IFB 161174 ATTACHMENT C Subcontracting Approval Request.pdf

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Attached to
IFB 161174 Dual Telescopic Dump Trailers
Solicitation number
IFB-128176
Issued by
Craig County, Virginia

About this file

This document is a Subcontractor Approval Request form (Attachment C) issued by the Virginia Department of Transportation (VDOT) for solicitation IFB 161174 regarding the procurement of five (5) 7-foot by 14-foot dual telescopic tandem axle dump trailers rated at 17,600 GVW and equipped with skid steer fork pockets. The form establishes the requirement that any subcontracting of work or equipment must obtain prior written approval from VDOT before proceeding. Primary contractors are required to submit detailed information about proposed subcontractors, including firm or individual names, addresses, contact persons, phone numbers, types of work to be performed, equipment to be provided, and qualifications or experience levels of each subcontractor.

The form requires contractors to identify whether any proposed subcontractors hold Small, Women-Owned, or Minority Business (SWMB) certification with the Virginia Department of Small Business and Supplier Diversity (DSBSD), including relevant certification numbers. The primary contractor remains fully liable and responsible for all work performed by subcontractors and must ensure full compliance with all contract requirements. VDOT's authorized representative must provide written approval and acceptance of proposed subcontractors, including signature, date, and telephone number, before subcontracting work may commence. The form accommodates multiple subcontractor entries and provides dedicated sections for VDOT use only during the approval process.

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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: 161174
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:

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