IFB 161216 ATTACHMENT C Subcontracting Approval Request.pdf
PDF 58 KB Posted
- Attached to
- IFB 161216 Delivered Stone
- Solicitation number
- IFB-129576
- Issued by
- Craig County, Virginia
About this file
This Subcontractor Approval Request form is a Virginia Department of Transportation (VDOT) attachment for Solicitation 161216, which pertains to the delivery of aggregate stone to various locations within the Culpeper district, encompassing the Charlottesville and Louisa Residencies. The form establishes the requirement that no portion of work, including equipment provision, may be subcontracted without prior written consent from VDOT. Contractors desiring to subcontract any aspect of the work must submit detailed information regarding proposed subcontractors to VDOT for approval, including the subcontractor's name, address, contact person, phone number, type of work to be performed, equipment proposed for use, and qualifications or experience level. The primary contractor remains fully liable and responsible for all work performed by subcontractors and must ensure compliance with all contract requirements.
The form requires contractors to identify any proposed subcontractors certified as Small, Women Owned, or Minority Businesses with the Department of Small Business and Supplier Diversity (DSBSD), including their certification numbers. VDOT retains sole discretionary authority to approve or reject proposed subcontractors, and any approved subcontractors must operate under the terms and conditions of the contract. The form provides space to list up to four proposed subcontractors with corresponding details and requires signature and authorization from a VDOT representative, along with the date and phone number of the authorizing official, to finalize approval.
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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: 161216 |
| 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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