UPC 121556 C-48 form.pdf
PDF 157 KB Posted
- Attached to
- Construction, University Drive Bike Lanes
- Solicitation number
- IFB-114424
- Issued by
- Fairfax County, Virginia
About this file
This is a Form C-48 Subcontractor/Supplier Solicitation and Utilization, and Vendor Survey Form issued by the Commonwealth of Virginia Department of Transportation. The form serves as a mandatory submission requirement for all vendors bidding as prime contractors on Virginia Department of Transportation projects. Prime contractors must complete and submit the form with their bids, certifying their solicitation and utilization or non-utilization of subcontractors and suppliers for project performance. The form requires vendors to provide direct contact documentation with named firms regarding project participation and to list all subcontractors and suppliers by vendor number, name, telephone number, and utilization status (yes or no). Bidders must sign each page of the submission and attach additional pages if necessary to fully document all subcontractor and supplier information.
The Vendor Survey section requires prime contractors to submit a completed survey for themselves and for each subcontractor and supplier who submitted a bid or quote. The survey collects vendor information including full legal name, vendor ID number, business address, years in business, and annual gross receipts categorized in ranges from $0-25 million to more than $75 million. The person signing on behalf of the vendor must certify under oath that the information provided is accurate to the best of their knowledge. Compliance with this form is mandated by federal law for all vendors submitting bids or offers to the Commonwealth of Virginia Department of Transportation.
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Text version
COMMONWEALTH OF VIRGINIA
DEPARTMENT OF TRANSPORTATION
Form C-48 Rev. 10-03-25
SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION,
AND VENDOR SURVEY FORM (ALL VENDORS)
PROJECT
NO.
CONTRACT I.D.
NO.
FHWA NO. 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
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.
UPC 121556
COMMONWEALTH OF VIRGINIA
DEPARTMENT OF TRANSPORTATION
Form C-48 Rev. 10-03-25
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 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: ____________________________________________
File details come from the government source that posted it. Updated .