TSB_Form (12).pdf

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Attached to
S54 FINISH UPGRADES
Solicitation number
34254102
Issued by
Polk County, Iowa

About this file

S54 Finish Upgrades - Targeted Small Business Form

This is a Targeted Small Business (TSB) Form supplement required for bidding on a facility renovation project by the Iowa Department of Public Defense at Camp Dodge in Johnston, Iowa (Project No. 19083733, Contract No. 34254102). The S54 Finish Upgrades project encompasses interior repainting work, latrine upgrades, replacement of select exterior doors, and installation of new room identification and wayfinding signage. Bids are due September 24, 2026, at 1:00 p.m. CDT. Bidders must submit all required documentation through the IMPACS event platform, including the Form of Bid and this TSB Form. The project is subject to all federal Buy American Act requirements. Issuing Officer Philip Payton can be contacted at 515-975-6211 or philip.payton@dpd.iowa.gov for additional information.

The TSB Form requires bidders to certify whether they are Iowa-certified Targeted Small Businesses and to document all Targeted Small Business Enterprise contacts made prior to bid submission, including company names, contact dates, quotes received, and proposed dollar amounts. Bidders must consult the construction-related Iowa Targeted Small Business Directory as certified by the Department of Economic Development, State of Iowa, and comply with all affirmative action and equal opportunity provisions of state and federal laws. The State of Iowa allows sixty days from invoice submission for payment under Iowa Code 8A.514. This supplement demonstrates the state's commitment to providing opportunities for certified small businesses as outlined in Chapter 73 of the Code of Iowa.

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Other files

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Drawings.pdf PDF
Advertisement for Bid.pdf PDF
Specs.pdf PDF
Advertisement Rev1.pdf PDF
IFB_Specifications Rev1.pdf PDF
Performance and Payment Bond (AIA Document A312-2010).html HTML file
Application and Certificate for Payment (AIA Documents G702 and G703-1992).html HTML file
Form_of_Bid Rev1.pdf PDF
1443205-event.pdf PDF
General Conditions (AIA Document A201-2007).html HTML file
IFB_Drawings.pdf PDF
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Text version

S54 FINISH UPGRADES SUPPLEMENT D:

CAMP DODGE, JOHNSTON, IOWA TARGETED SMALL BUSINESS FORM

Revised Nov. 1, 2021 00 43 16 - 1

DOCUMENT 00 43 16

SUPPLEMENT D: TARGETED SMALL BUSINESS FORM

(To be submitted with Form of Bid)

I. PROJECT TITLE:

S54 FINISH UPGRADES

PROJECT LOCATION:

CAMP DODGE, JOHNSTON, IOWA

PROJECT NO.: 19083733

CONTRACT NO.: 34254102

Bidder’s Company Name Area Code/Telephone

Address City State Zip Code

Bidder is _____ is not _____ a certified Iowa Targeted Small Business.

INSTRUCTIONS: Bidder shall provide the information requested below showing any Targeted Small Business Enterprise contacts made prior to bid submission for the project listed. Bidder shall use the construction-related Iowa Targeted Small Business Directory as certified by the Department of Economic Development, State of Iowa. Bidders shall comply with all affirmative action/equal opportunity provisions of State and Federal laws. The Owner seeks to provide opportunities for Targeted Small Businesses in accordance with the provisions of Chapter 73 of the Code of Iowa. Information is subject to verification and confirmation.

TSB Company Name and Phone #

Date Contacted

Quote Rec’d (Y/N)

$ Amount Proposed (if quote used in bid)

(Use second sheet if needed)

Date Signature of Bidder (same person signing the Form of Bid)

END OF DOCUMENT 00 43 16

File details come from the government source that posted it. Updated .