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STATE OF FLORIDA DEPARTMENT OF T!kNSPORTATION 276030-11 <br /> CONSTRUCTION CONTRACTORS EQUAL OPPORTUNITY OFFIOE <br /> o3/tt <br /> BID OPPORTUNITY LIST Page 9 of 9 <br /> r <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 /> I ii <br /> �! <br /> Prime Contractor/Consultant-71 <br /> Address/Telephone Number: <br /> Bid/Proposal Number: <br /> Quote Submitted MM/YR: C .\LU Io <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 I <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 /> 1. Federal Taa)�,ID NumberQ0 494, ('��Ip 6. ❑ DBE 8. Annual Gross Receipts <br /> Firm Name t S < Nan-DBE Less than$1 million <br /> 2. rt,0 1Mo nuc- Sty cull � <br /> 3. Phone: '11Z. 1 _`E SII' Y Between$1 -$5 million <br /> 4. Address: ❑ Between$5-$10 million <br /> P (0 7. ElSubcontractor ❑ Between$10-$15 million <br /> \Q yn Gc 2cila ❑ Subconsultant ❑ More than$15 million <br /> 5. 'Year Firm Established: 3 .S <br /> 1. Federal Tax ID Number: 6. ❑ DBE 8. Annual Gross Receipts I <br /> 2. Firm Name: ❑ Non-DBE ❑ Less than$1 million I <br /> 3. Phone: ❑ Between$1 -$5 million <br /> 4. Address: ❑ Between$5-$10 million <br /> 7. ❑ Subcontractor ❑ Between$10-$15 million <br /> ❑ Subconsultant ❑ More than$15 million <br /> 5. Year Firm Established: <br /> I <br /> 1. Federal Tax_ID Number: 6. ❑ DBE B. Annual Gross Receipts <br /> 2. Firm Name: ❑ Non-DBE ❑ Less than$1 million ! <br /> 3. Phone: ❑ Between$1 -$5 million <br /> 4. Address: ❑ Between$5-$10 million <br /> 7. ❑ Subcontractor ❑ Between$10-$15 million <br /> ❑ Subconsultant ❑ More than$15 million <br /> 5. Year Firm Established: <br /> j <br /> 0047(1--9 <br />