatement Level:

Report No.

Total Readings:

Job Started:

Job Finished:

05/25/11 5/25/2011 1.0 05/25/11 07:30 05/25/11 07:30 05/25/11 08:28

Virginia Department of Transportation Hampton Roads District Windsor Area Headquarters Chemica Storage #2 (5330146)

Paint Laad Read Rm Room No. No. Name Wall Structure Location Member Cond Substrate Color (mglcrn') Mode

1 CALIBRATION

2 CALIBRATION

3 CALIBRATION

4 001 Number Only B 5 001 Number Only B 6 001 Number On~y B 7 001 Number Only B 8 001 Number Only B

9 CALIBRATION

10 CALIBRATION

11 CALIBRATION

Wall L Ctr Wall 't1 Rgt Wall 't1 Lft Door Guard Lft Post Ctr

-~-- End of Readings ----

1.8 Std

1.8 Std

1.8 Std

Average "" 1.8

:t Concrete Cream -0.1 QM :t Wood Beige o.o QM :I Wood Brown -0.1 QM :t Metal Yellow -0.2 QM :r Metal Yellow -0.2 QM

1.7 Std

1.5 Std

1.6 Std

Average "" 1.6

SUMMARY REPORT OF LEAD PAINT INSPECTION FOR: Lead Based Paint

Report Date:

Abatement level:

Report No.

Total Readings:

Job Started:

Job Finished:

Reading

05/25/11 5/25/2011 1.0 05/25/11 07:30 11 Actionable: 0 05/25/11 07:30 05/25/11 08:28

No. Wall Structure Location Member

Calibration Readings

Virginia Department of Transportation Hampton Roads District Windsor Area Headquarters Chemica Storage #2 (5330146)

Paint Lead Cond Substrate Color (mg/cm') Mode

---- End of Readings ----

UNIT #I J.

ROOM•·-

t)Cttlit!nn wAU.@(!)@@ I.S'To

Rl'iHTO Cl!HIJ!Ro

RMO WATERTOWN. MA

1-BOO...LEAD-RMD

I I •

HEN!

WAU.00@@

LS'To

RGHTO

~0

B.

Windsor A.H.

Chemical Storage it2 (#5330146}

Interior of Chemical Storage #2

ASBESTOS SAMPLING RESULTS

Hampton Roads District

Skiffs Creek Area Headquarters Chemical Storage Building #2 (5350246)

Conducted bv:

Work Environment Associates, Inc.

Richmond, Virginia

Fax 804,358,3363

On August 28,2015, asbestos bulk sampling was conducted at the Hampton Roads District, Skiffs Creek Area Headquarters, Chemical Storage Building #2 (5350246). Sampling was performed by Jason Merricks, VA Asbestos Inspector #3303-002408.

Sample results reported in percent asbestos are as follows.

SAMPLE

CS2-l: Approx. 15,000 ft2 , Roofing Material, Roof

Layer 1: Roof Shingle Layer 2: Felt Paper

CS2-2: Roofing Material, Roof(amt. included above) Layer 1 : Roof Shingle Layer 2: Felt Paper

CS2-3: Roofing Material, Roof(amt. included above) Layer l: Roof Shingle Layer 2: Felt Paper

CS2-4: Approx. 70 ff'. Wall Cover, Entry Wall

CS2-5: Wall Cover, Entry Wall (amt. included above)

CS2-6: Wall Cover, Entry Wall (amt. included above)

CS2-7: Approx. 2000 ft2 , Wall Cover, Dome Wall

%ASBESTOS

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

"' Air r_>uui#_v l(wtinJt "' OccttJHitional Stifely & He£;/lb "' Letul ln::sjntt.'ti<YIJ t':r Sa-mp#tYJJ;

Ua:zardnus ,lfa!l!rfal$ Pfatming ttt.Ul lJ4:Jiign SjJet:ifit:o!imts "' f:'Yn'ir<-lffmwntul Uewlib * ltceused Asln~:sto& htiiif:H!rtors & Plrmm'rs

CS2-8: Wall Cover, Dome Wall (amt. included above) NAD

CS2-9: Wall Cover, Dome Wall (amt. included above) NAD

NAD =No Asbestos Detected

Copies of the laboratory analysis report and Work Environment Associates, Inc. field sample data forms are attached.

ASBESTOS INSPECTION- FIELD DATA Page _1_ of _2_

Homogeneous Area (HA) Description

Roof Shingle and Felt Paper

I

Wall Cover

NOTES:

F""' Friable NF"" Non~Friable NAD =No Asbestos Deteded NA ""Not Applicable

HA HA

ID Amount

15000 ft2

70ft2

CR"" Corridor MR =Machine Room JC =Janitor's Closet

Sample Location

Roof

Entry Wall

VDOT Skiffs Creek Area Headquarters

Sample Physical F NF Analytical Number Condition of HA Results Comments

CS2-1 Good 1\./14()

,.v~

CS2-2 Good /V -*9 rvfJa

CS2-3 Good N-4Q

(VIf'J

CS2-4 Good ;VvfQ

CS2-5 Good ;Jito

I

CS2-6 Good tV~ lnspector'sSignature: L. ~ 7 7

ASBESTOS INSPECTION- FIELD DATA Page _2_ of _2_

Homogeneous Area (HA) DescriPtion

Wall Cover

NOTES:

F= Friable NF =Non-Friable NAD"" No Asbestos Detected NA "" Not Applicable

HA HA

ID Amount

2ooore

CR =Corridor MR = Machine Room JC =Janitor's Closet

Sample Location

Interior Wall

VDOT Skiffs Creek Area Headquarters

Sample Physical F NF Analytical Number Condition of HA Results Comments

CS2-7 Good /VAJ)

CS2-8 Good ,VIT-I)

CS2-9 Good ttdlo lnspector'sSignature: L ~ 7 .

Analysis Report Schneider Laboratories Global, Inc

Customer:

Address:

Attn:

Project:

tLocatlon:

Number:

WORK ENVIRONMENT ASSOC. INC (7)

4905 RADFORD AVE STE 111

RICHMOND, VA 23230

5350246 Skiffs Creek

Layer 1: Roof Shingle

Black/Gray, BituminousfGranular

2512 W. Cary Street • Richmond, Virginia • 23220-5117 804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475

Order#:

Received Analyzed

Reported

PO Number:

141192

08128115 08128115 08128115

PLM Analysis

None Detected 10% MINERAUGlASS WOOL

90% NON FIBROUS MATERIAL

Sample was inhomogenous, subsamples of each component were analyzed separately.

Layer 2: Roof Felt None Detected 35% CELLULOSE FIBER

Black, Bituminous/Fibrous 65% NON FIBROUS MATERIAL

141192.Q02 08128115 CS2·2

Layer 1: Roof Shingle

BlackJGray, Bituminous/Granular

Layer 2: Roof Felt

Black, Bituminous/Fibrous

~~~-~.~-Shingles & Fett c.14'"'1"19=:2:...00=3_0'"'8/2=81:c1.::5_.c:C.=S2=.·.::3 __ -.:.::Roo!Shingles & Felt

Layer 1: Roof Shingle

BlacklGray, Bituminous/Granular

None Detected

None Detected

None Detected

Sample was In homogenous, subsamples of each component were analyzed separately.

15% MINERAUGlASS WOOL

85% NON FIBROUS MATERIAL

55% CELLULOSE FIBER

45% NON FISROUS MATERIAL

20% MINERAUGlASS WOOL 80% NON FiBROUS MATERIAL

Layer 2: Roof Felt None Detected 35% CELLULOSE FIBER

Black, Bituminous/Fibrous 65% NON FiBROUS MATERIAL

141192-004 08128115 CS2-4 Wall Cover layer 1: Cover None Detected

Black/White, Soft/Bituminous/Granular

Sample was inhomogenous, subsamples of each component were analyzed separately.

95% NON FIBROUS MATERIAL

5% SYNTHET1C FIBER

Method reporting limit is 1%. PLM analysis is based on Visual Estimation and NESHAP recommends that any asbestos content less than 10 percent be verified by PLM Point Count or TEM Analysis. This report must not be reproduced except in full with the approval of the laboratory. The test results reported relate only to the samples submitted.

Method: EPA 600/R-93/116 & 600/M4-82-020 PLM Analysis sample ID Collected Cust.ID Location Asbestos Fibers 141192-005 08/28115 CS2-5 wall Cover

Layer 1: Cover None Detected

Black/White, Soft/Bituminous!Granular

Sample was inhomogenous, subsamples of each component were analyzed separately.

141192-w& 08128/15 CS2-6 Wall Cover ·--·

Layer 1: Cover None Detected

Black/White, Soft/Bituminous!Granular

Sample was lnhomogenous, subsamples of each component were analyzed separately.

Other Materials

90% NON FfBROUS MATERIAL

10% SYNTHETIC FIBER

92% NON FIBROUS MATERIAL

8% SYNTHETIC FIBER

141192-007 08128/15 CS2-7 Wall Cover ----·-·--

Layer 1: Cover

Black, Soft/Bituminous

None Detected 96% NON FIBROUS MATERIAL

4% SYNTHETIC FIBER

Sample was inhomogenous, subsamples of each component were analyzed separately • . 141192.008 08128/15 CS2-8 Wall COver- ·-- .. ~--~~--~--~----~-~-~--- ·--~-----·-·---~---

Layer 1: Cover Black, Soft/Bituminous

None Detected 90% NON FIBROUS MATERIAL

10% SYNTHETIC FIBER

Sample was lnhomoge_no':'_~, --~ubsamples of each component were analyzed separatei . ._Y·:._ __ _

141192.009 08128115 cs2:9 ··· ·-w.iieever --~· ·

Layer 1: Cover Black, SofVBituminous

Analyst: Hashim, Reel

141192-48128115 04:00PM

None Detected 95% NON FIBROUS MATERIAL

5% SYNTHETIC FIBER

Microscopy Supervisor

Method reporting limit is 1%. PLM analysis is based on Visual Estimation and NESHAP recommends that any asbestos content less than 10 percent be verified by PLM Point Count or TEM Analysis. This report must not be reproduced except in full with thfit approval of the laboratory. The test results reported relate onty to the samples submitted, Lead Paint Inspection Results

Hampton Roads District

Skiffs Creek Area Headquarters Chemical Storage Building #2 (5350246)

Conducted by:

Work Environment Associates, Inc.

Richmond, Virginia

R-adford

On Augnst28, 2015, au XRF inspection for lead coatings was conducted at the Skiffs Creek Area Headquarters, Chemical Storage Building #2 (5350246) by Jason Merricks, VA Lead Inspector #3355·0002!5. The following materials were found to meet or exceed the HUD action level for lead of I .0 mg/cm2 by XRF analysis. OSHA considers aay amount of lead to be a potential hazard.

No materials were found to meet or exceed the H UD action level.

A summary report ofpositiy~XRF readings is attached. A sequential report oflJlLXRF readings in the orders in which they were taken is attached as welL Also included are diagrams of the locations where the readings were taken.

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Hdzxuvlr:ms Mutl!rials Plurming uud Oe:f!ign ,\'jNN.:ij'ications '" Em-'iro.nmf!'nli:tt UeaUb "" ff>ir.'ensrN:I A8.hesttn; Iuspc<:tors: <":,. !Xftmtu'I"S

LEAD PAINT INSPECTION REPORT

REPORT NUMBER: 8#01204- 08/28/15 09:14

INSPECTION FOR: Lead Based Paint

PERFORMED AT: Virginia Department of Transportation Hampton Roads District Skiffs Creek Area Headquarters Chemical Storage Bldg #2 (5350246)

INSPECTION DATE: 08/28/15

INSTRUMENT TYPE: R M D

MODEL LPA-1

XRF TYPE ANALYZER

Serial Number: 01204

ACTION LEVEL: 1.0 mg!cm•

OPERA TOR LICENSE: f!.3:Q35!J!:5·:J!!000!!!!£!21L2.5 ___ _

SIGNED: L flL 7'

Date:

I I I

SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR: Lead Based Paint

Inspection Date: 08/28/15 Virginia Department ofTransportation Report Date: 8128/2015 Hampton Roads District Abatement Level: 1.0 Skiffs Creek Area Headquarters Report No. 8#01204 - 08/28/15 09:14 Chemical Storage Bldg #2 (5350246) Total Readings: 9 Job Started: 08128/15 09:14 Job Finished: 08128115 09:27

Read Rm Room Paint Lead No. No. Name

1 CALIBRATION

2 CALIBRATION

3 CALIBRATION

4 001 Exterior 5 001 Exterior 6 001 Exteri.or

7 CALIBRATION

8 CALIBRATION

9 CALIBRATION

Wall Structure Location Member Cond Substrate Color (mg/cm') Mode

A Wall U Ctr I Wood A Wall L Lft I Block A Post L:ft I Metal

---- End of Readings ----

1. 9 Std

1.9 Std

1.9 Std

Average = 1..9

White -0.2 QM White 0.1 QM Yellow -0.1 QM

1.7 Std

1.9 Std

1.7 Std

Average = 1.8

SUMMARY REPORT OF LEAD PAINT INSPECTION FOR: Lead Based Paint

Report Date:

Abatement Level:

Report No.

Total Readings:

Job Started:

Job Finished:

Reading

08/28/15 8/28/2015 1.0 8#01204- 08/28/15 09:14 9 Actionable: 0 08/28/15 09:14 08/28/15 09:27

No. Wall Structure Location Member ca~ibration Readdngs

Virginia Department of Transportation Hampton Roads District Skiffs Creek Area Headquarters Chemical Storage Bldg #2 (5350246)

Paint Lead Cond Substrate Color (mg/cm'} Mode

---- End of Readings ----