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Van Fleet Water Production Facility Improvements BVP 13-196 <br /> The following documents are required for this Submittal (please mark off each document to acknowledge <br /> the document is being submitted in the proper format): <br /> ❑ Attachment A Complete and staple as cover page in the Submittal(page 25) <br /> ❑ Attachment B Fill in all required information on Proposal Form(pages 27 thru 30) <br /> ❑ Attachment C Complete and submit Project Approach Plan& Project Schedule(proper format) <br /> (Page 31) <br /> ❑ Attachment D Complete and submit RA Plan and VA Plan(proper format)(pages 32 and 33) <br /> ❑ Exhibit I Non-Collusion Affidavit of Prime Contractor(page 34) <br /> ❑ Exhibit 2 Reference List& Past Performance Information Score(page 35) <br /> ❑ Exhibit 2 Complete <br /> plete and submit surveys questionnaires for each Critical Team Member(page <br /> ❑ Exhibit 3A Submittal Bond(pages 37 and 38) <br /> ❑ Exhibit 4 Equal Employment Opportunity(pages 42 and 43) <br /> ❑ Exhibit 5 Drug Free Workplace Form(page 44) <br /> ❑ Exhibit 6 Safety Requirements/Regulations(page 45) <br /> BEST VALUE SUBMITTAL CHECKLIST AND FORMAT <br /> The Contractor must complete and submit this checklist along with the BV Submittal, This BV <br /> Submittal Checklist is not counted in the 8 page BV Submittal limit. Failing to answer, or answering <br /> "No"to any of the questions below may result in disqualification. <br /> 1. Is the BV Submittal 8 pages or less? ❑ Yes ❑ No <br /> 2. Does the BV Submittal contain no names, past projects, or information <br /> that may be used to identify who the firm is? ❑ Yes ❑ No <br /> 3. Do you understand that the contents of the BV Submittal will become <br /> part of the Contract? ❑ Yes ❑ No <br /> 4. Do you understand that your Submittal may be disqualified if you fail ❑ Yes El No <br /> to meet any of the above requirements? <br /> 26 <br /> 149 <br />