IFB 161076 ATTACHMENT C Subcontracting Approval Request.pdf
PDF 79 KB Posted
- Attached to
- IFB 161076 Crack Sealing Services
- Solicitation number
- IFB-126902
- Issued by
- Albemarle County, Chesapeake City, Virginia
About this file
This is a Subcontractor Approval Request form for the Virginia Department of Transportation (VDOT) related to IFB 161076 for crack sealing services on primary and secondary roadways throughout the Charlottesville Residency, which includes Albemarle, Greene, and Madison Counties. The form establishes the procedural requirements for contractors who wish to subcontract portions of the work under this contract. No work or equipment may be subcontracted without prior written consent from VDOT. Contractors seeking to subcontract must submit the names, qualifications, and experience of proposed subcontractors for agency approval. The form requires detailed information about each proposed subcontractor, including firm or individual name and address, contact person and phone number, type of work to be performed, and type of equipment proposed subcontractors will provide.
The primary contractor remains fully liable and responsible for all work performed by subcontractors and must ensure compliance with all contract requirements. Contractors must identify whether any proposed subcontractors are certified with the Department of Small Business and Supplier Diversity (DSBSD) as Small, Women Owned, or Minority Businesses and provide relevant certification numbers. An authorized VDOT representative must sign and date the form to approve and accept the proposed subcontractors under the contract terms and conditions, with the signature, date, and telephone number of the authorizing official required for validation.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT C
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
| Solicitation #: |
| FIRM INDIVIDUAL’S |
| TYPE OF EQUIPMENT PROPOSED SUBCONTRACTOR WILL PROVIDE |
| FOR VDOT USE ONLY: |
| Solicitation: 161076 |
| 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: |
File details come from the government source that posted it. Updated .