Attachment 2.8.2

DEVIATION LIST

Transurban (895) LLC
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 3.5.1

TRANSURBAN (895) LLC

Pocahontas Parkway ETTM System

ACKNOWLEDGEMENT OF RFP AND/OR ADDENDA

Acknowledgement shall be made of receipt of the RFP and/or any addenda pertaining to the above designated project which are issued by Transurban (895) LLC. Failure to include this acknowledgement in the Proposals may result in the rejection of your Proposal.

By signing this form, the Offeror acknowledges receipt of the RFP, revisions and/or addenda to the RFP, as listed below, which were issued by Transurban (895) LLC on the date(s) shown heron:

1. Original Request for Proposals – October 8, 2008
(Date)
2.
(Date)
3.
(Date)
OFFEROR:
Address:
OFFEROR'S REPRESENTATIVE:
Name:
Title:
______
SIGNATURE OF OFFEROR'S REPRESENTATIVE / DATE
Transurban (895) LLC
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.2.3.1

WORK HISTORY FORM

Name of Firm: ______

Work by Lead Contractor and Lead Designer, which best illustrates current qualifications relevant to this Project.
a. Project Name & Location / b. Project Owner’s Name & Address, Project Manager’s Name, Phone & Fax Number / c. Nature of Firm’s Responsibilities (only include items for which the firm was directly responsible) / d. Contract Completion Date (Original) / e. Contract Completion Date (Actual or Estimated) / f. Estimated Value (in Thousands)
Original Contract Value / Final or Estimated Contract Value / Dollar Value of Work for Which Firm Was/Is Responsible
(1)
(2)
(3)
(4)
(5)

Transurban (895) LLC

Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.2.3.3

RESUME FORM

Brief Resume of identity of and information about an individual, specialist, and design-build team member considered Key Personnel, anticipated for this project. (List at least three (3), but no more than five (5) relevant projects for which you have performed a similar function.)
a. Name & Title:
b. Project Assignment:
c. Name of Firm with which associated:
d. Years experience: With this Firm _____ Years With Other Firms _____ Years
e. Education: Degree(s)/Year/Specialization:
f. Active Registration: Year First Registered/ Discipline/VA Registration #:
g. Experience and Qualifications relevant to the proposed project (Note whether experience is with current firm or with other firm. Note your specific responsibilities and authorities, not those of the firm. Note dates and contact information for client/owner who can verify your role and performance):
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3(a)

trANSURBAN (895) LLC - rfp
MINIMUM DBE REQUIREMENTS

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM

FHWA NO:

***INSTRUCTIONS***

SECTION II OF THIS FORM IS TO BE USED BY THE CONTRACTOR TO SUBMIT THE NAMES OF DBE FIRMS TO BE UTILIZED ON THE PROJECT. ADDITIONAL SHEETS TO SHOW THE ALLOWABLE CREDIT PER ITEM MAY BE ATTACHED IF NECESSARY. NOTE: IF 100% OF AN ITEM IS NOT TO BE PERFORMED OR FURNISHED BY THE DBE, DESCRIBE THE PORTION AND PERCENTAGE TO BE PERFORMED OR FURNISHED BY THE DBE.

SECTION I: /
DBE REQUIREMENT /
12 %
SECTION II: /
PERCENT ATTAINED BY BIDDER /
%
NAME(s) AND / PERCENT / AMT. OF
CERTIFICATION NO. OF / TYPE OF WORK & ITEM NO(s) / OF / ALLOWABLE
DBE(s) TO BE USED / WORK / CREDIT PER ITEM
TOTAL: $
Total Contract Value $ / X Required DBE 12% =$

I/WE CERTIFY THAT THE PROPOSED DBE(S) SUBMITTED WILL BE USED ON THIS CONTRACT AS STATED HEREON AND ASSURE THAT DURING THE LIFE OF THE CONTRACT, I/WE WILL MEET OR EXCEED THE PARTICIPATION ESTABLISHED HEREON BY TRANSURBAN (895) LLC.

By
BIDDER / SIGNATURE
By
TITLE / DATE
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (b)

trANSURBAN (895) LLC - rfp
MINIMUM SWAM REQUIREMENTS

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM

FHWA NO:

***INSTRUCTIONS***

SECTION II OF THIS FORM IS TO BE USED BY THE CONTRACTOR TO SUBMIT THE NAMES OF SWAM FIRMS TO BE UTILIZED ON THE PROJECT. ADDITIONAL SHEETS TO SHOW THE ALLOWABLE CREDIT PER ITEM MAY BE ATTACHED IF NECESSARY. NOTE: IF 100% OF AN ITEM IS NOT TO BE PERFORMED OR FURNISHED BY THE SWAM, DESCRIBE THE PORTION AND PERCENTAGE TO BE PERFORMED OR FURNISHED BY THE SWAM.

SECTION I: /
SWAM REQUIREMENT /
8 %
SECTION II: /
PERCENT ATTAINED BY BIDDER /
%
NAME(s) AND / PERCENT / AMT. OF
CERTIFICATION NO. OF / TYPE OF WORK & ITEM NO(s) / OF / ALLOWABLE
SWAM(s) TO BE USED / WORK / CREDIT PER ITEM
TOTAL: $
Total Contract Value $ / X Required SWAM 8 % =$

I/WE CERTIFY THAT THE PROPOSED SWAM(S) SUBMITTED WILL BE USED ON THIS CONTRACT AS STATED HEREON AND ASSURE THAT DURING THE LIFE OF THE CONTRACT, I/WE WILL MEET OR EXCEED THE PARTICIPATION ESTABLISHED HEREON BY TRANSURBAN (895) LLC.

By
BIDDER / SIGNATURE
By
TITLE / DATE
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)

Sheet 1 of 10

TRANSURBAN (895) LLC - RFP

DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

--DO NOT DETACH—
THIS INFORMATION MUST BE SUBMITTED
WITH YOUR BID PROPOSAL IF YOUR BID DOES
NOT MEET THE PROJECT DBE AND/OR SWAM REQUIREMENTS,
OR
WHEN REQUESTED BY TRANSURBAN (895) LLC
PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM
FHWA NUMBER
DISTRICT
DATE BID SUBMITTED
BIDDER’S NAME
SIGNATURE
TITLE
VENDOR NUMBER
DBE GOAL FROM BID PROPOSAL: 12 %
SWAM GOAL FROM BID PROPOSAL: 8 %
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 2 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE BID SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS PROJECT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE
NAMES OF CERTIFIED DBEs/SWAMs ND THE DATES ON WHICH THEY WERE SOLICITED TO BID ON THIS PROJECT.
INCLUDE THE ITEMS OF WORK OFFERED AND THE DATES AND METHODS USED FOR FOLLOWING UP INITIAL SOLICITATIONS TO DETERMINE WHETHER OR NOT DBEs /SWAMs WERE INTERESTED
NAMES AND VENDOR NUMBERS OF DBEs/SWAMs SOLICITED / DATE OF INITIAL SOLICITATION / ITEM(S) OF WORK / FOLLOW-UP METHODS AND DATES

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.

ATTACH COPIES OF SOLICITATIONS, TELEPHONE RECORDS, FAX CONFIRMATIONS, ELECTRONIC INFORMATION, ETC.

Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 3 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

TELEPHONE LOG

DBE(s)/SWAM(s) CALLED / TELEPHONE NUMBER / DATE
CALLED / TIME
CALLED / CONTACT PERSON OR
VOICE MAIL STATUS

NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.

Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 4 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

ITEM(S) OF WORK THAT THE BIDDER MADE AVAILABLE TO DBE FIRMS

IDENTIFY THOSE ITEM(S) OF WORK THAT THE BIDDER MADE AVAILABLE TO DBE/SWAM FIRMS OR THOSE ITEM(S) THE BIDDER IDENTIFIED AND DETERMINED TO SUBDIVIDE INTO ECONOMICALLY FEASIBLE UNITS TO FACILITATE DBE PARTICIPATION. FOR EACH ITEM LISTED, SHOW THE DOLLAR VALUE AND PERCENTAGE OF THE TOTAL CONTRACT AMOUNT. IT IS THE BIDDER’S RESPONSIBILITY TO DEMONSTRATE THAT SUFFICIENT WORK TO MEET THE GOAL WAS MADE AVAILABLE TO DBE FIRMS.

ITEM(S) OF WORK MADE AVAILABLE / BIDDER NORMALLY PERFORMS ITEM(S) (YIN) / ITEM(S) BROKEN DOWN TO FACILITATE PARTICIPATION (YIN) / AMOUNT IN DOLLARS / PERCENTAGE OF CONTRACT
NOTE: INFORMATION REQUIRED FOR THIS SECTION CONTINUED ON SHEET
ATTACH ADDITIONAL PAGES IF NECESSARY
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 5 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

ADDITIONAL INFORMATION REGARDING ITEM(S) OF WORK THAT THE
BIDDER MADE AVAILABLE TO DBE FIRMS (Continued From Sheet 4)

ITEM(S) OF WORK MADE AVAILABLE, NAMES OF SELECTED FIRMS AND DBE/SWAM STATUS, DBEs/SWAMs THAT PROVIDED QUOTES, PRICE QUOTE FOR EACH FIRM, AND THE PRICE DIFFERENCE FOR EACH DBE IF THE SELECTED FIRM IS NOT A DBE.

ITEM(S) OF WORK MADE AVAILABLE(CONT.) / NAME OF SELECTED FIRM AND VENDOR NUMBER / DBE OR NON-DBE / SWAM OR NON-SWAM / NAME OF REJECTED FIRM(S) / QUOTE IN DOLLARS / PRICE DIFFERENCE IN DOLLARS
NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY. IF THE FIRM SELECTED FOR THE ITEM IS NOT A DBE/SWAM, PROVIDE THE REASON(S) FOR THE SELECTION ON A SEPARATE PAGE AND ATTACH.
PROVIDE NAMES, ADDRESSES, AND TELEPHONE NUMBERS FOR THE FIRMS LISTED ABOVE.
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 6 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

ADVERTISEMENTS OR PROOFS OF PUBLICATION.

NAMES AND DATES OF EACH PUBLICATION IN WHICH A REQUEST FOR DBE /SWAM PARTICIPATION FOR THE PROJECT WAS PLACED BY THE BIDDER. ATTACH COPIES OF PUBLISHED ADVERTISEMENTS OR PROOFS OF PUBLICATION.

PUBLICATIONS / DATES OF ADVERTISEMENT
NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 7 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

NAMES OF AGENCIES CONTACTED TO PROVIDE ASSISTANCE

NAMES OF AGENCIES (SEE SPECIAL PROVISION FOR 110.04) AND THE DATES THESE AGENCIES WERE CONTACTED TO PROVIDE ASSISTANCE IN CONTACTING, RECRUITING, AND USING DBE/SWAM FIRMS. IF THE AGENCIES WERE CONTACTED IN WRITING, ATTACH COPIES OF SUPPORTING DOCUMENTS.

NAME OF AGENCY / METHOD AND DATE OF CONTACT / RESULTS
NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 8 of 10

TRANSURBAN (895) LLC - RFP
DBE GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

TECHNICAL ASSISTANCE AND INFORMATION PROVIDED TO DBEs

EFFORTS MADE TO PROVIDE INTERESTED DBEs/SWAMs WITH ADEQUATE INFORMATION ABOUT THE PLANS, SPECIFICATIONS, AND REQUIREMENTS OF THE BID DOCUMENTS TO ASSIST THE DBEs IN RESPONDING TO A SOLICITATION.

IDENTIFY THE DBEs/SWAMs ASSISTED, THE INFORMATION PROVIDED, AND THE DATE OF CONTACT. ATTACH COPIES OF SUPPORTING DOCUMENTS.

DBEs ASSISTED / SWAMs ASSISTED / INFORMATION PROVIDED / DATE OF CONTACT
NOTE: ATTACH ADDITIONAL PAGES IF NECESSARY.
Request for Proposals / Electronic Toll and Traffic Management System
Part 1 / October 8, 2008
Instructions for Offerors

Attachment 4.3.8.3 (c)


Sheet 9 of 10

TRANSURBAN (895) LLC - RFP
DBE/SWAM GOOD FAITH EFFORTS DOCUMENTATION

PROJECT: POCAHONTAS PARKWAY ETTM SYSTEM / DATE SUBMITTED
IF THE DBE AND/OR SWAM GOAL ESTABLISHED FOR THIS CONTRACT HAS NOT BEEN MET OR TRANSURBAN (895) LLC REQUESTS THE SUBMITTAL THEREOF, THE BIDDER IS REQUIRED TO SUBMIT GOOD FAITH EFFORTS AS OUTLINED IN THIS DOCUMENT.
THE BIDDER ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY REPRESENTS THE INFORMATION CONTAINED HEREIN.
BIDDER / SIGNATURE
TITLE

EFFORTS MADE TO ASSIST DBEs/SWAMs OBTAIN BONDING, LINES OF CREDIT, INSURANCE, ETC.

EFFORTS MADE TO PROVIDE INTERESTED DBEs/SWAMs IN OBTAINING BONDING, LINES OF CREDIT, INSURANCE, NECESSARY EQUIPMENT, SUPPLIES, MATERIALS, OR RELATED ASSISTANCE OR SERVICES, EXCLUDING SUPPLIES AND EQUIPMENT THE SUBCONTRACTOR PURCHASES OR LEASES FROM THE PRIME CONTRACTOR OR ITS AFFILIATES.