Attachment D - CDOT FORM - 605 .pdf
PDF 117 KB Posted
- Solicitation number
- IFB-PWU-25-542
- Issued by
- Colorado
About this file
The document is a Colorado Department of Transportation (CDOT) Form 605, which is a Contractors Performance Capability Statement to be completed by an authorized agent or officer of a successful bidder selected for award in accordance with CDOT's Bid Rules. The form requires contractors to disclose any changes in their performance capabilities, including key personnel, equipment, fiscal capability, or other factors that might affect their ability to perform work, compared to their last prequalification application submitted to CDOT. The form provides space for contractors to indicate whether there are no changes by checking the "None" boxes for each category.
The form is designed to ensure transparency and accountability in the contractor selection process, with a signature declaration under penalty of perjury affirming the accuracy of the information provided. While the specific project number is not filled in on this template, the form is part of the documentation for the Federal Parkway MM Improvement Project in Westminster, Colorado, which involves widening a parkway section between W. 120th Ave and W. 122nd Ave. The form itself is dated April 2024 and includes provisions for listing joint ventures or partnerships, though in this instance, no such entities are noted.
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Text version
Colorado Department of Transportation Contractors Performance Capability Statement – Form 605 Instructions: Form to be completed by an authorized agent or Officer of the successful bidder/Contractor selected for award in accordance with the Colorado Department of Transportation’s Bid Rules. Attach additional pages as needed if more space is required to complete the form.
Project Number: ______________________________
Partnerships or Joint Ventures: List the names of any partnerships or joint ventures in the area below or put a check mark in the box for none.
None
Performance Capability: For each item below identify decreases in the Contractor’s fiscal or workmanship qualifications compared to the last prequalification application submitted to the Colorado Department of Transportation. If there are no changes/decreases, put a check mark in each box for none as applicable.
Key Personnel Changes - None
Key Equipment Changes - None
Fiscal Capability Changes - None
Other Changes Affecting Ability to Perform Work - None
Signature Declaration: I declare under penalty of perjury in the second degree, and any other applicable State or Federal laws, that the statements made on this document are true and correct to the best of my knowledge.
Contractor Company Name
By
Title
Date
Second Company Name if Joint Venture
By
Title
Date
Form Number 605 – April 2024
| Project Number: |
| Contractor Company Name: |
| Second Company Name if Joint Venture: |
| Title: |
| Date: |
| Partnerships or Joint Ventures Entry Field: |
| Title 2 - Second Company if a Joint Venture: |
| Date 2 - Second Company if a Joint Venture: |
| Check Mark Box for None - Partnerships or Joint Ventures: Off |
| Check Mark Box for None - Key Personnel Changes: Off |
| Check Mark Box for None - Key Equipment Changes: Off |
| Check Mark Box for None - Fiscal Capability Changes: Off |
| Check Mark Box for None - Other Changes: Off |
| Other Changes Affecting Ability to Perform Work: |
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