| Agency: | City of Lynchburg |
|---|---|
| State: | Virginia |
| Type of Government: | State & Local |
| NAICS Category: |
|
| Posted Date: | Apr 1, 2026 |
| Due Date: | Apr 29, 2026 |
| Solicitation No: | 2026-059 |
| Original Source: | Please Login to View Page |
| Contact information: | Please Login to View Page |
| Bid Documents: | Please Login to View Page |
| Bid Number: |
2026-059
|
| Bid Title: |
SEWER PIPE AND MANHOLE LINING REHABILITATION
|
| Category: | Invitation for Bids |
| Status: | Open |
|
PROJECT MANUAL
FOR
CITY OF LYNCHBURG
Sewer Pipe and Manhole Lining Rehabilitation
Invitation for Bid # 2026-059
Due: 3:00 PM, April 29, 2026
PROCUREMENT DIVISION
3RD FLOOR CITY HALL
900 CHURCH STREET
LYNCHBURG, VA 24504
TELEPHONE (434) 455-3970
Issued on: April 1, 2026
Table of Contents
Document Page #
Bidding Requirements
Advertisement For Bids .................................................................................................... 3
Bid Form ............................................................................................................................ 4
Escrow Account Election................................................................................................... 8
Equal Opportunity Report Statement .............................................................................. 9
Statement Of Experience ................................................................................................ 10
Statement Of Available Resources ................................................................................. 11
Corporate Status Form ................................................................................................... 12
Questions To Bidders/Offerors ...................................................................................... 13
Construction Agreement ................................................................................................ 14
City Of Lynchburg, Virginia Standard Performance Bond ............................................. 16
City Of Lynchburg Standard Labor And Material Payment Bond ................................. 18
Escrow Agreement .......................................................................................................... 21
Instructions To Bidders ................................................................................................... 25
General Conditions ......................................................................................................... 31
Technical Specifications and Supplemental Conditions ................................................ 93
PM - 2
| Sealed bids for the Sewer Pipe and Manhole Lining Rehabilitation will be received by the City of Lynchburg, | |||
|---|---|---|---|
| Procurement Division, 3rd Floor City Hall, 900 Church Street, Lynchburg, VA 24504, until 3:00 PM, | April 29, 2026, | ||
| and then publicly opened and read aloud in the First Floor Customer Conference Room located in the City Hall | |||
| lobby and broadcast via Microsoft Teams video conference. The Teams meeting link to the bid opening will be | |||
| posted to the City's Bid webpage: | https://www.lynchburgva.gov/Bids.aspx. | ||
ADVERTISEMENT FOR BIDS
Sealed bids for the Sewer Pipe and Manhole Lining Rehabilitation will be received by the City of Lynchburg,
Procurement Division, 3rd Floor City Hall, 900 Church Street, Lynchburg, VA 24504, until 3:00 PM, April 29, 2026,
and then publicly opened and read aloud in the First Floor Customer Conference Room located in the City Hall
lobby and broadcast via Microsoft Teams video conference. The Teams meeting link to the bid opening will be
posted to the City's Bid webpage: https://www.lynchburgva.gov/Bids.aspx.
Mailed or Hand Delivered Bids: FedEx, UPS, and the USPS have access to the building to deliver mail/packages to
the Procurement Office. If vendors choose to hand deliver bids, they can do so at the Citizens First Information
Center in the lobby on the First Floor of City Hall at 900 Church St. Monday - Friday from 8:30 a.m. to 5:00 p.m.
A Procurement Office staff member will be contacted by Citizens First to retrieve the bid and timestamp it at
that time. It is the sole responsibility for the Bidder to ensure their bid is timestamped prior to the deadline for
submission. Please allow additional time to ensure this is done.
Online Bid Submission: To submit a bid online, go to www.lynchburgva.gov/Bids.aspx and click on the link to
open this specific solicitation. Click on the Submit Online button, complete the form, and upload your bid. Please
upload your bid as ONE file. As always, late bids will not be considered.
Project Description: This term contract consists of sewer pipe and manhole lining rehabilitation to be provided
as needed by the City throughout the year. Work orders will be assigned by the Department of Water Resources.
The initial term of this contract shall begin July 1, 2026 through June 30, 2027; with the option to renew up to
three (3) additional one (1) year terms, upon mutual agreement. Price increases may only be negotiated at the
time of contract renewal and shall remain valid for each 12 month period. The City reserves the right to use
more or less of the services contained within the awarded contract and in the event that the Contractor cannot
supply needed services, the City reserves the right to seek services from another source to meet the immediate
need.
Bid Documents may be viewed and printed directly from the City's website:
https://www.lynchburgva.gov/Bids.aspx.
An Optional, Virtual, Pre-Bid Conference will be held at 10:00 AM, April 8, 2026. The conference link is listed on
the City's website at: www.lynchburgva.gov/Bids.aspx.
All requests for clarification of or questions regarding this Advertisement for Bids or for additional information
must be made in writing to Will Ruberry at william.ruberry@lynchburgva.gov and received by 3:00 PM, April 22,
2026. All addenda should be signed and accompany any bid submitted.
PM - 3
BID FORM
Will Ruberry, CPPB
Procurement Division
City of Lynchburg
Third Floor, City Hall
900 Church Street
Lynchburg, Virginia 24504
Dear Mr. Ruberry,
The undersigned, as bidder, hereby declares that the only persons interested in this bid as principal, or
principals, is or are named herein and that no person other than herein mentioned has any interest in this bid or
in the Construction Agreement to be entered into; that this bid is made without connection with any other
person, company, or parties making a bid; and that it is in all respects fair and in good faith, without collusion or
fraud.
The undersigned, having visited and examined the site and having carefully studied all the Contract Documents,
including without limitation, all drawings and specifications pertaining to Sewer Pipe and Manhole Lining
Rehabilitation for the City of Lynchburg, Virginia, hereby proposes to furnish all labor, equipment, materials,
and services and to perform all operations necessary to execute and complete the Work required for the
project, in strict accordance with the Contract Documents, The City of Lynchburg Manual of Specifications and
Standard Details, latest edition, and , together with Addenda numbered through ______ issued during
bidding period and hereby acknowledged, subject to the terms and conditions of the Construction Agreement
for the sum of
TOTAL BASE BID
DOLLARS
($ ), which shall be referred to hereinafter as the Base Bid.
It is understood and agreed that the Owner, in protecting its best interests, reserves the right to reject any or all
bids or waive any defects. Any changes, erasures, modifications, deletions in the bid form, or alternate
proposals not specified in the Advertisement for Bids may make the bid irregular and subject to rejection.
Contractors will indicate a unit price for each item listed below. If the Construction Agreement is for a lump sum
price, unless clearly and specifically indicated otherwise in the Contract Documents, all unit prices only apply to
changes in the Work. The listed bid items are to contain all necessary costs required for completion of the Work
in accordance with the Contract Documents.
If the Construction Agreement is for unit prices and not for a lump sum price, it is understood that all quantities
listed on the following pages are estimated quantities, and the Owner reserves the right to raise, lower, or
eliminate any quantity or item, and in any case, the unit prices shall be used in determining partial and final
payment. It is further understood that costs to cover all components of the Work as described in the Contract
Documents are included in this bid, even in cases where specific line items are not identified.
We are properly equipped to execute all work of the character and extent required by the Contract Documents,
and we will enter into the Construction Agreement for the execution and completion of the Work in accordance
with the Contract Documents; and we further agree that, if awarded the Construction Agreement, we will
commence the Work on the date stated in the "Notice to Proceed" and will maintain a work force large enough
to execute the Work and all obligations no later than the completion date stated in the Contract Documents.
PM - 4
Enclosed herewith is the following Security, offered as assurance that the undersigned will enter into the
Construction Agreement for the execution and completion of the Work in accordance with the Contract
Documents:
Bidder's Certified Check issued by (name of bank) in the amount
of: $ (5% of Base Bid amount)
Bidder's Bid Bond for 5% of Base Bid Amount Issued by (name
of surety authorized to do business in Virginia).
The undersigned hereby agrees, if awarded the Construction Agreement, to execute and deliver to the City
within ten (10) days after his receipt of the Notice of Award, a performance bond and a payment bond, in forms
satisfactory to the City, from sureties authorized to do business in Virginia satisfactory to the City, in the amount
of one hundred (100) percent of the Base Bid.
The undersigned further agrees that, in case of failure on his part to execute the said Construction Agreement
within the ten (10) days after written notice being given on the award of the Construction Agreement or the
failure to deliver the required performance and payment bonds within the ten (10) days, the monies payable by
the Security accompanying this bid shall be paid to the City of Lynchburg, Virginia, as liquidated damages for
such failure; otherwise the Security accompanying this Bid shall be returned to the undersigned.
Attached herewith are completed Statement of Experience and Statement of Resources forms which include the
information requested.
The undersigned further certifies that this bid is not the result of, or affected by, any act of collusion with
another person engaged in the same line of business, or any act punishable under the Virginia Governmental
Frauds Act, or other law. This bid remains valid and may not be withdrawn for a period of 60 days from this date.
CURRENT VIRGINIA CONTRACTOR'S LICENSE/ REGISTRATION NO.:
Respectfully submitted,
CONTRACTOR
DATE
ADDRESS
Email
BY:
(Signature)
(Type/Print)
ITS:
(Title)
PM - 5
| Bid Item Listing | ||||||
|---|---|---|---|---|---|---|
| Item | M&P Specification | Item | Unit | Qty | Unit Price | Total Cost |
| 1 | 01200-1.2.V | Pre-Lining Rehab Design CCTV/Cleaning of Sanitary Sewer | LF | 16000 | $ - | |
| 2 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 6" flexible liner | LF | 300 | $ - | |
| 3 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 8" flexible liner | LF | 6650 | $ - | |
| 4 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 10" flexible liner | LF | 2850 | $ - | |
| 5 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 12" flexible liner | LF | 2250 | $ - | |
| 6 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 15" flexible liner | LF | 1750 | $ - | |
| 7 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 18" flexible liner | LF | 1375 | $ - | |
| 8 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 24" flexible liner | LF | 275 | $ - | |
| 9 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 30" flexible liner | LF | 275 | $ - | |
| 10 | 01200-1.2.V | Rehabilitate existing Sanitary Sewer pipelines using 36" flexible liner | LF | 275 | $ - | |
| 11 | 01200-1.2.W | Reinstatement of 4" lined lateral for Sanitary Sewer | EA | 30 | $ - | |
| 12 | 01200-1.2.W | Reinstatement of 6" lined lateral for Sanitary Sewer | EA | 120 | $ - | |
| 13 | 01200-1.2.W | Reinstatement of 8" and larger lined lateral for Sanitary Sewer | EA | 5 | $ - | |
| 14 | 01200-1.2.RR | Grinding of Protruding Laterals for Sanitary Sewer | EA | 15 | $ - | |
| 15 | 01200-1.2.QQ | Heavy Cleaning of Sanitary Sewer | HR | 45 | $ - | |
| 16 | 01200-1.2.UU | 8" Pipe Patch "Short-Liner" Repair for Sanitary Sewer | EA | 2 | $ - | |
| 17 | 01200-1.2.UU | 10" Pipe Patch "Short-Liner" Repair for Sanitary Sewer | EA | 2 | $ - | |
| 18 | 01200-1.2.UU | 12" Pipe Patch "Short-Liner" Repair for Sanitary Sewer | EA | 2 | $ - | |
| 19 | 01200-1.2.UU | 15" Pipe Patch "Short-Liner" Repair for Sanitary Sewer | EA | 2 | $ - | |
| 20 | 01200-1.2.UU | 18" Pipe Patch "Short-Liner" Repair for Sanitary Sewer | EA | 2 | $ - | |
| 21 | 01200-1.2.GG | Rehabilitate existing Sanitary Sewer manholes, cementitious type (in developed areas) | VF | 150 | $ - | |
| 22 | 01200-1.2.JJ | Rehabilitate existing Sanitary Sewer manholes, cementitious type (in undeveloped/unmaintained areas) | VF | 150 | $ - | |
| 23 | 01200-1.2.GG | Rehabilitate existing Sanitary Sewer manholes, epoxy type (in developed areas)* | VF | 30 | $ - | |
| 24 | 01200-1.2.JJ | Rehabilitate existing Sanitary Sewer manholes, epoxy type (in undeveloped/unmaintained areas)* | VF | 30 | $ - | |
| 25 | 01200-1.2.HH | Internal Manhole Frame Seals/Sealant (in developed areas) | EA | 15 | $ - | |
| 26 | 01200-1.2.KK | Internal Manhole Frame Seals/Sealant (in undeveloped/unmaintained areas) | EA | 15 | $ - | |
| 27 | 01200-1.2.II | External Manhole Frame Seals/Sealant (in developed areas) | EA | 8 | $ - | |
| 28 | 01200-1.2.LL | External Manhole Frame Seals/Sealant (in undeveloped/unmaintained areas) | EA | 8 | $ - | |
| 29 | 01200-1.2.SS | Replacement of existing manhole frame & cover STANDARD (paved areas) | EA | 7 | $ - | |
| 30 | 01200-1.2.TT | Replacement of existing manhole frame & cover STANDARD (unpaved areas) | EA | 18 | $ - | |
| 31 | 01200-1.2.SS | Replacement of existing manhole frame & cover WATERTIGHT (paved areas) | EA | 2 | $ - | |
| 32 | 01200-1.2.TT | Replacement of existing manhole frame & cover WATERTIGHT (unpaved areas) | EA | 8 | $ - | |
| 33 | 01200-1.2.I | Manhole Precast Concrete Riser Ring | VF | 18 | $ - | |
| 34 | 01200-1.2.MM | Bypass Pumparound - 4 inch pump | HR | 45 | $ - | |
| 35 | 01200-1.2.NN | Bypass Pumparound - 6 inch pump | HR | 45 | $ - | |
| 36 | 01200-1.2.V | Pre-Lining Rehab Design CCTV/Cleaning of Storm Sewer | LF | 6000 | $ - | |
| 37 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 10" flexible liner | LF | 400 | $ - | |
| 38 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 12" flexible liner | LF | 600 | $ - | |
| 39 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 15" flexible liner | LF | 1800 | $ - | |
| 40 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 18" flexible liner | LF | 1275 | $ - | |
| 41 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 24" flexible liner | LF | 1100 | $ - | |
| 42 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 30" flexible liner | LF | 275 | $ - | |
| 43 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 36" flexible liner | LF | 275 | $ - | |
| 44 | 01200-1.2.V | Rehabilitate existing Storm Sewer pipelines using 42" flexible liner | LF | 275 | $ - | |
| 45 | 01200-1.2.W | Reinstatement of 4" lined lateral for Storm Sewer | EA | 10 | $ - | |
| 46 | 01200-1.2.W | Reinstatement of 6" lined lateral for Storm Sewer | EA | 20 | $ - | |
| 47 | 01200-1.2.W | Reinstatement of 8" and larger lined lateral for Storm Sewer | EA | 5 | $ - | |
| 48 | 01200-1.2.RR | Grinding of Protruding Laterals for Storm Sewer | EA | 5 | $ - |
Bid Item Listing
Item M&P Specification Item Unit Qty Unit Price Total Cost
1 01200-1.2.V Pre-Lining Rehab Design CCTV/Cleaning of Sanitary Sewer LF 16000 $ -
2 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 6" flexible liner LF 300 $ -
3 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 8" flexible liner LF 6650 $ -
4 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 10" flexible liner LF 2850 $ -
5 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 12" flexible liner LF 2250 $ -
6 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 15" flexible liner LF 1750 $ -
7 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 18" flexible liner LF 1375 $ -
8 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 24" flexible liner LF 275 $ -
9 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 30" flexible liner LF 275 $ -
10 01200-1.2.V Rehabilitate existing Sanitary Sewer pipelines using 36" flexible liner LF 275 $ -
11 01200-1.2.W Reinstatement of 4" lined lateral for Sanitary Sewer EA 30 $ -
12 01200-1.2.W Reinstatement of 6" lined lateral for Sanitary Sewer EA 120 $ -
13 01200-1.2.W Reinstatement of 8" and larger lined lateral for Sanitary Sewer EA 5 $ -
14 01200-1.2.RR Grinding of Protruding Laterals for Sanitary Sewer EA 15 $ -
15 01200-1.2.QQ Heavy Cleaning of Sanitary Sewer HR 45 $ -
16 01200-1.2.UU 8" Pipe Patch "Short-Liner" Repair for Sanitary Sewer EA 2 $ -
17 01200-1.2.UU 10" Pipe Patch "Short-Liner" Repair for Sanitary Sewer EA 2 $ -
18 01200-1.2.UU 12" Pipe Patch "Short-Liner" Repair for Sanitary Sewer EA 2 $ -
19 01200-1.2.UU 15" Pipe Patch "Short-Liner" Repair for Sanitary Sewer EA 2 $ -
20 01200-1.2.UU 18" Pipe Patch "Short-Liner" Repair for Sanitary Sewer EA 2 $ -
21 01200-1.2.GG Rehabilitate existing Sanitary Sewer manholes, cementitious type (in developed areas) VF 150 $ -
22 01200-1.2.JJ Rehabilitate existing Sanitary Sewer manholes, cementitious type (in undeveloped/unmaintained areas) VF 150 $ -
23 01200-1.2.GG Rehabilitate existing Sanitary Sewer manholes, epoxy type (in developed areas)* VF 30 $ -
24 01200-1.2.JJ Rehabilitate existing Sanitary Sewer manholes, epoxy type (in undeveloped/unmaintained areas)* VF 30 $ -
25 01200-1.2.HH Internal Manhole Frame Seals/Sealant (in developed areas) EA 15 $ -
26 01200-1.2.KK Internal Manhole Frame Seals/Sealant (in undeveloped/unmaintained areas) EA 15 $ -
27 01200-1.2.II External Manhole Frame Seals/Sealant (in developed areas) EA 8 $ -
28 01200-1.2.LL External Manhole Frame Seals/Sealant (in undeveloped/unmaintained areas) EA 8 $ -
29 01200-1.2.SS Replacement of existing manhole frame & cover STANDARD (paved areas) EA 7 $ -
30 01200-1.2.TT Replacement of existing manhole frame & cover STANDARD (unpaved areas) EA 18 $ -
31 01200-1.2.SS Replacement of existing manhole frame & cover WATERTIGHT (paved areas) EA 2 $ -
32 01200-1.2.TT Replacement of existing manhole frame & cover WATERTIGHT (unpaved areas) EA 8 $ -
33 01200-1.2.I Manhole Precast Concrete Riser Ring VF 18 $ -
34 01200-1.2.MM Bypass Pumparound - 4 inch pump HR 45 $ -
35 01200-1.2.NN Bypass Pumparound - 6 inch pump HR 45 $ -
36 01200-1.2.V Pre-Lining Rehab Design CCTV/Cleaning of Storm Sewer LF 6000 $ -
37 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 10" flexible liner LF 400 $ -
38 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 12" flexible liner LF 600 $ -
39 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 15" flexible liner LF 1800 $ -
40 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 18" flexible liner LF 1275 $ -
41 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 24" flexible liner LF 1100 $ -
42 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 30" flexible liner LF 275 $ -
43 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 36" flexible liner LF 275 $ -
44 01200-1.2.V Rehabilitate existing Storm Sewer pipelines using 42" flexible liner LF 275 $ -
45 01200-1.2.W Reinstatement of 4" lined lateral for Storm Sewer EA 10 $ -
46 01200-1.2.W Reinstatement of 6" lined lateral for Storm Sewer EA 20 $ -
47 01200-1.2.W Reinstatement of 8" and larger lined lateral for Storm Sewer EA 5 $ -
48 01200-1.2.RR Grinding of Protruding Laterals for Storm Sewer EA 5 $ -
PM - 6
| 49 | 01200-1.2.QQ | Heavy Cleaning of Storm Sewer | HR | 20 | $ - | |
|---|---|---|---|---|---|---|
| 50 | 01200-1.2.UU | 10" Pipe Patch "Short-Liner" Repair for Storm Sewer | EA | 2 | $ - | |
| 51 | 01200-1.2.UU | 12" Pipe Patch "Short-Liner" Repair for Storm Sewer | EA | 2 | $ - | |
| 52 | 01200-1.2.UU | 15" Pipe Patch "Short-Liner" Repair for Storm Sewer | EA | 2 | $ - | |
| 53 | 01200-1.2.UU | 18" Pipe Patch "Short-Liner" Repair for Storm Sewer | EA | 2 | $ - | |
| Total Base Bid | $ - | |||||
| *Epoxy items for manhole rehabilitation shall include both the cementitious and epoxy material components of the lining system. |
49 01200-1.2.QQ Heavy Cleaning of Storm Sewer HR 20 $ -
50 01200-1.2.UU 10" Pipe Patch "Short-Liner" Repair for Storm Sewer EA 2 $ -
51 01200-1.2.UU 12" Pipe Patch "Short-Liner" Repair for Storm Sewer EA 2 $ -
52 01200-1.2.UU 15" Pipe Patch "Short-Liner" Repair for Storm Sewer EA 2 $ -
53 01200-1.2.UU 18" Pipe Patch "Short-Liner" Repair for Storm Sewer EA 2 $ -
Total Base Bid $ -
*Epoxy items for manhole rehabilitation shall include both the cementitious and epoxy material components of the lining system.
PM - 7
ELECTION OF ESCROW ACCOUNT PROCEDURE FOR RETAINAGE
If determined to be the successful low bidder(s), the above signed elects to use the Escrow Account
Procedure for retainage.
Write "Yes" or "No" on above line
If the successful bidder elects to use the Escrow Account Procedure for Retainage, the "Escrow
Agreement" form shall be executed and submitted to the City of Lynchburg Engineering Division within
fifteen (15) calendar days after notification. If the "Escrow Agreement" form is not submitted within
the fifteen (15) day period, the Contractor shall forfeit his rights to the use of the Escrow Account
Procedure.
Company
Authorized Signature
PM - 8
EQUAL OPPORTUNITY REPORT STATEMENT
The Bidder shall complete the following statement by checking the appropriate blank as follows.
The Bidder has has not participated in a previous
contract subject to the nondiscrimination clause prescribed by Executive Order 10925, dated March 6,
1961, or Executive Order 11114 dated June 22, 1963.
In conjunction with the City of Lynchburg's policy to utilize Minority and Disadvantaged Business
Enterprises ("DBE") wherever possible, the Bidder has solicited quotations for labor, material and/or
services from the following Minority and Disadvantaged Business Enterprises:
NAME OF FIRM PERSON(S) CONTACTED DATE
Of those listed above, we intend, at this time, to utilize the following in the completion of the Work
required by this Construction Agreement:
"This firm assures that it will give its best efforts to utilize Minority and Disadvantaged Business
Enterprises whenever possible."
CERTIFIED BY: (Signature)
(Typed/Printed name & Title)
BIDDER'S NAME:
TAXPAYER IDENTIFICATION NUMBER:
This firm will perform all construction with its own employees and, therefore, is not required to
solicit quotations from DBEs.
FAILURE TO DOCUMENT AND REPORT DBE CONTACTS ON THIS FORM MAY BE A BASIS FOR REJECTION
OF THE BID AS NONCONFORMING.
PM - 9
STATEMENT OF EXPERIENCE
Proposer:
How Long In Business: At Current Address:
Principals: Title:
Title:
Title:
Type of Work Normally Performed:
Projects of this type previously completed:
1.
Amount $
2.
Amount $
3.
Amount $
Reference (for Projects listed above):
1.
Tel.No.
2.
Tel.No.
3.
Tel No.
PM - 10
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