IFB 158838 Attachments.pdf

PDF 351 KB Posted

Attached to
158838 Lawn Maintenance service
Solicitation number
64042
Issued by
Washington County, Virginia

About this file

This document is the attachments for IFB 158838, a lawn maintenance service contract issued by the Virginia Department of Transportation (VDOT) for the Abingdon Residency. The IFB requests bids for lawn maintenance services, including the bidder's normal and emergency contact information. The IFB sets this contract opportunity aside for small, women-owned, and minority businesses. Bidders must provide information on any proposed subcontractors, including their qualifications and the type of work they will perform. The contract term and any renewal options are not specified.

The pricing and payment terms are not detailed in this document. The IFB has a set-aside for small, women-owned, and minority businesses. The current incumbent contractor, if any, is not identified. The funding source and requirements are also not provided. Additional salient details about the scope of work, quantities, site visits, and award process are not included in this set of attachments.

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IFB 158838 Specifications.pdf PDF

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Text version

Administrative Services/Procurement

Bristol District/

IFB #

ATTACHMENT

STATE CORPORATION COMMISSION FORM

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

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):

IFB

ATTACHMENT

NORMAL AND EMERGENCY CONTACTS

Send Contracts To:

Bidder's Name/Title Primary Phone

Number

Bidder's

E-mail

Address:

Bidder’s Mailing

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

Set-Aside for Small Business

IFB #

ATTACHMENT

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):

Cer Certificat

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

Bristol Normal and Emergency Contacts 11-4
Bristol SCC form
Bristol Subcontractor form
Send Contracts To Bidders NameTitle:
Primary Phone Number:
Bidders Email Address:
Bidders Mailing Address:
Contact Persons Name:
Cellular Telephone Number:
Telephone Number Normal Work Hours:
Telephone Number After Work Hours:
Fax Number:
Email Address:
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_2:
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_3:
Contact Att #: B
Res/Div: Abingdon Residency
IFB Title: Lawn Maintenance Service
IFB #: 158838
Set-Aside for SWAM:
Virginia State Corporation Commission SCC registration information The bidder:
is a corporation or other business entity with the following SCC identification number:
Letter: A
Check Box10: Off
Group11: Off
NAME ADDRESS 1:
NAME ADDRESS 2:
NAME ADDRESS 3:
NAME ADDRESS 4:
PHONE NUMBER 1:
PHONE NUMBER 2:
PHONE NUMBER 3:
PHONE NUMBER 4:
TYPE OF WORK TO BE PERFORMED 1:
TYPE OF WORK TO BE PERFORMED 2:
TYPE OF WORK TO BE PERFORMED 3:
TYPE OF WORK TO BE PERFORMED 4:
TYPE OF WORK TO BE PERFORMED 5:
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:
1:
2:
Date:
Telephone Number:
Division/Residency: Abingdon Residency
Description: Lawn Maintenance Service
IFB#: 158838
Set-Aside Award Priority: Set-Aside for Small Business
letter: C

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