22-LAP Certfication of Current Capacity (FDOT Form No. 525-010-46).pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

LAP CERTIFICATION OF CURRENT CAPACITY

525-010-46

LOCAL PROGRAMS

09/20

CONFIDENTIAL per Ch 337.14(1) F.S.

For bids to be received on (Letting Date)

Fill in your FDOT Vendor Number

VF

(Only applicable to FDOT pre-qualified contractors)

CERTIFICATE

I hereby certify that the amount of any proposal submitted by this bidder for the above letting does not exceed the amount of the Firm’s CURRENT CAPACITY (maximum capacity rating less total uncompleted work).

The total uncompleted work as shown on the “Status of Contracts on Hand” report (page 2) $

I further certify that the “Status of Contracts on Hand” report (page 2) was prepared as follows:

1. If the letting is before the 25th day of the month, the certificate and report reflect the uncompleted work as of the 15th day of the month, last preceding the month of the letting.

2. If the letting is after the 25th day of the month, the certificate and report reflects the uncompleted work in progress as of the 15th day of the month of the letting.

3. All new contracts (and subcontracts) awarded earlier than five days before the letting date are included in the report and charged against our total rating.

I certify that the information above is correct. NAME OF FIRM

Sworn to and subscribed this day By:

of , 20 Title

STATUS OF CONTRACTS ON HAND

525-010-46

LOCAL PROGRAMS

09/20

(Furnish complete information about all your contracts, whether prime or subcontracts;

whether in progress or awarded, but not yet begun; and regardless of whom contracted with.)

1 2 3 4 5 6

PROJECTS

OWNER, LOCATION AND DESCRIPTION

CONTRACT (OR

SUBCONTRACT)

AMOUNT

AMOUNT

SUBLET

TO OTHERS

BALANCE OF

CONTRACT

AMOUNT

UNCOMPLETED AMOUNT TO BE DONE

BY YOU

AS PRIME

CONTRACTOR

AS

SUBCONTRACTOR

NOTE: Columns 2 and 3 to show total contract (or subcontract) amounts. Column 4 to be difference between columns 2 and 3. Amount in columns 5 or 6 to be uncompleted portion of amount in column 4.

All amounts to be shown to nearest $100. The Contractor may consolidate and list as a single item all contracts which, individually, do not exceed 3% of total, and which, in the aggregate, amount to less than 20% of the total.

TOTALS $0.00 $0.00

TOTAL UNCOMPLETED WORK ON

HAND TO BE DONE BY YOU

(TOTAL COLUMNS 5 AND 6)

$0.00