Procurement Portal

  Visit Help Center
 City of Charlottesville Portal

X Bid Response

Please enter the following information for the primary contact for this bid even if the same as on the profile submitting:

  • Full Name
  • Title
  • Phone Number
  • Email Address

Please indicate the length of time (in months and years) the company has been in business providing this type of good or service.

If your company has not yet been in business for 1 full year, please still state 0 years and the number of months.

EXAMPLE:
0 Years and 9 Months

Select one of the below options. If Option 1 is selected, please provide your entity's Virginia SCC identification number in the next question. If any other option is selected, input "N/A" in the next question.

is a corporation or other business entity with the following Virginia SCC identification number:
is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust
is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the bidder/offeror in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder/offeror’s out-of-state location)
is an out-of-state business entity that is including with this bid/proposal an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s/offeror’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of Code of Virginia §13.1-757 or other applicable law. Attach opinion of legal counsel in bid/proposal documents.
Check the following box if you have not completed any of the foregoing options but currently have pending before the Virginia SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids/proposals (the City reserves the right to determine in its sole discretion whether to allow such waiver).

Enter your entity's SCC number if you are registered with the Virginia SCC. If not, enter N/A.

Please download the below documents, complete, and upload.

Indicate a listing of at least 4 current or recent accounts/clients, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods.  For each entry please be sure to Include:

  • Entity Receiving Service(s) or Good(s)
  • Point of Contact Name of Individual at Entity
  • Point of Contact Title
  • Phone Number of Point of Contact Name
  • Email Address of Point of Contact Contact Name
  • Location of Service or Goods with valid Physical Address
  • Start and End Date of Service(s), include overall Length of continuous Service or Frequency of Service within given timeframe
  • Estimated Total Dollar Value of Service Between Start and End Dates

It is an important business objective of the City of Charlottesville to promote the economic enhancement of small businesses (SBE) and micro businesses (O), women-owned businesses (WBE), minority-owned businesses (MBE), employment services organization (ESO) and veteran-owned businesses (VBE).  The City’s ability to track the amount of business received by SBE, O, WBE, MBE, ESO, and VBE businesses, whether as a prime contractor or a subcontractor, is dependent upon the business community partnering with us in this important endeavor.

If you anticipate subcontracting to any of these businesses in the performance of this contract, you are requested to report the total dollars anticipated to be subcontracted to each type of business.  Failure to provide this information may result in the application of stronger requirements on bidders to assure that SBE, O, WBE, MBE, ESO, and VBE businesses receive benefits from City contracts.

If you or your corporation/company/partnerships are a SBE, O, WBE, MBE, ESO, or VBE, please check the applicable following boxes. If you do not meet the requirements for any of those options, please select "NONE".

Select all that apply

SBE
O
WBE
MBE
ESO
VBE
None

If your answer to the previous question indicates that you or your corporation/company/partnership are one or more of the options (SBE, O, WBE, MBE, ESO, or VBE) then please indicate your certification number and expiration date here using the following format:

CERTIFICATION #:
<State your Certification #>

EXPIRATION DATE:
<State the expiration date of your certification(s)>

If certified by other than the Virginia Department of Small Business and Supplier Diversity provide the Name and Contact information, including Phone Number and Website of Certifying Agency.

Report the amount of work (in USD) that you intend to subcontract to any SBE for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

Report the amount of work (in USD) that you intend to subcontract to any O for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

Report the amount of work (in USD) that you intend to subcontract to any WBE for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

Report the amount of work (in USD) that you intend to subcontract to any MBE for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

Report the amount of work (in USD) that you intend to subcontract to any ESO for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

Report the amount of work (in USD) that you intend to subcontract to any VBE for this project if a contract is awarded to your company. If you do not intend to sub-contract to any such firms, even if you are an SBE, O, WBE, MBE, ESO or VBE, then enter $0.

If you do not plan to utilize such firms in this contract, please state your reasons.

If you are planning to utilize such firms then please simply state "N/A" here.

Please upload any required bid documentation here that has not been addressed elsewhere in this documentation.

I hereby certify, under penalty of perjury:

I am authorized to act on behalf of and bind the company or other entity submitting this bid, and 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 commerce, or any act of fraud punishable under the Virginia Governmental Frauds Act.

For any additional information requested or required by any of your previously provided answers please upload that additional documentation here.

Bidder/offeror hereby certifies that all information provided within this submission is accurate to the best of their knowledge and that they have the authority to submit a bid/proposal on behalf of the stated Company and bind the Company to the information contained within said submission.