Mandatory Jobsite Visit Form Starks Weigh Station.pdf

RFx No. 3000025285 Opening Date/Time: 08/25/2025, 11:59PM

LOUISIANA

DEPARTMENT OF TRANSPORTATION AND DEVELOPMENT

MANDATORY

JOBSITE VISIT CERTIFICATION

DOTD-Grounds Maintenance

Jobsite Location(s): West Bound Starks Weigh Station

4543 Hwy 12 West

Starks, La. 70661

DOTD Point of Contact (POC): Lt. Grant Broussard

337-936-3607

Grant.Broussard@la.gov

Jobsite visit shall include a visual review of the location(s) where work is to be performed.

Vendor must contact the DOTD POC listed above to schedule an appointment. Mandatory jobsite visit must be completed prior to bid opening date and time.

The vendor or authorized representative and the DOTD POC or their designee should sign this certificate after the jobsite inspection has completed. In lieu of a signed certificate, the DOTD POC may provide a signed letter or email stating that the vendor did visit the jobsite. Letter or email must include the date of inspection, company name, and the name of the person present at the inspection.

NOTE: Certification, letter or email from the DOTD POC should be submitted by the bidder with the bid response and must be supplied to the DOTD Procurement Office within five (5) days of request.

Failure to supply the required documentation will cause the vendor’s bid to be rejected.

I __________________________________ on behalf of _____________________________________

(Vendor Representative’s Name – Please Print) (Vendor’s Company Name – Please Print) hereby certify that I have inspected the referenced jobsite(s) on ___________________, 20____ and

I am familiar with all conditions of the location as it pertains to the fulfillment of the specifications associated with the solicitation.

(Vendor Representative’s Signature & Date)

(DOTD Representative’s Signature & Date)

(DOTD Representative’s Name & Title – Please Print)