Re-Bid_RFQ_#23-02_Millings_Grindings_Formal_Procurement_Request_Form_-_signed.pdf

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Attached to
HMA Millings & Grindings
Solicitation number
26-007
Issued by
Charles County, Maryland

About this file

This document is a Formal Procurement Request from Charles County Government for the Department of Public Works (DPW) Facilities, Roads Division. The project is a Re-Bid RFQ #23-02 for HMA Millings & Grindings, specifically a Road Overlay Project focusing on road shoulders, with an estimated cost of $160,000. The project is scheduled for Fiscal Year 2026, with budget availability confirmed for July 1, 2025, and is planned to be 100% county-funded.

The procurement request indicates the project will be managed by Troy Garner and has been approved through the county's financial review process, with budget chief and FAS Director approvals obtained on June 26-27, 2025. The General Ledger account for the project is FY26 Overlay: 2051000004.50450, and the procurement form is valid for twelve months from the approval date. The document was electronically processed and signed by multiple county personnel, including Samantha Chiriaco and Jacob J Dyer, completing the formal procurement request workflow.

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Text version

Page 1 PURCH 240227

Charles County Government BUDGET - Formal Procurement Request

For procurement exceeding $50,000.00. This form is valid for twelve months from the approval date.

Scope of Work/Specifications must be submitted with this form.

Part A: Request Details

Department: DPW Facilities

Division: Roads

Project manager: Troy Garner

Item/Project name: Re-Bid RFQ #23-02 HMA Millings & Grindings

Estimated cost: $160,000

Description of work/service/commodity: Road Overlay Project: HMA Millings & Grindings (shoulders)

Part B: Funding Certification

Fiscal project # (if applicable):

Funding: County 100% State % Federal %

Grant % Other %

Fiscal Year: FY26

Budget Status: Approved Pending Not Funded Other:

General Ledger (G/L) Account(s): FY26 Overlay: 2051000004.50450

Comments: Re-bid RFQ #23-02 HMA Millings & Grindings

Part C: F&AS Approvals

Budget Comments:

Budget Chief Approval: Date:

FAS Director Comments:

FAS Director Approval: Date:

Jun 26, 2025 Budget available July 1, 2025

Jacob J Dyer (Jun 27, 2025 08:49 EDT) Jacob J Dyer Jun 27, 2025

Re-Bid RFQ #23-02 Millings Grindings Formal Procurement Request Form Final Audit Report 2025-06-27

Created: 2025-06-26 (Eastern Daylight Time)

By: Krystal Bonifacio (bonifack@charlescountymd.gov)

Status: Signed

Transaction ID: CBJCHBCAABAA82NGVjEIZRBSGuzsg5-NMMutOs-gdy4r

"Re-Bid RFQ #23-02 Millings Grindings Formal Procurement Re quest Form" History

Document created by Krystal Bonifacio (bonifack@charlescountymd.gov)

2025-06-26 - 11:18:48 AM EDT

Document emailed to Samantha Chiriaco (ChiriacoS@charlescountymd.gov) for signature

2025-06-26 - 11:20:00 AM EDT

Email viewed by Samantha Chiriaco (ChiriacoS@charlescountymd.gov)

2025-06-26 - 12:01:47 PM EDT

Document e-signed by Samantha Chiriaco (ChiriacoS@charlescountymd.gov) Signature Date: 2025-06-26 - 12:03:27 PM EDT - Time Source: server

Document emailed to dyerj@charlescountymd.gov for signature

2025-06-26 - 12:03:29 PM EDT

Email viewed by dyerj@charlescountymd.gov

2025-06-26 - 12:21:34 PM EDT

Signer dyerj@charlescountymd.gov entered name at signing as Jacob J Dyer

2025-06-27 - 8:49:50 AM EDT

Document e-signed by Jacob J Dyer (dyerj@charlescountymd.gov) Signature Date: 2025-06-27 - 8:49:52 AM EDT - Time Source: server

Agreement completed.

2025-06-27 - 8:49:52 AM EDT

2025-06-27T12:49:54+0000
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