Appendix J - propossalders list.docx

DOCX document 35 KB Posted

Attached to
Watertown Shared Ride Taxi Services
Solicitation number
T2025-2
Issued by
Kenosha County, Wisconsin

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Appendix J - Proposalders List Summary

This document is a standardized form developed by the Wisconsin Department of Transportation (WisDOT) to maintain a list of firms bidding on DOT-assisted contracts in compliance with 49 CFR Part 26.11. The form requires all prime contractors, subcontractors, and consultants—including disadvantaged business enterprises (DBEs) and non-DBEs—to provide comprehensive information when submitting bids or proposals on DOT-assisted projects. Vendors must complete and submit the form with all bids and proposals, providing details on the type of work and associated North American Industry Classification System (NAICS) codes for each firm performing work on the project. The form includes dedicated sections for prime contractor/consultant information and multiple entries for subcontractors and subconsultants, with the ability to add additional pages as needed.

The form collects detailed business information including contact names, email addresses, phone numbers, physical addresses with zip codes, annual gross receipts (categorized in ranges from less than $500,000 to $5 million and above), DBE status, firm age, and demographic information such as race and gender of the majority owner. This data collection supports WisDOT's compliance with federal transportation regulations and enables tracking of small business and minority enterprise participation across DOT-assisted contracts. The standardized format ensures consistency in bidder information across all WisDOT procurements and facilitates the agency's ability to monitor and report on diversity and small business utilization in state transportation projects.

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C. Watertown - Transit RFP - T2025-2.pdf PDF
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Text version

Proposalders (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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