13-N. Bid Opportunity Form.pdf
PDF 103 KB Posted
- Attached to
- 26Q-093 General Planning Consultants for the Ocala-Marion County Transportation Planning Organization (TPO)
- Solicitation number
- 26-093
- Issued by
- Marion County, Florida
About this file
This is a Bid Opportunity Form issued by the State of Florida Department of Transportation for the listing of firms participating in DOT-assisted contracts under 49 CFR Part 26.11. The form is designed to capture information on all prime contractors and subcontractors bidding on or quoting supplies and materials for DOT-assisted projects, including both Disadvantaged Business Enterprises (DBEs) and non-DBEs. Prime contractors are required to complete fields for Federal Tax ID Number, Firm Name, Phone, Address, and Year Firm Established, and should provide available information on DBE certification status and annual gross receipts for themselves and their subcontractors. The form accommodates multiple contractor entries and is submitted alongside bid sheets for Invitations to Bid (ITB), price proposals for Requests for Proposal (RFP), or replies for Invitations to Negotiate (ITN).
The form serves as a compliance and tracking mechanism under federal transportation procurement regulations, requiring contractors to disclose their DBE status and categorize annual gross receipts into ranges from less than $1 million to more than $15 million. No specific pricing terms, contract amounts, funding sources, or award dates are detailed in this form, as it functions as a data collection instrument rather than a solicitation document with substantive contract terms.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
BID OPPORTUNITY LIST FOR COMMODITIES & CONTRACTUAL
SERVICES
375-040-62
PROCUREMENT
01/16
Prime Contractor:
Address/Phone Number:
Procurement Number:
49 CFR Part 26.11 The list is intended to be a listing of all firms that are participating, or attempting to participate, on DOT-assisted contracts. The list must include all firms that bid on prime contracts, or bid or quote subcontracts and supplies materials on DOT-assisted projects, including both DBEs and non-DBEs. This list must include all subcontractors contacting you and expressing an interest in teaming with you on a specific DOT-assisted project. Prime contractors must provide information for Numbers 1, 2, 3 and 4, and should provide any information they have available on Numbers 5, 6, and 7 for themselves, and their subcontractors.
1. Federal Tax ID Number: 6. DBE 7. Annual Gross Receipts
2. Firm Name: Non-DBE Less than $1 million
3. Phone: Between $1 - $5 million
4. Address: Between $5 - $10 million Between $10 - $15 million More than $15 million
5. Year Firm Established:
3. Phone: Between $1 - $5 million
4. Address: Between $5 - $10 million Between $10 - $15 million
3. Phone: Between $1 - $5 million
4. Address: Between $5 - $10 million Between $10 - $15 million
3. Phone: Between $1 - $5 million
4. Address: Between $5 - $10 million Between $10 - $15 million
AS APPLICABLE, PLEASE SUBMIT THIS FORM WITH YOUR: BID SHEET (Invitation to Bid – ITB) PRICE PROPOSAL (Request for Proposal – RFP) REPLY (Invitation to Negotiate – ITN)
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