TEXAS DEPARTMENT OF TRANSPORTATION SPECIFICATION NO. * PAINTING BUILDING FACILITIES, INTERIOR AND EXTERIOR PUBLICATION This specification is a product of the Texas Department of Transportation (TxDOT). It is the practice of TxDOT to support other entities by making this specification available through the National Institute of Governmental Purchasing (NIGP). This specification may not be sold for profit or monetary gain. If this specification is altered in any way, the header, and any and all references to TxDOT must be removed. TxDOT does not assume nor accept any liability when this specification is used in the procurement process by any other entity. 1. SCOPE: This solicitation is for services to provide interior and exterior painting at designated TxDOT facilities as identified on Attachment A TxDOT Facility Locations on an as needed basis. Service shall include all labor and materials to complete the job in accordance with these specifications. 2. APPLICABLE LAWS AND STANDARDS: The vendor shall provide the specified service requirements in accordance with all applicable federal, state, and local laws, standards and regulations necessary to perform the services, including, but not limited to: 2.1. All federal, state, and city regulations and laws pertaining to the disposal of paint and associated products. 2.2. Code of Federal Regulations (CFR 40) Protection of Environment, Chapter I: Subchapters D, I and N. 3. RESPONDENT QUALIFICATIONS: The respondent shall: 3.1. Be a company engaged in the business of providing commercial painting services for a minimum of five years within the last seven years. Recent start-up businesses do not meet the requirements of this solicitation. NOTE: A start-up business is defined as a new company that has no previous operational history or expertise in the relevant business and is not affiliated with a company that has that history or expertise. Two companies are affiliated if the two companies have a common parent company or if one is the parent or subsidiary of the other. * This Specification Supersedes TxDOT Specification No. 910-54-33, Revised June 2012. 1 12
3.2. Be in good financial standing and current in payment of all taxes and fees such as state franchise fees. TxDOT reserves the right to request a copy of the respondent s audited or un-audited financial statement. TxDOT may request a statement from the president, owner, or financial officer on company letterhead certifying that the company is in good financial standing and current in payment of all taxes and fees. When financial statements are requested, TxDOT will review the respondent's audited or un-audited financial statement to this solicitation in accordance with Texas Government Code, Title 10, Subtitle D, Section 2156.007 to evaluate the sufficiency of the respondent's financial resources and ability to perform the contract or provide the service required in the solicitation. TxDOT will be the sole judge in determining the sufficiency of the respondent's financial resources and ability to perform the contract or provide the service. Factors to be reviewed include: 3.2.1. Balance sheets 3.2.2. Net working capital 3.2.3. Current asset ratio 3.2.4. Liquidity ratio 3.2.5. Auditor(s) notes 3.2.6. Any notes to the financial statements 4. RESPONDENT REFERENCES: The respondent should submit a minimum of five references to substantiate the qualifications and experience requirements for similar services completed for five years within the last seven years. References shall illustrate respondent s ability to provide the services outlined in the specification. References shall include name, point of contact, telephone number, and dates services were performed. The response may be disqualified if TxDOT is unable to verify qualification and experience requirements from the respondent s references. The response may be disqualified if TxDOT receives negative responses. TxDOT will be the sole judge of references. 5. RESPONDENT PERSONNEL QUALIFICATIONS: The respondent shall provide: 5.1. A lead worker with a minimum of three years experience within the last five years in commercial painting services, both interior and exterior. 5.2. Painters with a minimum of two years commercial painting experience within the last three year. 5.3. Laborers with a minimum of one year experience within the last two years. 6. VENDOR REQUIREMENTS: The vendor shall: 6.1. Adhere to the TxDOT Terms and Conditions identified on the solicitation. 2 12
6.2. Provide all labor, materials, equipment, transportation, and methods of communication necessary to meet requirements of the specified services throughout the term of the purchase order. Tools and equipment may include, but not be limited to: paint brushes, paint rollers, paint sprayers, compressors, ladders, and other incidentals. 6.3. Provide a primary point of contact. 6.4. Provide an adequate number of additional personnel or subcontract with a vendor to provide services simultaneously at multiple locations. 6.5. Not perform work on any project with an estimated cost in excess of $25,000 or split a project into smaller projects to circumvent the $25,000 cap. 7. RESPONDENT PERSONNEL REQUIREMENTS 7.1. The lead worker s primary responsibility shall be the day-to-day operation of the service in accordance with the requirements of the purchase order. 7.2. All respondent personnel shall: 7.2.1. Be fluent in English with the ability to receive, give, and understand written and oral instructions. 7.2.2. Communicate verbally in English, speaking in a manner used in most office environments. 7.2.3. Not be excessively loud or use personal multi-media devices while performing services for TxDOT unless furnished by the vendor to facilitate communication with TxDOT or the vendor. 8. SERVICE REQUIREMENTS: The vendor shall: 8.1. Begin work within five business days of award of the purchase order or on the date mutually agreed upon between the designated TxDOT representative and the vendor. 8.2. Meet with the designated TxDOT representative a minimum of 48 hours prior to each job to discuss the scope of the project. In this meeting, TxDOT and the vendor will discuss work requirements and conditions, designated working hours, security, use of facilities, phasing, scheduling, and other pertinent information regarding the job. 8.3. Become familiar with each job location and ascertain existing conditions, verify existing dimensions or areas, and determine all material and labor quantities required to complete the job. 8.4. Provide a cost estimate to the designated TxDOT representative, prior to beginning work on designated project. The cost estimate will be approved or rejected in writing by the designated TxDOT representative within two business days. 3 12
8.5. Provide a service ticket with the following information: 8.5.1. Building number or site location. 8.5.2. Floor and room number, if applicable. 8.5.3. Description of work. 8.5.4. If paint and miscellaneous material are supplied, type and amount of material used. 8.5.5. TxDOT blanket release purchase order number issued for that job. NOTE: TxDOT will provide the blanket release purchase order number (Ref. Para. 24.5.). 8.6. Complete each job, once started, within the time frame that vendor and the designated TxDOT representative agree on and keep workforce on the job during the approved work hours until work is completed to the satisfaction of the designated TxDOT representative. 8.7. Be responsible for replacing or repairing any damage caused by vendor s negligence. 8.8. Preparation of areas and surfaces 8.8.1. Inspect all surfaces to be painted for damage which may adversely affect paint adherence or appearance and make the necessary corrections or repairs prior to painting. 8.8.2. Be responsible for all surface preparation to include but not be limited to: scraping, sanding, caulking, and the application of paint or stain, so the finished product has the appearance expected from a professional painting company. 8.8.3. Ensure the surface temperature or ambient air temperature is above 40º F or in accordance with the manufacturer s recommendations; whichever is greater, prior to painting. 8.8.4. Not apply spray finish coats in 10 mph or greater winds, rainy, or humid conditions (as defined by the manufacturer s recommendations). 8.8.5. Remove all overspray from TxDOT property. 8.8.6. Remove all furniture, equipment, electrical plug, and light switch covers prior to painting and replace upon completion. 8.8.7. Repair (fill holes less than 1/2 inch in diameter and prime) any surfaces to receive paint, as needed. Repairs of holes greater than 1/2 inch shall be reported to and approved by the designated TxDOT representative before repairs are made. 4 12
8.8.8. Furnish, at no cost to TxDOT, sufficient drop cloths, shields, tape, and protective equipment to prevent damage caused by drift of overspray or overlap of paint brushes or rollers or droppings from paint brushes or rollers onto surfaces not to be painted, including, but not limited to furniture, equipment, sidewalks, landscaping, flooring, walls, ceilings, door, window frames, A/C vents, and private property for which TxDOT is liable for damage. 8.8.9. Clean and remove all loose and peeling paint, grease, chalk, rust scale, dust, and mildew by wire brushing, sanding, scrubbing, or other necessary methods. 8.8.10. Clean galvanized surfaces with non-petroleum based solvents so the surface is free of oil and surface contaminants, including, but not limited to removing pretreatment from galvanized sheet metal fabricated from coil stock by mechanical methods. All preparation shall be in accordance with the paint manufacturer s recommendations. 8.8.11. Prime surfaces and apply multiple coats of paint as required to the satisfaction of the designated TxDOT representative. 8.8.12. Feather out edges to make touch-up repairs inconspicuous. 8.8.13. Reseal, weatherize, and prime any windows, door frames, and any other openings with sealant. 8.8.14. Repair all cracks, cover the repaired areas with paintable sealer, caulk, or other material acceptable to the designated TxDOT representative. 8.8.15. Apply the number of finish coats as directed by the designated TxDOT representative. 8.8.16. Allow the paint manufacturer s recommended drying time between each coat of primer or paint. 8.8.17. Only use materials compatible with existing materials to ensure proper bonding and longevity of the surface. 8.8.18. Provide paint samples to designated TxDOT representative for each different paint color used to include manufacturers name and code designation, upon request by designated TxDOT representative. 8.9. CLEAN UP 8.9.1. Leave the work area clean and free of materials, debris, and vendor equipment to the satisfaction of the designated TxDOT representative. 8.9.2. Remove and dispose from the building all waste generated in performance of the service in strict accordance with all applicable rules, regulations, codes, laws, ordinances, statutes, and in an environmentally safe manner. 5 12
8.9.3. Place any material, which may constitute a fire hazard in closed metal containers and remove containers from the site daily. 9. LOCATION(S): Location(s) of facilities are specified on Attachment A TxDOT Facility Locations. TxDOT reserves the right to add or delete facilities serviced under the purchase order. TxDOT will provide ten business days written notice to the vendor for facilities to be deleted or of any additional facilities requiring service within the same area or region. 10. MATERIALS OR PARTS PRICING: If listed as a line item on the solicitation, vendor shall provide materials necessary to complete work as allowed under the service requirements (Ref. Para. 8). Provide a cost estimate to the designated TxDOT representative prior to purchasing materials. Material will be paid at actual cost as approved by the designated TxDOT representative. 11. MISCELLANEOUS EQUIPMENT Miscellaneous equipment required to complete the work may include but not be limited to rental of lift, scaffolding, sanding equipment, etc. Miscellaneous equipment under this purchase order shall not exceed $5,000 per job. TxDOT will obtain miscellaneous equipment exceeding $5,000 under a separate PO. If listed as a line item on the solicitation, the vendor shall provide: 11.1. Additional equipment necessary to complete needed services or repairs as specified by designated TxDOT representative 11.2. A cost estimate, which will be approved in writing by the designated TxDOT representative prior to any work being performed. 12. ADDITIONAL SERVICES 12.1. Vendor shall provide, if listed as a separate line item on the purchase order, additional services necessary to return the work area to its properly functioning or original condition. Additional services are services not covered under the routine and preventative maintenance services identified in the specification and may include, but not be limited to minor installations, and drywall repair. 12.2. Additional services shall cover only work not covered under the service requirements. 12.3. Additional services shall not exceed $5,000 per job. Additional services with a total estimated cost over $5,000 shall not be performed under the purchase order. 12.4. The vendor shall provide a cost estimate, including all materials, labor, and equipment required, for additional services to the designated TxDOT representative. TxDOT will review and approve or deny the additional service. TxDOT reserves the right to obtain service under a separate purchase order should it serve the best interest of TxDOT. 6 12
13. WARRANTY REQUIREMENTS 13.1. PERFORMANCE WARRANTY: Work performed under the purchase order shall meet all applicable standards and codes. The vendor shall guarantee all work included in the purchase order against any defects in workmanship; and shall satisfactorily correct, at no cost to TxDOT, any such defect that may become apparent within a period of one year after completion of work. The warranty period shall commence upon date of acceptance by TxDOT. 13.2. MATERIAL WARRANTY: Materials provided under the purchase order shall be in current production, as offered to commercial trade, and shall be of quality material. Used, shopworn, demonstrator, prototype, reconditioned, or discontinued materials are not acceptable. Materials shall be warranted against material defects and defects in workmanship for a period of not less than 12 months and shall cover 100% materials and labor. The warranty period shall commence upon date of acceptance by TxDOT. If the manufacturer s standard warranty period exceeds 12 months, then the standard warranty period shall be in effect. The vendor shall be ultimately responsible for the warranty. The vendor shall provide the designated TxDOT representative with all manufacturers warranty documents upon completion of service prior to leaving the job site. 14. VENDOR PERFORMANCE: Vendor performance will be monitored on a regular basis by TxDOT. 14.1. TxDOT may consider the following performance by the vendor as unsatisfactory performance: 14.1.1. Two service call backs to correct an inadequate paint job within 30 calendar days. 14.1.2. Two instances within one year of vendor being called back to clean up paint from areas or surfaces where paint was not to be applied, furniture, or where surfaces were not appropriately prepared to avoid surfaces being painted in error. 14.1.3. Two instances within one year where a job start date is delayed without prior approval from the designated TxDOT representative. NOTE: Unsatisfactory performance may result in a negative vendor performance report or cancellation of the purchase order, or both. 14.2. An exceptional performance includes, but is not limited to exceptional customer service, including project completion earlier than original estimated time frame. 15. BUILDING RESTRICTIONS 15.1. PARKING: The vendor shall make arrangements with the designated TxDOT representative prior to off-loading tools and equipment at the job site. The vendor shall park only in spaces assigned by the designated TxDOT representative. 15.2. RESTROOMS: Restrooms shall not be used for washing of tools and equipment. 7 12
15.3. SECURITY: The vendor shall provide an updated list of all vendor personnel or subcontractors at each job site and comply with all security measures required by TxDOT. 15.4. ACCESS: The vendor shall make prior arrangements with the designated TxDOT representative for access to the building(s) for performance of the service. 16. PERSONNEL CONTINUITY AND REPLACEMENT 16.1. TxDOT recognizes that events beyond the control of the vendor such as the death, physical or mental incapacity, long-term illness, or the voluntary termination of employment of the lead worker will require the vendor propose a replacement. In the event such a replacement is necessary, vendor agrees that personnel shall not begin work on the project without prior written approval from TxDOT. 16.2. The lead worker shall remain available for the entire term of the purchase order as long as that individual is employed by the vendor. 16.3. If TxDOT determines the lead worker is unable to perform in accordance with the service requirements or to communicate effectively, the vendor shall immediately remove that person. 16.4. Proposed replacement personnel shall meet minimum qualifications and have experience comparable to the person(s) being replaced. Replacement personnel shall be provided at no additional cost to TxDOT. Resume(s) and reference(s) may be requested for the proposed replacement(s). TxDOT may reject any replacement if references or past working performance is questionable or unfavorable. TxDOT will be the sole judge of the qualifications of the proposed replacement personnel. 17. VENDOR PERSONNEL SAFETY: The vendor shall: 17.1. Provide all required safety equipment and instruct personnel to observe all safety policies, rules, and requirements at all times, including, but not limited to, wearing hard hats, safety shoes, and goggles. 17.2. Provide all equipment and tools which shall be the appropriate type for the task to which its use has been assigned and shall be well maintained, calibrated, and in proper working order before use in the performance of the service. 17.3. Prior to commencing work, thoroughly examine and become familiar with the system(s) and associated facilities to ensure the service can be completed in an orderly and safe manner. 17.4. Maintain a safe work environment at all times. 17.5. Report immediately the existence of unsafe condition(s), which will compromise the performance of the service to designated TxDOT representative. 17.6. Provide Safety Data Sheets as required. 8 12
18. WORK HOURS 18.1. Regular work hours for performance of the service are defined in the TxDOT Terms and Conditions, latest revision. 18.2. Off-shift hours are defined as hours worked in the performance of this service in excess of 40 hours per week or performed beginning at 5:01 p.m. through 7:59 a.m. CT, Monday through Friday and 5:01 p.m. Friday through 7:59 a.m. CT Monday. 18.3. Vendor employees shall adhere to an agreed on work schedule. However, vendor employees shall be available to work on a modified work schedule during special conditions; possibly holidays or weekends as requested by the designated TxDOT representative. 18.4. Work hours may be flexible, based on time lines for job completion and TxDOT requirements. Work hours will be determined by designated TxDOT representative. 19. SUBCONTRACTING 19.1. Subcontractors providing service under the purchase order shall meet the same service requirements and provide the same quality of service required of the vendor. 19.2. No subcontract under the purchase order shall relieve the primary vendor of responsibility for the services. 19.3. The vendor shall be the only contact for TxDOT and subcontractor(s). 19.4. The vendor shall manage all quality and performance, project management, and schedules for subcontractors. The vendor shall be held solely responsible and accountable for the completion of all work for which the vendor has subcontracted. 19.5. TxDOT retains the right to check subcontractor s background and make a determination to approve or reject the use of submitted subcontractor(s). Any negative responses may result in disqualification of the subcontractor. 19.6. TxDOT reserves the right to request the removal of vendor s subcontractor staff deemed unsatisfactory by TxDOT. 19.7. Subcontracting shall be at the vendor s expense. 19.8. During the term of the purchase order, if the vendor determines a need for a subcontractor change, TxDOT shall be notified in writing by the vendor within 30 calendar days of any proposed change. The vendor shall be required to provide references and work history for any proposed subcontractor to TxDOT. No change will be allowed without written authorization by TxDOT. 9 12
19.9. SOLICITATIONS OVER $100,000: TxDOT will make an initial determination of whether subcontracting is probable. If TxDOT has determined that the subcontracting opportunities are probable, the class and items in which HUBs may be registered will be noted in the solicitation along with the required forms and instructions. Responses that do not include a completed HUB Subcontracting Plan as indicated shall be rejected pursuant to Texas Government Code 2161.252(B). 20. TRAVEL: All travel and per diem shall be included in the unit price. 21. CONFLICT OF INTEREST: The vendor, vendor s personnel, and vendor s subcontractor(s) shall affirm not to have, nor acquire, any interest during the term of the purchase order that would conflict in any manner with the performance of the vendor s obligations in regards to services authorized. 22. INVOICING INSTRUCTIONS: The vendor shall provide: 22.1. ORIGINAL INVOICE: A comprehensive and detailed invoice with reference to the line item on the purchase order for each item charged. The original invoice shall be e-mailed to the e-mail address indicated on the purchase order to ensure timely payment and shall include the following: 22.1.1. Complete purchase order number. 22.1.2. Vendor Employer Identification Number (EIN). 22.1.3. Date and time of service. 22.1.4. Location of service. 22.1.5. Labor hours and rates detailed on each vendor invoice. 22.1.6. Paint, material, or equipment shall be shown as a separate line item on the invoice. NOTE: Invoices requiring correction shall be re-submitted with a new invoice date. 22.2. COPY OF INVOICE AND SUPPORTING DOCUMENTATION: A copy of the invoice and any supporting documentation that validates the invoice charges shall be e-mailed to the designated TxDOT representative. 23. PAYMENT REQUIREMENTS: Payment will be based on the following: 23.1. The painter(s) and laborer(s) hourly rates are based on the vendor s bid response and the unit cost listed on the awarded purchase order. The amount of payment shall be calculated by multiplying the regular hourly rate by the number of hours quoted to TxDOT for the project plus any approved changes. 23.2. Materials will be paid at actual cost listed on the estimate as approved by the designated TxDOT representative plus any approved changes. 10 12
24. TxDOT RESPONSIBILITIES: TxDOT will: 24.1. Provide a contract manager as the point of contact. 24.2. Meet with the vendor a minimum of 48 hours prior to the start of a job to discuss the scope of the project. 24.3. Approve the cost estimate for the project prior to work being performed. 24.4. Approve in writing the type of paint, and any miscellaneous material or equipment necessary to complete the project. 24.5. Provide a TxDOT blanket release purchase order number for each job. 24.6. Provide building access. (Ref. Para. 15.4.). 25. RESPONSE SUBMISSION: The following shall be submitted with the response. Failure by the respondent to submit the documentation listed below will disqualify the respondent from further consideration: 25.1. Original, signed, dated, and completed Invitation For Bid (IFB). 25.2. Schedule 1 Respondent Qualifications and Experience (Ref. Para 3.). 25.3. Schedule 2 Respondent Personnel Qualifications and References (Ref. Para 5.). 25.4. HUB Subcontracting Plan (This requirement is stated on the IFB if applicable.). 25.5. The following should be submitted with the response. Failure by the respondent to submit the documentation listed below may disqualify the respondent from further consideration. 26. AWARD 25.5.1. Statement from the president, owner, or financial officer on company letterhead certifying that the company is in good financial standing, current in payment of all taxes and fees (Ref. Para. 3.2.). 25.5.2. Respondent References (Ref. Para. 4.). 26.1. TxDOT reserves the right to award a single purchase order to the most responsive, responsible respondent meeting the specification. TxDOT may award to a single vendor, multiple vendors, or use any combination that best services the interest of TxDOT. 26.2. TYPES OF AWARD 26.2.1. Single Award: One purchase order awarded to a single vendor. 11 12
26.2.2. Multiple Award: A multiple award is the award of multiple purchase orders for the same line item(s) from a single solicitation to two or more vendors to provide the same or similar goods or services. 26.2.3. Multi-tiered Award: Multi-tiered award sets the priority sequence for use of multiple vendors. Multiple purchase orders are awarded for the same line item(s) from a single solicitation to primary, secondary, and tertiary vendors. 26.2.4. Split Award: Award of separate line items on a single solicitation to different vendors resulting in two or more purchase orders. 27. POST AWARD MEETING: Vendor(s) may be requested to attend a post award meeting in person at a TxDOT location, to be specified after award of a purchase order, or via teleconference with TxDOT within 14 business days after the award of the purchase order. The purpose of the meeting is to discuss the terms and conditions of the purchase order and to provide additional information regarding the purchase order. 28. CONTRACT ADMINISTRATION: Administration of the purchase order is the responsibility of TxDOT. TxDOT Purchasing staff will be responsible for administering the contractual business relationship with the vendor. 28.1. Any proposed changes to work to be performed, whether initiated by TxDOT or the vendor, must receive final written approval in the form of a Purchase Order Change Notice signed by the authorized TxDOT purchasing agent. 28.2. Upon issuance of purchase order, TxDOT will designate an individual who will serve as the Contract Manager and point of contact between the agency and the vendor. The Contract Manager does not have any express or implied authority to vary the terms of the purchase order, amend the purchase order in any way, or waive strict performance of the terms or conditions of the purchase order. This individual s contract management and contract administration responsibilities include, but are not limited to: 28.2.1. Monitoring the vendor s progress and performance and ensuring services conform to established specification requirements. 28.2.2. Managing the financial aspects of the contract including approval of payments. 28.2.3. Meeting with the vendor as needed to review progress, discuss problems, and consider necessary action. 28.2.4. Identifying a breach of contract by assessing the difference between contract performance and non-performance. 28.2.5. Other areas as identified by the Comptroller of Public Accounts Contract Management Guide, latest edition. 12 12
SCHEDULE 1 RESPONDENT QUALIFICATIONS AND EXPERIENCE SOLICITATION NO. XXXXXXXXXXXXXXXXX Respondent shall use this schedule or a facsimile to clearly show how they meet the requirements set forth in the specification, Para. 3. Respondent Name: Addresses: Physical: Mailing: Phone Number: Fax Number: E-mail address: Legal Status: Type of Organization, i.e., corporation, partnership, sole proprietorship Person to contact with questions regarding the solicitation Name: Phone Number: Email Address: Number of years in business and scope of operation. Name and title of person signing the response: DOCUMENTATION OF COMPANY QUALIFICATIONS AND EXPERIENCE: Experience and capabilities in the areas of services to be provided. Respondent should address the following: Be a company or individual engaged, or whose partners or participants or both are engaged in the business of providing painting services for a minimum of five years within the last seven years. This form may be modified as needed to comply with the requirement to document company information. THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THIS PAGE OR A REASONABLE FACSIMILE WILL RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE. 1 1
SCHEDULE 2 KEY PERSONNEL QUALIFICATIONS AND REFERENCES SOLICITATION NO. XXXXXXXXXXXXXXXXX Respondent Name: The respondent shall complete one schedule not to exceed two pages for the Painter and Helper to be assigned to this purchase order. TxDOT reserves the right to reject the proposed Key Personnel if references or past working performance are questionable or unfavorable. KEY PERSONNEL INFORMATION Full Name: RESPONSE AREA Number of years employed by respondent: KEY PERSONNEL QUALIFICATIONS AND REQUIREMENTS Number of years experience in (required service): Specific education, qualifications, training, certifications: # YRS EXP. HOW/WHERE OBTAINED Reference No. Name of Organization: Business Address: Business City: Business State: Contact Person Name: Contact Person Title: Phone Number: Project Title: Project Description and dollar amount: Roles and Responsibilities of the Proposed Staff during this project: Project Start Date: For use by TxDOT.: Zip: Fax: Project End Date: 1 2
Reference No. Name of Organization: Business Address: Business City: Business State: Contact Person Name: Contact Person Title: Phone Number: Zip: Fax: Project Title: Project Description and dollar amount: Roles and Responsibilities of the Proposed Staff during this project Project Start Date: For use by TxDOT.: Project End Date: Reference No. Name of Organization: Business Address: Business City: Business State: Contact Person Name: Contact Person Title: Phone Number: Zip: Fax: Project Title: Project Description and dollar amount: Roles and Responsibilities of the Proposed Staff during this project Project Start Date: Project End Date: For use by TxDOT.: THIS PAGE OR A REASONABLE FACSIMILE SHALL BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THIS PAGE OR A REASONABLE FACSIMILE WILL RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE. ANY NEGATIVE RESPONSE(S) MAY RESULT IN DISQUALIFICATION OF THE RESPONSE. 2 2
REVISED MARCH 2016 RESPONDENT REFERENCES SOLICITATION NO. XXXXXXXXXXXXXXXXX Company Name: Address: City: State: Zip Code: Phone Number: Fax Number: Point of Contact: Reference Response (to be filled in by TxDOT): Company Name: Address: City: State: Zip Code: Phone Number: Fax Number: Point of Contact: Reference Response (to be filled in by TxDOT): Company Name: Address: City: State: Zip Code: Phone Number: Fax Number: Point of Contact: Reference Response (to be filled in by TxDOT): THIS PAGE OR A REASONABLE FACSIMILE SHOULD BE RETURNED WITH THE RESPONSE. FAILURE TO RETURN THIS PAGE OR A REASONABLE FACSIMILE MAY RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE. ANY NEGATIVE RESPONSE(S) MAY RESULT IN DISQUALIFICATION OF THE RESPONSE. 1 1