IFB 160827 Fillable Attachments.pdf

Administrative Services/Procurement

Bristol District/

IFB 160827

ATTACHMENT B

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

Bristol District/Wytheville Residency CM Pipe

IFB# 160827

ATTACHMENT C

NAME OF MANUFACTURER AND SHIPPING POINT

NAME OF MANUFACTURER AND SHIPPING POINT: Each bidder shall supply in the space below the name and address of the manufacturer of each item offered and the shipping point.

ITEM NUMBER(S):

MANUFACTURER:

ADDRESS:

SHIPPING POINT:

Bristol District

IFB# 160827

ATTACHMENT D

PLASTIC MATERIALS RECYCLED CONTENT

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:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Type of Material:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Amount of Recycled Content:

Bristol District/

IFB # 160827

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):