APP H - Bidders List.docx

Bidders List Appendix H

Background

49 CFR Part 26.11 requires the Wisconsin Department of Transportation (WisDOT) to develop and maintain a list of firms that bid/quote on DOT-assisted contracts. All firms (prime contractors and subcontractors, including DBEs and non-DBEs) that bid or quote on DOT-assisted prime contracts and subcontracts must complete this form. This form should include subcontractors/subconsultants that contacted the prime expressing an interest to work as a subcontractor/subconsultant on the DOT assisted project.

Instructions

Vendors must complete and submit this form with all bids and/or proposals. Attach additional pages, as needed.

Terms/Definitions

Type of Work – List the type of work and/or all the work activities the firm is sought to perform in its bid.

NAICS Codes – List all North American Industry Classification System (NAICS) Codes applicable to the scope of work activities the firm is sought to perform in its bid. A NAICS Codes is available at https://www.naics.com/search/

Prime Contractor and Consultant - Complete all data fields for the firm’s majority owner.

Name of Prime Contractor/Consultant:

Contact Name:

☐ No

Email:

Phone:

Address:

Include Zip Code

Type of Work:

NAICS Code(s):

Subcontractors and Subconsultants – Complete all data fields for the Prime’s subcontractors/subconsultants.

List additional subcontractors/subconsultants on page 2.

Name of Subcontractor/Subconsultant:

Contact Name:

☐ No

Email:

Phone:

Address:

Type of Work:

NAICS Code(s):

Bidders List (continued) Subcontractors and Subconsultants – Complete all data fields for the Prime’s subcontractors/subconsultants.

Name of Subcontractor/Subconsultant:

Contact Name:

☐ No

Email:

Phone:

Address:

Type of Work:

NAICS Code(s):

Name of Subcontractor/Subconsultant:

Contact Name:

☐ No

Email:

Phone:

Address:

Type of Work:

NAICS Code(s):

Name of Subcontractor/Subconsultant:

Contact Name:

☐ No

Email:

Phone:

Address:

Type of Work:

NAICS Code(s):