APP J - Bidders List.docx

DOCX document 35 KB Posted

Attached to
City of West Bend Shared-Ride Taxi Request for Proposals
Solicitation number
WB2025
Issued by
Winnebago County, Wisconsin

About this file

The document is a Bidders List Appendix (APP J) from the Wisconsin Department of Transportation (WisDOT), specifically designed to comply with 49 CFR Part 26.11 requirements for maintaining a comprehensive list of firms bidding on DOT-assisted contracts. The form is mandatory for all contractors and subcontractors, including Disadvantaged Business Enterprises (DBEs) and non-DBEs, who intend to bid or quote on DOT-assisted prime contracts and subcontracts.

The bidders list form requires detailed information about each participating firm, including contact details, annual gross receipts (categorized in ranges from less than $500,000 to over $5 million), DBE status, firm age, race, gender, type of work, and applicable North American Industry Classification System (NAICS) codes. Vendors must complete and submit this form with all bids and proposals, with the option to attach additional pages as needed. The form provides a structured method for WisDOT to track and document the diversity and composition of firms participating in DOT-assisted projects, supporting transparency and potential minority business enterprise participation goals.

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Other files

File Type Posted
Appendix I - Federal Clauses.pdf PDF
Appendix A - Pricing Proposal.xlsx XLSX spreadsheet
WB2025.docx DOCX document
Addendum2.pdf PDF
Addendum1.pdf PDF

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Text version

Bidders List Appendix J

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:

Annual Gross Receipts
DBE Status
☐ Yes

☐ No

Email:

☐
Less than $500,000

Phone:

☐
$500,000 - $1 million

Address:

Include Zip Code

☐
$1 million - $2 million
Age of Firm:
☐
$2 million - $5 million
Race:
☐
$5 million and above
Gender:

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:

Annual Gross Receipts
DBE Status
☐ Yes

☐ No

Email:

☐
Less than $500,000

Phone:

☐
$500,000 - $1 million

Address:

☐
$1 million - $2 million
Age of Firm:
☐
$2 million - $5 million
Race:
☐
$5 million and above
Gender:

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:

Annual Gross Receipts
DBE Status
☐ Yes

☐ No

Email:

☐
Less than $500,000

Phone:

☐
$500,000 - $1 million

Address:

☐
$1 million - $2 million
Age of Firm:
☐
$2 million - $5 million
Race:
☐
$5 million and above
Gender:

Type of Work:

NAICS Code(s):

Name of Subcontractor/Subconsultant:

Contact Name:

Annual Gross Receipts
DBE Status
☐ Yes

☐ No

Email:

☐
Less than $500,000

Phone:

☐
$500,000 - $1 million

Address:

☐
$1 million - $2 million
Age of Firm:
☐
$2 million - $5 million
Race:
☐
$5 million and above
Gender:

Type of Work:

NAICS Code(s):

Name of Subcontractor/Subconsultant:

Contact Name:

Annual Gross Receipts
DBE Status
☐ Yes

☐ No

Email:

☐
Less than $500,000

Phone:

☐
$500,000 - $1 million

Address:

☐
$1 million - $2 million
Age of Firm:
☐
$2 million - $5 million
Race:
☐
$5 million and above
Gender:

Type of Work:

NAICS Code(s):

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