2-Bidders Data Sheet.pdf
PDF 124 KB Posted
- Attached to
- On-Call Electrical Repairs State and local contract opportunity
- Solicitation number
- 250286
- Issued by
- Sedgwick County, Kansas
About this file
The document is a Bidders Data Sheet from the City of Wichita Transportation Department (WT), which is a recipient of federal funds. The form is designed to create and maintain a comprehensive bidders list for federally funded contracts, requiring detailed information about prime contractors and subcontractors who submit bids. The purpose of this document is to provide accurate data about Disadvantaged Business Enterprises (DBE) and non-DBE contractors to help set the department's overall goals for contract opportunities.
The form mandates that bidders provide extensive information including firm name, address, DBE certification status, NAICS code of bid scope, race/gender of majority owner, age of firm, and annual gross receipts. Failure to complete and submit this form with the bid may result in the bid being deemed non-responsive, and the information may be used to evaluate the contractor's good faith efforts. The document emphasizes the importance of transparency and diversity in the bidding process for federally funded transportation projects, with a specific focus on capturing demographic and economic details about participating firms.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 4-FTA Form.pdf | ||
| 1-250286 Solicitation Document.pdf | ||
| 3-FTA Clauses - On-Call Electrical Services.pdf |
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Text version
BIDDERS DATA SHEET
AS A RECIPIENT OF FEDERAL FUNDS, THE CITY OF WICHITA TRANSPORTATION DEPARTMENT (WT) IS REQUIRED TO CREATE AND MAINTAIN A BIDDERS LIST. THE PURPOSE OF THE LIST IS TO PROVIDE ACCURATE DATA ABOUT DBE AND NON-DBE CONTRACTORS AND SUBCONTRACTORS WHO SEEK TO WORK ON OUR FEDERALLY FUNDED CONTRACTS AND FOR USE IN HELPING TO SET WT'S OVERALL GOALS. PLEASE PROVIDE INFORMATION ON ALL PROSPECTIVE SUBCONTRACTOR(S) WHO SUBMITTED BIDS IN SUPPORT OF THIS SOLICITATION (REGARDLESS OF SELECTION). ATTACH ADDITIONAL PAGES IF NECESSARY. FAILURE TO PROVIDE THE INFORMATION ALONG WITH YOUR BID SHALL DEEM YOUR BID NON-RESPONSIVE. THIS ATTACHMENT MAY BE A FACTOR USED TO DETERMINE
THE CONTRACTOR'S GOOD FAITH EFFORT RESPONSIVENESS.
FORMAL BID #: Project Name:
Prime Contractor Federal Tax ID No.: Prime Contract Amount:
THIS FORM MUST BE SUBMITTED WITH THE BID
PRIME CONTRACTOR
Firm Name Address DBE
Certified NAICS Code of Bid Scope
Race/Gender of Majority Owner
Age of Firm Annual Gross Receipts
☐Yes
☐No
☐Black American ☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million ☐Over $10M
SUBCONTRACTORS
Firm Name Address DBE
Certified NAICS Code of Bid Scope
Race/Gender of Majority Owner
Age of Firm Annual Gross Receipts
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million ☐Over $10M
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million
☐Hispanic American ☐Asian-Pacific American ☐Subcontinent Asian American ☐Native American ☐Non-Minority Woman ☐Other
☐Less than $1M ☐$1-3 Million ☐$3-6 Million ☐$6-10 Million
I hereby certify that the above information is true and correct and that I will notify the Purchasing Agent, in writing, of any changes that occur prior to completion of the work.
Prime Contractor’s Signature: Date: ____________________
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