IFB 24-25-081Kemper Road Improvements - S Main St to Edmonds St.pdf

INVITATION FOR BID

IFB No.: IFB 24-25-081

Title: Kemper Road Improvements – S Main St. to Edmonds St.

Identified By: State Project No. TA21-108-468, C-501

VDOT UPC No. 117942 Federal Project No. TAP-5108(203)

Pre-Bid Meeting:

(non-mandatory)

Pre-Bid Meeting will be held March 5, 2025 at 2:00 p.m. in the 3rd floor conference room, Municipal Building, 427 Patton St., Danville, VA

Remote viewing of the Pre-Bid Meeting will also be available via Zoom at:

https://zoom.us/j/92374859503?pwd=zLIEfCIQgQzAsrS3JOpZbazBZlwm2a.1

Bid Due Date: Sealed Bids shall be accepted no later than:

March 27, 2025 at 2:00 p.m.

Submit electronically through eVA or on paper (mail or hand-deliver) to the Purchasing Department, 427 Patton Street, Room 304, Danville, VA 24541

Direct Questions to:

Last Date for Questions:

Carol Henley, Director of Purchasing: purchasing@danvilleva.gov cc: Karen Black, PE: blackka@danvilleva.gov

March 13, 2025 at 5:00 p.m.

TABLE OF CONTENTS

NOTICE TO BIDDERS

PREBID QUESTION FORM

INSTRUCTIONS TO BIDDERS

BID FORM

GENERAL CONDITIONS

SUPPLEMENTAL GENERAL CONDITIONS

GENERAL ADMINISTRATIVE REQUIREMENTS

VDOT SPECIAL PROVISIONS AND SUPPLEMENTAL SPECIFICATIONS

CITY OF DANVILLE SPECIAL PROVISIONS

SELECTED PROJECT FORMS

PLANS (UNDER SEPARATE ATTACHMENT)

https://zoom.us/j/92374859503?pwd=zLIEfCIQgQzAsrS3JOpZbazBZlwm2a.1 mailto:purchasing@danvilleva.gov mailto:frankcp@danvilleva.gov

IFB 24-25-081 Kemper Road Improvements – S Main St. to Edmonds St.

UPC 117942

NOTICE TO BIDDERS

Invitation for Bid No. 24-25-081 Bids open March 27, 2025 at 2:00 p.m.

The City of Danville will receive sealed bids for construction of: KEMPER ROAD IMPROVEMENTS – S MAIN ST.

TO EDMONDS ST.

Bidders must be prequalified with the Virginia Department of Transportation (VDOT). For information about becoming VDOT Prequalified, please visit https://www.vdot.virginia.gov/doing-business/business-opportunities/highway-contractors/.

Detailed work description: Regular excavation and grading. Construction of sidewalk along the south side of Kemper Road between S Main Street and Edmonds Street (approximately 1880 feet). Several concrete driveway entrances shall be replaced. Continental crosswalks shall be installed at locations as shown on plans.

Contract time limits: See Supplemental General Conditions

The City of Danville in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C.§§ 2000d to 2000d-4) and the Regulations, hereby notifies all Bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

In the solicitation or awarding of contracts, the City of Danville does not discriminate against Bidders or offerors because of race, religion, color, sex, sexual orientation, gender identity, national origin, age, disability, status as a service-disabled veteran, or any other basis prohibited by federal or state law relating to discrimination in employment. The City of Danville does not discriminate against faith-based organizations.

This project is funded with local, state, and federal transportation funds.

It is the policy of the Virginia Department of Transportation that Disadvantaged Business Enterprises (DBE) as defined in 49 CFR Part 26 must have the maximum opportunity to participate in the performance of federally funded contracts. A list of DBE firms certified by the SBSD and MWAA is maintained on SBSD’s website (https://www.SBSD.virginia.gov) under the DBE Directory of Certified Vendors. Contractors are encouraged to take all necessary and reasonable steps to ensure that DBE firms have the maximum opportunity to compete for and perform services on contract, including participation in any subsequent supplement contracts. If the contractor intends to subcontract a portion of the services on the project, the contractor is encouraged to seek out and consider DBEs as potential subcontractors. The contractor/subcontractor is encouraged to contact DBEs to solicit their interest, capability, and qualifications. Any agreement between a contractor/consultant and a DBE whereby the DBE promises not to provide services to other contractors/consultants is prohibited.

The DBE participation requirement for this contract is 5.00%.

PREVAILING WAGES in compliance with the DAVIS-BACON ACT are REQUIRED on this Contract. Prevailing wage rates applicable to this Contract are provided in the Specifications.

A non-mandatory pre-bid conference will be held in person at the date, time, and location indicated in the Instructions to Bidders. Remote viewing may be made available online via ZOOM (see page 1 for meeting link).

The City will receive Bids until 2:00 p.m. local prevailing time on the date at the location indicated in the Instructions to Bidders.

Bid bond equal to at least 5% of the bid amount is required with Bid. Performance and payment bonds each in the amount of 100% of the Contract Price will be required upon Notice of Award.

Withdrawal of bids due to error shall be subject to and in accordance with Va. Code § 2.2-4330

Electronic copies of the Bidding Documents may be obtained on eVA (https://eva.virginia.gov/) or from the City’s bid postings website. Physical copies of project plans may be provided Bidders if indicated in the Instructions to Bidders.

All Bidders (including those submitting paper bids) must be registered on eVA (see Instructions to Bidders) City of Danville

Director of Purchasing https://www.vdot.virginia.gov/doing-business/business-opportunities/highway-contractors/ https://www.vdot.virginia.gov/doing-business/business-opportunities/highway-contractors/ https://www.sbsd.virginia.gov/ https://eva.virginia.gov/

PREBID QUESTION FORM

DATE:______________________

PROJECT: KEMPER ROAD IMPROVEMENTS – S MAIN ST. TO EDMONDS ST.

IFB NO.: 24-25-081

DURING BIDDING, WRITTEN (NOT ORAL) COMMENTS CONCERNING CONFLICTS

(ERRORS, INCONSISTENCIES, OR OMISSIONS) IN THE BIDDING DOCUMENTS SHALL BE

SUBMITTED ON THIS FORM. CONFLICTS WILL BE RESOLVED ONLY BY WRITTEN

ADDENDA. THE CITY WILL NOT RECEIVE OR RESPOND TO QUESTIONS

OTHER THAN WRITTEN COMMENTS CONCERNING CONFLICTS.

THE FOLLOWING CONCERNS DRAWINGS, SHEET(S) _________________________________:

THE FOLLOWING CONCERNS SPECIFICATIONS/PROJECT MANUAL,

PAGE _____: PARAGRAPH _____,

SUBMITTED BY: ___________________________________________________________

Name Phone

Organization

SUBMIT FORM BY EMAIL TO: PURCHASING@DANVILLEVA.GOV

CC: BLACKKA@DANVILLEVA.GOV

EMAIL SUBJECT LINE: IFB 24-25-081 (UPC 117942) PRE-BID QUESTION

INSTRUCTIONS TO BIDDERS

ARTICLE 1 - GENERAL

1.1 DEFINITIONS

When used in these instructions to bidders, unless explicit definition is otherwise given, the definitions and terminology of the General Conditions apply.

1.2 BID DATE

Sealed Bids shall be received no later than:

2:00 p.m. on March 27, 2025

Submit electronically through eVA (https://eva.virginia.gov/) or on paper (mail or hand-deliver) to the following address:

ATTN: IFB 24-25-081

City of Danville

Purchasing Department-Room 304 427 Patton Street

Danville, VA 24541

1.3 PRE-BID CONFERENCE

A non-mandatory pre-bid conference (project showing) will be held at 2:00 p.m. on March 5, 2025 at:

3rd Floor Conference Room Municipal Building (City Hall)

427 Patton Street Danville, VA 24541

Representatives of the City and the Engineer will be present to discuss the Project. Bidders are encouraged to attend and participate in the conference. The City will issue such Addenda as the Engineer considers necessary to address questions that arise at the conference.

1.4 BIDDING DOCUMENTS

1.4.1 COPIES OF BIDDING DOCUMENTS

Electronic copies of the Bidding Documents are available electronically on eVA (https://eva.virginia.gov/) or the City’s bid postings website. Hardcopies of plans are available as follows:

a. One set of project plans will be available for inspection at the Purchasing Office.

b. The Engineer may, upon written request, provide one (1) full-size set of project plans (24” x 36”) and up to two (2) sets of reduced-size plans (11” x 17”) free of charge to prospective Bidders.

1.4.2 INTERPRETATIONS OF BIDDING DOCUMENTS

a. The Bidder shall: (1) carefully study and compare the Bidding Documents with each other, (2) examine the site and local conditions and compare with the Bidding Documents, and (3) report, at once, to the Purchasing Director errors, inconsistencies, or ambiguities discovered.

b. Bidders requiring clarification or interpretation of the Bidding Documents or requesting substitutions shall submit a written request on the Pre-Bid Question Form no later than the last date for questions indicated on the first page of the Invitation for Bids.

c. Interpretations, corrections, substitution approvals, and changes of the Bidding Documents will be made by Addendum. Interpretations, corrections, substitution approvals, and changes of the Bidding Documents made in any other manner will not be binding.

d. When conflicts arise between local, state, and federal codes or federal-aid provisions, the federal-aid or most conservative approach shall be taken.

1.4.3 SUBSTITUTIONS

a. The Contract for the Work, as awarded, will be on the basis of materials and equipment specified or described in the Bidding Documents, and those “or-equal” or substitute or materials and equipment subsequently approved by Engineer prior to the submittal of Bids and identified by Addendum.

b. The substitution review and approval process will be handled in accordance with the provisions of the General Conditions.

1.4.4 ADDENDA

a. Copies of Addenda will be made available for inspection wherever Bidding Documents are on file for that purpose.

b. Addenda will be issued no later than ten (10) days prior to the bid date except an Addendum withdrawing the Invitation for Bids or one which includes postponement of the bid date.

c. Each Bidder shall ascertain prior to submitting a Bid that the Bidder has received all Addenda issued and shall acknowledge their receipt on the Bid Form.

d. The Bidder shall sign and submit copies of each Addendum with its Bid.

e. When Addenda are issued, Bidders that have submitted an electronic response through eVA must resubmit their response to the latest version of the solicitation.

1.5 BIDDING PROCEDURES

1.5.1 PREPARATION OF BIDS

a. Bids shall be submitted on the forms included in the Bidding Documents.

b. All blanks on the Bid Form and required submittals shall be legibly executed in a non-erasable medium.

c. Interlineations, alterations, and erasures must be initialed by the signer of the Bid Form.

d. Unsigned or qualified bids shall not be accepted.

1.5.2 BID SECURITY

a. Each Bid shall be accompanied by a bid security in the form and amount specified in the General Conditions. The Bidder pledges to enter into a Contract with the City on the terms stated in the Bid and will furnish bonds covering the faithful performance of the Contract and payment of all obligations arising thereunder. Should the Bidder refuse to enter into such Contract or fail to furnish such bonds, the amount of the bid security shall be forfeited to the City as described in the General Conditions not as a penalty, but as liquidated damages.

b. The City will have the right to retain the bid security of Bidders to whom an award is being considered until either (1) the Contract has been executed and bonds have been furnished, or (2) the specified time has elapsed so that Bids may be withdrawn, or (3) all Bids have been rejected.

1.5.3 SUBMISSION OF BIDS

a. Bids shall be submitted either: (1) on paper (mailed or hand-delivered) to the address designated for receipt of Bids, or (2) electronically through eVA at https://eva.virginia.gov/. Each Bidder shall choose only one method of submission. A Bid will not be accepted if submitted both electronically and on paper.

b. The latest dated and time stamped bid will be the only bid accepted and evaluated.

c. All Bidders (including those submitting paper Bids) shall be registered on eVA at https://eva.virginia.gov/. There is no cost for eVA registration.

d. Paper Submission: Envelopes shall be sealed and marked in the lower left-hand corner with “IFB 24-25- 081 Kemper Road Improvements – S Main St. to Edmonds St.” and the Bidder’s name and submitted to the location designated for receipt of Bids.

e. Electronic Submission: Bid invitation can be found on eVA at https://eva.virginia.gov/ under the Business Opportunities Tab > Virginia Business Opportunities (VBO). Search IFB 24-25-081. When Addenda are issued, Bidders that have submitted an electronic response must resubmit their response to the latest version of the solicitation.

f. Bidders are expected to examine all instructions and the Bidding Documents. Failure to do so will be at the Bidder’s risk.

g. Bids shall be deposited electronically or on paper at the designated location prior to the time and date for receipt of Bids. Bids received after the time and date for receipt of Bids will not be accepted.

h. The Bidder shall assume full responsibility for timely delivery of its Bid electronically or on paper to the location designated for receipt of Bids.

i. The Bidder shall furnish a unit or lump sum price as called for on the bid schedule, in numerical figures, for each pay item listed. The Bidder shall also show the products of the unit prices and quantities in numerical figures in the column provided for that purpose and the total amount of the Bid. If a unit or lump sum price is omitted, the Bid will be rejected.

1.5.4 BID SUBMITTALS

Submit the following with Bid:

a. Fully executed Bid Form including:

1. Certification Regarding Lobbying

2. Certification Regarding Debarment

b. Fully executed Bid Bond on City of Danville, Virginia Bid Bond Form or other form acceptable to the City.

c. Fully executed VDOT Forms C-104, C-105, C-48, and C-111.

1. If the Bidder is unable to attain sufficient DBE participation to meet the DBE goal, the Bidder must submit, within two (2) days after bid opening, fully executed VDOT Form C-49 in accordance with VDOT Special Provision for Section 107 - DBE Requirements.

d. Signed copies of each Addenda (if any).

1.5.5 MODIFICATION AND WITHDRAWAL OF BID

a. Procedures for modification and withdrawal of Bids shall be in accordance with the General Conditions.

1.6 CONSIDERATION OF BIDS

1.6.1 OPENING OF BIDS

a. Properly submitted Bids will be opened publicly and read aloud on the date and at the location designated for receipt of Bids after the time for receipt of Bids has passed.

1.6.2 REJECTION OF BIDS

a. The City shall have the right to reject any or all Bids. A Bid not accompanied by the required bid security or other data required by the Bidding Documents, or a Bid which is in any way incomplete or irregular is subject to rejection.

1.6.3 ACCEPTANCE OF BID

a. It is the City’s intent to award a Contract to the lowest responsible Bidder provided the Bid is determined to be responsive (has been submitted in accordance with the requirements of the Bidding Documents) and does not exceed the funds available.

b. Upon opening Bids, the City will evaluate all bid submittals to determine whether all requirements of the Bidding Documents have been met.

c. Bids will be compared on the basis of the summation of the products of the quantities shown in the bid schedule and the unit bid prices.

d. If there is a discrepancy between the unit price and its extension, the unit price will govern. Accordingly, the City may correct arithmetical errors in the bid prior to such comparison. The results of the comparisons will be available to the public after the determination has been made to award the Contract.

e. Bids will be considered irregular and may be rejected for any of the reasons stated in the General Conditions.

f. Bids will remain subject to acceptance for sixty (60) days after the Bid opening, or for such longer period of time that Bidder may agree to in writing.

1.7 POST-BID INFORMATION

1.7.1 POST-BID SUBMITTALS

a. Within two (2) days after bid opening, if the Bidder is unable to attain sufficient DBE participation to meet the DBE goal, it must submit fully executed VDOT Form C-49 in accordance with VDOT Special Provision for Section 107 - DBE Requirements.

b. Within five (5) days after bid opening, apparent low Bidder must submit fully executed VDOT Form C-112.

c. Within five (5) days after bid opening, apparent low Bidder must submit fully executed VDOT Form C-110 if a DBE listed on VDOT Form C-111 (submitted with bid) is a regular dealer or distributor as defined in VDOT Special Provision for Section 107 - DBE Requirements.

d. Within ten (10) days of the City’s issuance of award notice, submit Certificates of Insurance showing compliance with the required types and amounts of insurance required in the Bidding Documents. Such Certificates of Insurance may be on City of Danville, Virginia Certificate of Insurance Form (attached), Form ACORD 25, or other forms as may be acceptable to the City.

e. Within ten (10) days of the City’s issuance of award notice, submit Performance and Payment Bonds in the amount of 100% of the Contract Price and conforming to the Bidding Documents. Such Performance and Payment Bonds may be on City of Danville, Virginia Contract Performance Bond and Contract Payment Bond Forms (attached) or other forms as may be acceptable to the City.

END OF SECTION

BID FORM

ARTICLE 1 - BID RECIPIENT

1.1 This Bid is submitted to:

ATTN: DIRECTOR OF PURCHASING

CITY OF DANVILLE

427 PATTON ST RM 304

DANVILLE VA 24541-1215

1.2 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with the City to perform all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in the Bidding Documents and in accordance with the other terms and conditions of the Bidding Documents.

ARTICLE 2 - BASIS OF BID

2.1 The Bidder will complete the Work in accordance with the Contract Documents for the unit prices indicated in Article 7 - Bid Schedule. The Bidder hereby proposes to furnish all items including materials, supervision, labor, and equipment in strict accordance with said Contract Documents for the unit prices indicated on the Bid Schedule.

The sum of the unit price indicated for each line item times the line item quantity is the Total Bid which equals:

(write Total Bid from Bid Schedule in figures and words above)

ARTICLE 3 - BIDDER’S ACKNOWLEDGEMENTS

3.1 Bidder accepts all of the terms and conditions of the Bidding Documents, including without limitation those dealing with the disposition of Bid security. This Bid will remain subject to acceptance for 60 days after the Bid opening, or for such longer period of time that Bidder may agree to in writing.

3.2 Bidder will sign and deliver the required number of counterparts of the Agreement with the Bonds and other documents required by the Bidding Requirements within the timeframe presented in the Instructions to Bidders.

ARTICLE 4 - BIDDER’S REPRESENTATIONS

4.1 In submitting this Bid, Bidder represents that:

a. Bidder has examined and carefully studied the Bidding Documents, and any data and reference items identified in the Bidding Documents, and hereby acknowledges receipt of the following Addenda:

Addendum Number Addendum Date

b. Bidder has visited the Site, conducted a thorough, alert visual examination of the Site and adjacent areas and become familiar with and satisfied itself as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work.

c. Bidder is familiar with and has satisfied itself as to all Laws and Regulations that may affect cost, progress, and performance of the Work.

d. Bidder has considered the information known to Bidder itself; information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Bidding Documents; and any Site-related reports and drawings identified in the Bidding Documents, with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Bidder; and (3) Bidder’s safety precautions and programs.

e. Bidder agrees, based on the information and observations referred to in the preceding paragraph, that no further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price bid and within the times required, and in accordance with the other terms and conditions of the Bidding Documents.

f. Bidder is aware of the general nature of work to be performed by the City and others at the Site that relates to the Work as indicated in the Bidding Documents.

g. Bidder has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents and confirms that the written resolution thereof by Engineer is acceptable to Bidder.

h. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance and furnishing of the Work.

i. The submission of this Bid constitutes an incontrovertible representation by Bidder that Bidder has complied with every requirement of this Article, and that without exception the Bid and all prices in the Bid are premised upon performing and furnishing the Work required by the Bidding Documents.

ARTICLE 5 - BIDDER’S CERTIFICATION

5.1 The Bidder certifies that:

a. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation;

b. Bidder has not (directly or indirectly) induced or solicited any other entity to: (1) submit a false or sham Bid; or (2) refrain from bidding;

c. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this paragraph 5.1.c.:

1. “corrupt practice” means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process;

2. “fraudulent practice” means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of the City, (b) to establish bid prices at artificial non-competitive levels, or (c) to deprive the City of the benefits of free and open competition;

3. “collusive practice” means a scheme or arrangement between two or more Bidders, with or without the knowledge of the City, a purpose of which is to establish bid prices at artificial, non-competitive levels; and

4. “coercive practice” means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract.

ARTICLE 6 - TIME OF COMPLETION

6.1 Bidder agrees that the Work will be substantially complete and will be completed and ready for final payment in accordance with and on or before the date or within the number of calendar days indicated in the Contract Documents.

6.2 Bidder accepts the provisions of the Contract Documents as to liquidated damages.

ARTICLE 7 - BID SCHEDULE

Bidder acknowledges that quantities of work indicated in the Bid Schedule are not guaranteed and are solely for the purpose of comparison of Bids, and that final payment for all Unit Price Bid items will be based on actual quantities, determined as provided in the Contract Documents.

(Bid Schedule begins on next page)

A B C D E F G H

ITEM ITEM SPEC

DESCRIPTION OF WORK

SCHED

UNIT

UNIT TOTAL

NO. CODE NO. QTY PRICE PRICE

(E X G)

BID SCHEDULE

01 513SD20-0001 513 MOBILIZATION 1.00 LS

02 517SD20-0001 517 CONSTRUCTION SURVEYING CONSTR. 1.00 LS

03 512SP20-0002 512, ATTD NS MAINTENANCE OF TRAFFIC 1.00 LS

04 512PA20-0008 ATTD PORTABLE CHANGEABLE MESSAGE SIGN 5760.00 HR

05 510SX20-0038 510 NS REMOVE EXIST. MINOR CONCRETE 750.00 SQYD

06 510SX20-0041 510 NS REMOVE EXIST. MISC. ITEMS (LUMP SUM) 1.00 LS

07 510SX20-0047 ATTD NS RELOCATE EXIST. MISC. ITEMS (LUMP SUM) 1.00 LS

08 303SD20-0034 303 TEMP. SILT FENCE TYPE A 500.00 LF

09 303SX20-0003 303 NS EXCAVATION SIDEWALK EXCAVATION 400.00 CY

10 308SD20-0003 308 AGGR. MATL. NO. 21A 200.00 TON

11 504SD20-0003 504 HYDR. CEMENT CONC. SIDEWALK 4" 1800.00 SY

12 504SD20-0002 504 CG-12 DETECTABLE WARNING SURFACE 80.00 SY

13 316SD20-0030 316 CONCRETE ENTRANCE PAVE. 7" 120.00 SY

14 502SD20-0029 502 ENTRANCE GUTTER CG-9D 120.00 SY

15 315SD20-0007 315 ASPHALT CONCRETE TY. SM-9.5A CONST 30.00 TON

16 504SX20-0009 504 NS SIDEWALK DRIVEWAY TIE-IN 100.00 SY

17 602SD20-0003 602 TOPSOIL CLASS B 2" 0.50 ACRE

18 603SD20-0002 603 TEMPORARY SEED 60.00 LB

19 603SD20-0003 603 REGULAR SEED 100.00 LB

A B C D E F G H

ITEM ITEM SPEC

DESCRIPTION OF WORK

SCHED

UNIT

UNIT TOTAL

NO. CODE NO. QTY PRICE PRICE

(E X G)

BID SCHEDULE

20 603SX20-0013 603 NS FERTILIZER 15-30-15 50.00 LB

21 507SD20-0027 507 HIGH VISIBILITY FENCE, 4 FEET 70.00 LF

22 512SD20-0042 512 ERADICATE LINEAR PVMT MRKG 40.00 LF

23 512SD20-0043 512 ERADICATE NONLINEAR PVMT MRKG 40.00 SF

24 704SD20-0051 704 DBL TURN ARR.THRU/LT OR RT TY B, CL II 1.00 EA

25 704SD20-0015 704 TYPE B CLASS II PVMT LINE MRKG 24", WHITE 325.00 LF

TOTAL BID =

ARTICLE 8 - NON-STANDARD “ATTD” BID ITEM DESCRIPTIONS

The following describes measurement and payment for various items listed on the bid schedule and supersedes conflicting language that may be found in the Specifications:

NS MAINTENANCE OF TRAFFIC includes providing and maintaining all traffic control required for the project per the Plans, the Virginia Work Area Protection Manual and the Specifications except that separate measurement and payment will not be made for individual items other than PORTABLE CHANGEABLE MESSAGE SIGN which will be measured and paid per hour in use. All required traffic control devices and maintenance of traffic shall be included in the lump sum price bid for NS MAINTENANCE OF TRAFFIC line item. Payment will be in equal monthly installments.

NS REMOVE EXIST. MINOR CONCRETE includes demolition and/or removal and disposal (unless otherwise noted in the plans or directed by the Engineer) of miscellaneous concrete. For the purposes of demolition, “Minor Concrete” means existing concrete items (with or without steel reinforcement) including hydraulic cement concrete and asphalt cement concrete: sidewalks, ditches/flumes, curbs, and combination curb and gutter, and driveways.

NS REMOVE EXIST. MISC. ITEMS includes removal and disposal of miscellaneous items required or noted on the plans, including decorative stones, shrubs, or other items designated on the plans. Measurement and payment will be on a lump sum basis.

NS RELOCATE EXIST. MISC. ITEMS includes relocation of miscellaneous items required or noted on the plans, including signs, satellite dish, or other items designated on the plans. Measurement and payment will be on a lump sum basis.

NS SIDEWALK DRIVEWAY TIE-IN includes installing variable depth hydraulic cement concrete driveway tie-ins.

Measurement and payment will be per square yard.

HIGH VISIBILITY FENCE, 4 FEET includes installing high-visibility orange fencing for tree protection. Installation, measurement, and payment shall be as provided in the VDOT Specifications.

CONTRACTOR QUALITY CONTROL TESTING is required and includes providing quality control (QC) testing to be provided by the Contractor in accordance with Special Provision included in the Contract Documents. The Contractor shall secure a qualified testing laboratory and pay for all such testing. No separate measurement and payment will be made for Contractor Quality Control Testing and the costs shall be considered incidental to the work (included in other bid items).

ARTICLE 9 - ATTACHMENTS TO THIS BID FORM

9.1 Several forms are attached to this Bid Form for Bidder’s use. The following forms must be fully executed and submitted with Bid:

1. Certification Regarding Lobbying

2. Certification Regarding Debarment

3. City of Danville, Virginia Bid Bond form (or may use other form acceptable to the City)

4. VDOT Forms C-48, C-104, C-105, C-111

9.2 Specific forms are not provided for the following items, but are required to be provided and submitted by the Bidder with its Bid:

1. Signed copies of each Addenda (if any)

9.3 The following forms are not required to be submitted with the Bid, but may be required to be submitted after the bid opening:

1. VDOT Form C-49 must be submitted within two (2) days after bid opening by any Bidder that is not able to attain sufficient DBE participation to meet the DBE participation goal.

2. VDOT Form C-112 must be submitted by the apparent low Bidder within five (5) days after bid opening.

3. VDOT Form C-110 must be submitted by the apparent low Bidder within five (5) days after bid opening if a DBE listed on VDOT Form C-111 is a regular dealer or distributor as defined in VDOT Special Provision for Section 107-DBE Requirements.

4. City of Danville, Virginia Certificate of Insurance Form (or other acceptable form) must be submitted within ten (10) days of the City’s issuance of notice of award.

5. City of Danville, Virginia Contract Performance Bond and Contract Payment Bond forms must be submitted within ten (10) days of the City’s issuance of notice of award.

ARTICLE 10 - BID SUBMITTAL

This Bid is submitted by:

Bidder: [Indicate legal name of bidding entity]

Doing Business As: ___________________________________________________________________________ (if entity is an individual or if entity doing business under name other than legal name)

By [Signature]: __________________________________________________________________________

Printed Name: __________________________________________________________________________ (authorized representative)

Attest [Signature]: __________________________________________________________________________

[Printed Name]: __________________________________________________________________________

Title: __________________________________________________________________________

Submittal Date: ________________________________

Address for giving notices: __________________________________________________________

Telephone: _____________________________ Fax: ___________________________________

Contact Name and e-mail address: ______________________________________________________________

Federal Taxpayer Identification Number: __________________________________________________________ (EIN, ITIN, or SSN as applicable)

Va. Contractor License No.*: ___________________________________________________________________ *Note: If licensed. (License not required to submit a Bid)

City of Danville Business License No.*: ___________________________________________________________ *Note: If licensed. (License not required to submit a Bid)

Va. State Corporation Commission No.*: __________________________________________________________ *Note: Or attach explanation why organization is not required to be authorized in accordance with Va. Code § 2.2-4311.2

CERTIFICATION REGARDING LOBBYING

The undersigned Bidder certifies, to the best of its knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit OMB Standard Form-LLL, Disclosure of Lobbying Activities, in accordance with its instructions.

3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature Date

Title

CERTIFICATION REGARDING DEBARMENT

The undersigned Bidder certifies, to the best of his knowledge and belief, that it and its principals:

1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency, 2 CFR 180.335;.

2. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property, 2 CFR 180.800;

3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (a)(2) of this certification, 2 CFR 180.700 and 180.800; and

4. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. 2 CFR 180.335(d).

5. Are not a corporation that has been convicted of a felony violation under any Federal law within the two-year period preceding this proposal (USDOT Order 4200.6 implementing appropriations act requirements);

6. Are not a corporation with any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability (USDOT Order 4200.6 implementing appropriations act requirements);

7. Are not presently barred from bidding on contracts by any agency of the Commonwealth of Virginia; and

8. Are not part of any firm or corporation that is presently barred from bidding on contracts by any agency of the Commonwealth of Virginia.

The undersigned Bidder also certifies that, to the best of its knowledge and belief, that no subcontractor or supplier intended for use on this project is presently barred from bidding on contracts by any agency of the Commonwealth of Virginia.

This certification is a material representation of fact upon which reliance was placed when the contracting agency determined to enter into this transaction. If it is later determined that the Bidder knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the contracting agency may terminate this transaction for cause of default. 2 CFR 180.325.

Where the Bidder is unable to certify to any of the statements in this certification, it should attach an explanation to this proposal.

Signature Date

Title

CITY OF DANVILLE, VIRGINIA

BID BOND

KNOW ALL MEN BY THESE PRESENTS, THAT WE As principal, and Surety, are held and firmly bound unto the City of Danville, Virginia as obligee, in the amount of FIVE PERCENT OF THE DOLLAR VALUE OF THE BID, lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally and firmly by these presents.

SIGNED, sealed and dated this Day of , 20

WHEREAS, the above said principal is herewith submitting its proposal for:

PROJECT NUMBER:

NOW, THEREFORE, the condition of the above obligee is such, that if the aforesaid principal shall be awarded the contract upon said proposal and shall within the time specified in the Specifications after the notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void; otherwise to remain in full force and effect and the principal and surety will pay unto the obligee the difference in money between the amount of the bid of the said principal and the amount for which the obligee may legally contract with another party to perform the said work if the latter amount be in excess of the former; but in no event shall the liability exceed the penal sum hereof.

(Principal*) (Surety Company)

By:

(Officer, Partner or Owner) (Seal)

By:

(Attorney-in-Fact**) (Seal)

(Principal*) (Address)

By:

(Officer, Partner or Owner) (Seal)

By:

(Surety Company)

(Principal*) (Attorney-in-Fact**) (Seal)

By:

(Officer, Partner or Owner) (Seal)

By:

(Address)

*Note: If the principal is a joint venture, each party thereof must be named and execution made by same hereon. If there is more than one surety to the bid bond, each surety must be named and execution shall be made by same hereon.

Bid Bond ID#

**Attach copy of Power of Attorney

Company/Bidder Name Signature and Title

ORDER NO.:

CONTRACT ID. NO.:

Form C-48 Rev. 07-31-24

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION,

AND VENDOR SURVEY FORM (ALL VENDORS)

PROJECT NO. TA21-108-468, C-501 (UPC NO. 117942) CONTRACT I.D. NO. 24-25-081

FHWA NO. TAP-5108(203) DATE SUBMITTED

All vendors submitting a bid as a Prime Contractor shall complete and submit with their bids the following information as requested for (1) Subcontractor/Supplier Solicitation, and Utilization, and (2) for Vendor Survey.

The vendor certifies this form accurately represents its solicitation and utilization or non-utilization, as indicated, of the firms listed below for performance of work on this contract. The vendor also certifies he/she has had direct contact with the named firms regarding participation on this project.

Vendor Signature:

Vendor ID No. Title:

Vendor’s Address:

City:

State: Zip Code:

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION (ALL)

VENDOR

NUMBER NAME OF SUBCONTRACTOR/SUPPLIER

TELEPHONE

NUMBER

DBE OR

NON-DBE

UTILIZED

(Y/N)

NOTE: ATTACH ADDITIONAL PAGES, IF NECESSARY.

BIDDER MUST SIGN EACH ADDITIONAL SHEET TO CERTIFY ITS CONTENT AND COMPLETION OF FORM.

FEDERAL LAW REQUIRES ALL VENDORS SUBMITTING BIDS OR OFFERS PROVIDE THE INFORMATION REQUESTED

IN THIS FORM.

Form C-48 Rev. 07-31-24

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

VENDOR SURVEY

WHEN SUBMITTING A BID OR OFFER AS A PRIME CONTRACTOR, THE BIDDER MUST SUBMIT A VENDOR

SURVEY FOR THEMSELVES AND A VENDOR SURVEY FOR EACH SUBCONTRACTOR AND SUPPLIER

WHO SUBMITTED A BID OR QUOTE TO THE BIDDER.

VENDOR’S FULL LEGAL NAME:

VENDOR ID NO.:

ADDRESS:

CITY:

STATE: ZIP CODE:

VENDOR’S YEARS IN BUSINESS:

VENDOR’S STATUS: DBE NON-DBE

[DBE means a small business that is certified as a Disadvantaged Business Enterprise by the Virginia Department of Small Business & Supplier Diversity or the Metropolitan Washington Airports Authority.]

GENDER OF VENDOR’S MAJORITY OWNER: _ MALE _ FEMALE OTHER

ETHNICITY OF VENDOR’S MAJORITY OWNER:

(Defined in 49 CFR 26.5)

White Black or African American Hispanic American Asian-Pacific American Subcontinent Asian American Native American, incl. Alaskan or Hawaiian Other:

VENDOR’S ANNUAL GROSS RECEIPTS: _ _ $ 0 - 25 million _ $ 25 - 50 million

_ _ $ 50 - 75 million _ _ More than $75 million

THE UNDERSIGNED, ON BEHALF OF VENDOR IDENTIFIED ABOVE, ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY STATES THE INFORMATION CONTAINED HEREIN TO THE BEST OF VENDOR’S KNOWLEDGE.

Printed Full Legal Name of Person Signing for Vendor

Signature:

Form C-49 2-24-14

Sheet 1 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NUMBER

PROJECT NUMBER

FHWA NUMBER

DISTRICT

IFB 24-25-081

TA21-108-468,C-501 (UPC 117942)

TAP-5108(203)

LYNCHBURG

DATE BID SUBMITTED ____________________________________________

BIDDER’S NAME _________________________________________________

SIGNATURE _____________________________________________________

TITLE __________________________________________________________

VENDOR NUMBER _______________________________________________

DBE GOAL FROM BID PROPOSAL 5.00%

--DO NOT DETACH--

THIS INFORMATION MUST BE SUBMITTED

WITHIN 2 DAYS AFTER BID OPENING IF YOUR

BID DOES NOT MEET THE PROJECT DBE

REQUIREMENTS, OR

WHEN REQUESTED BY VDOT

Sheet 2 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

NAMES OF CERTIFIED DBEs AND THE DATES ON WHICH THEY WERE SOLICITED TO BID

ON THIS PROJECT

INCLUDE THE ITEMS OF WORK OFFERED AND THE DATES AND METHODS USED FOR

FOLLOWING UP INITIAL SOLICITATIONS TO DETERMINE WHETHER OR NOT DBEs WERE

INTERESTED.

NAMES AND VENDOR

NUMBERS OF DBEs

SOLICITED

DATE OF INITIAL

SOLICITATION

ITEM(S) OF WORK FOLLOW-UP METHODS

AND DATES

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY

ATTACH COPIES OF SOLICITATIONS, TELEPHONE RECORDS, FAX CONFIRMATIONS,

ELECTRONIC INFORMATION, ETC.

Sheet 3 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

TELEPHONE LOG

DBE(s) CALLED

TELEPHONE

NUMBER

DATE

CALLED

TIME

CALLED

CONTACT PERSON OR

VOICE MAIL STATUS

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY

Sheet 4 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

ITEM(S) OF WORK THAT THE BIDDER MADE AVAILABLE TO DBE FIRMS

IDENTIFY THOSE ITEM(S) OF WORK THAT THE BIDDER MADE AVAILABLE TO DBE FIRMS

OR THOSE ITEM(S) THE BIDDER IDENTIFIED AND DETERMINED TO SUBDIVIDE INTO

ECONOMICALLY FEASIBLE UNITS TO FACILITATE DBE PARTICIPATION. FOR EACH ITEM

LISTED, SHOW THE DOLLAR VALUE AND PERCENTAGE OF THE TOTAL CONTRACT

AMOUNT. IT IS THE BIDDER’S RESPONSIBILITY TO DEMONSTRATE THAT SUFFICIENT

WORK TO MEET THE GOAL WAS MADE AVAILABLE TO DBE FIRMS.

ITEM(S) OF WORK

MADE AVAILABLE

BIDDER

NORMALLY

PERFORMS ITEM(S)

(Y/N)

ITEM(S) BROKEN

DOWN TO

FACILITATE

PARTICIPATION

(Y/N)

AMOUNT IN

DOLLARS

PERCENTAGE

OF

CONTRACT

NOTE: INFORMATION REQUIRED FOR THIS SECTION CONTINUED ON SHEET 5

ATTACH ADDITIONAL PAGES IF NECESSARY

Sheet 5 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

ADDITIONAL INFORMATION REGARDING ITEM(S) OF WORK THAT THE

BIDDER MADE AVAILABLE TO DBE FIRMS (Continued From Sheet 4)

ITEM(S) OF WORK MADE AVAILABLE, NAMES OF SELECTED FIRMS AND DBE STATUS,

DBEs THAT PROVIDED QUOTES, PRICE QUOTE FOR EACH FIRM, AND THE PRICE

DIFFERENCE FOR EACH DBE IF THE SELECTED FIRM IS NOT A DBE.

ITEM(S) OF WORK

MADE

AVAILABLE(CONT.)

NAME OF

SELECTED

FIRM AND

VENDOR

NUMBER

DBE OR

NON-DBE

NAME OF

REJECTED

FIRM(S)

QUOTE IN

DOLLARS

PRICE

DIFFERENCE IN

DOLLARS

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.

IF THE FIRM SELECTED FOR THE ITEM IS NOT A DBE, PROVIDE THE REASON(S) FOR THE

SELECTION ON A SEPARATE PAGE AND ATTACH.

PROVIDE NAMES, ADDRESSES, AND TELEPHONE NUMBERS FOR THE FIRMS LISTED

ABOVE.

Sheet 6 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

ADVERTISEMENTS OR PROOFS OF PUBLICATION.

NAMES AND DATES OF EACH PUBLICATION IN WHCH A REQUEST FOR DBE

PARTICIPATION FOR THE PROJECT WAS PLACED BY THE BIDDER. ATTACH COPIES OF

PUBLISHED ADVERTISEMENTS OR PROOFS OF PUBLICATION.

PUBLICATIONS DATES OF ADVERTISEMENT

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY

Sheet 7 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

NAMES OF AGENCIES CONTACTED TO PROVIDE ASSISTANCE

NAMES OF AGENCIES (SEE SPECIAL PROVISION FOR 107.15) AND THE DATES THESE

AGENCIES WERE CONTACTED TO PROVIDE ASSISTANCE IN CONTACTING, RECRUITING,

AND USING DBE FIRMS. IF THE AGENCIES WERE CONTACTED IN WRITING, ATTACH

COPIES OF SUPPORTING DOCUMENTS.

NAME OF AGENCY

METHOD AND DATE OF

CONTACT RESULTS

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.

Sheet 8 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

TECHNICAL ASSISTANCE AND INFORMATION PROVIDED TO DBEs

EFFORTS MADE TO PROVIDE INTERESTED DBEs WITH ADEQUATE INFORMATION ABOUT

THE PLANS, SPECIFICATIONS, AND REQUIREMENTS OF THE BID DOCUMENTS TO ASSIST

THE DBEs IN RESPONDING TO A SOLICITATION.

IDENTIFY THE DBEs ASSISTED, THE INFORMATION PROVIDED, AND THE DATE OF

CONTACT. ATTACH COPIES OF SUPPORTING DOCUMENTS.

DBEs ASSISTED INFORMATION PROVIDED DATE OF CONTACT

Sheet 9 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

EFFORTS MADE TO ASSIST DBEs OBTAIN BONDING, LINES OF CREDIT, INSURANCE, ETC.

EFFORTS MADE TO PROVIDE INTERESTED DBEs IN OBTAINING BONDING, LINES OF

CREDIT, INSURANCE, NECESSARY EQUIPMENT, SUPPLIES, MATERIALS, OR RELATED

ASSISTANCE OR SERVICES, EXCLUDING SUPPLIES AND EQUIPMENT THE

SUBCONTRACTOR PURCHASES OR LEASES FROM THE PRIME CONTRACTOR OR ITS

AFFILIATES.

IDENTIFY THE DBEs ASSISTED, THE ASSISTANCE OFFERED, AND THE DATES OF

SERVICES OFFERED AND PROVIDED. ATTACH COPIES OF SUPPORTING DOCUMENTS.

DBEs ASSISTED ASSISTANCE OFFERED DATES SERVICES OFFERED

AND/OR PROVIDED

Sheet 10 of 10

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

DBE GOOD FAITH EFFORTS DOCUMENTATION

CONTRACT I.D. NO. IFB 24-25-081 DATE SUBMITTED

IF THE DBE GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR VDOT

REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD

FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.

THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY

REPRESENTS THE INFORMATION CONTAINED HEREIN.

BIDDER SIGNATURE

TITLE

ADDITIONAL DATA TO SUPPORT DEMONSTRATION OF GOOD FAITH EFFORTS

NOTE: ATTACH ADDITIONAL PAGES, IF NECESSARY

ADDITIONAL DATA TO SUPPORT DEMONSTRATION OF GOOD FAITH EFFORTS

Form C-104 Rev. 7-13-05

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

PROJECT: TA21-108-468, C-501 (UPC NO. 117942)

FHWA: TAP-5108(203)

This form must be completed, signed and returned with bid; and failure to do so may result in the rejection of your bid. THE CONTRACTOR SHALL AFFIRM THE FOLLOWIN G STATEMENT EITHER BY SIGNING

THE AFFIDAVIT AND HA VING IT NOTARIZED OR BY SIGNING THE UNSWORN DECLARATION

UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE UNITED STATES.