Appendix J - Bidders List.docx
DOCX document 35 KB Posted
- Solicitation number
- CF SRT 2026-2030 RFP
- Issued by
- Clark County, Wisconsin
About this file
This document is a Bidders List Appendix from the Wisconsin Department of Transportation (WisDOT), specifically designed to comply with 49 CFR Part 26.11 requirements for developing and maintaining a list of firms that bid or quote on DOT-assisted contracts. The form is mandatory for all prime contractors, subcontractors, consultants, and subconsultants to complete and submit with bids and proposals, requiring detailed information about the participating firms.
The form captures comprehensive data about each firm, including contact information, annual gross receipts, DBE (Disadvantaged Business Enterprise) status, firm age, race, gender, type of work, and applicable NAICS codes. The purpose is to create a detailed record of all entities involved in DOT-assisted projects, with a focus on tracking diversity, business size, and professional capabilities. Firms must provide information across multiple categories, such as revenue ranges (from less than $500,000 to $5 million and above), contact details, and specific work scope classifications, which allows WisDOT to maintain a robust and inclusive contractor database.
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Other files
| File | Type | Posted |
|---|---|---|
| Chippewa Falls SRT 2026-2030.docx | DOCX document | |
| Appendix A - Pricing Proposal.xlsx | XLSX spreadsheet | |
| Appendix I - Federal Clauses for Federal Contracts (5).pdf |
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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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