TSB Form for S79 Express Store Camp Dodge.pdf

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Attached to
S79 EXPRESS STORE – CAMP DODGE
Solicitation number
C548SI506
Issued by
Iowa

About this file

This is a Technical Specifications and Bidding (TSB) Form for the Iowa Department of Public Defense, facilitating a construction project at Camp Dodge. The project involves the demolition of the existing S56 building and the construction of a new Exchange Store facility. Proposals are due September 8, 2026, with detailed scope, specifications, and evaluation criteria available through the IMPACS system. Interested bidders should contact Issuing Officer Philip Payton at 515-975-6211 or philip.payton@dpd.iowa.gov for additional information and clarification on project requirements.

Additional details regarding pricing terms, funding sources, set-asides, contract value, and specific technical requirements are contained within the IMPACS system documentation. Bidders are encouraged to review all available project documentation and contact the issuing officer for a complete understanding of project scope, specifications, and contractual obligations prior to submitting proposals.

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Text version

S79 EXPRESS STORE – CAMP DODGE 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:

S79 EXPRESS STORE – CAMP DODGE

PROJECT LOCATION:

CAMP DODGE, JOHNSTON, IOWA

PROJECT NO.: 19084193

CONTRACT NO.: C548SI506

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

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