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I�- <br /> 4 <br /> 275-030-11 <br /> STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION EQUAL OPPORTUNITY OFFICE <br /> C'Qc�STRUCTION CONTRACTORS 03111 <br /> Page 9o(8 <br /> SID OPPORTUNITY LIST <br /> Please complete and mail or fax to: <br /> Equal Opportunity Office <br /> 605 Suwannee St., MS 65 <br /> Tallahassee, FL 32399-0450 <br /> TELEPHONE: (850)414-4747 <br /> FAX: (850)414-4879 <br /> This information may also be included in your bid or proposal package. <br /> Prime Contractor/Consultant: <br /> 7Z,2c ,7�( <br /> Address/Telephone Number: <br /> Bid/Proposal Number: I <br /> Quote Submitted MM/YR: I <br /> 49 CFR Part 26.11 requires the Florida Department of Transportation to develop and maintain a"bid opportunity list"The <br /> list is intended to be a listing of all firms that are participating, or attempting to participate, on DOT-assisted contracts.The <br /> list must include all firms that bid on prime contracts, or bid or quote subcontracts and materials supplies on DOT-assisted <br /> projects,including both DBEs and non-DBEs. For consulting companies this list must include all subconsultants <br /> contacting you and expressing an interest in teaming with you on a specific DOT assisted project. Prime contractors and <br /> consultants must provide information for Nos-1, 2, 3 and 4 and should provide any information they have available on <br /> Numbers 5, 6,7, and 8 for themselves, and their subcontractors and subconsultants. <br /> q 0 -(A9303b 6_ ❑ DBE 8. Annual Gross Receipts <br /> 1. Federal Tai ID Number: �� Non-DBE ® Less than$1 million <br /> 2. Firm Name. �OIZ u` J ❑ Between $1 -$5 million <br /> 3. Phone:__(_JIZ ❑ Between $5-$10 million <br /> 4. Address: �7c <br /> 7. [X Subcontractor ❑ Between $10- $15 pillion <br /> t 3rc1 2 ❑ Subconsultant ❑ More than $15 million <br /> IS2,ti h <br /> 5. Year Firm Established: 2,0 13 <br /> 6. ❑ DBE 8. Annual Gross Receipts <br /> 1. Federal Tax ID Number: ❑ Non-DBE ❑ Less than$1 million <br /> 2. Firm Name: ❑ Between $1 -$5 million <br /> 3. Phone: ❑ Between $5-$10 million <br /> 4. Address: <br /> I � 7. EJ Subcontractor ❑ Between $10-$15 million <br /> ❑ Subconsultant ❑ More than $15 million <br /> 5. Year Firm Established: <br /> 6. ® DBE 8. Annual Gross Receipts <br /> h 1. Federal Tax ID Number: ❑ Non-DBE El Less than $1 million <br /> 2. Firm Name: ❑ Between $1 -$5 million <br /> 3. Phone: ❑ Between $5-$10 million <br /> 4. Address: 7. EJ ❑ Between $10-$15 million <br /> _ <br /> ❑ Subconsultant ❑ More than $15 million <br /> E._ <br /> i <br /> 5. Year Firm Established: <br /> 470-8 <br /> . 1 <br />