APP K - Bidders List.docx
DOCX document 35 KB Posted
- Solicitation number
- JCHS 2024-02
- Issued by
- Kenosha County, Wisconsin
About this file
This document is a Bidders List Appendix related to a Wisconsin Department of Transportation (WisDOT) project. It requires all firms, including prime contractors, subcontractors, DBEs, and non-DBEs, that bid or quote on DOT-assisted prime contracts and subcontracts to complete this form. The form collects information such as the type of work, NAICS codes, company details (name, contact, annual gross receipts, DBE status, age, race, gender), and contact information for the prime contractor/consultant and their subcontractors/subconsultants.
The document outlines the background and instructions for completing the Bidders List form. It provides definitions for the required information and specifies that vendors must submit the completed form with all bids and/or proposals. The form aims to assist WisDOT in developing and maintaining a list of firms that bid or quote on DOT-assisted contracts, as required by 49 CFR Part 26.11.
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix J - Federal Clauses for Federal Contracts.pdf | ||
| JCHS 2024-02 tracked changes.docx | DOCX document | |
| AMENDMENT TO THE SOLICITATION - 1.docx | DOCX document | |
| JCHS 2024-02 A1.docx | DOCX document | |
| Appendix A - Pricing Proposal.xlsx | XLSX spreadsheet |
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Text version
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:
| 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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