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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 27�D3o-11 <br /> CONSTRUCTiON CONTRACTORS EQUAL OPPOfiTUNfTYOFFICE <br /> D3/11 <br /> Bib OPPORTUNITY LIST Page 9 of 9 <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 <br /> I <br /> Prime Contractor/Consultant: \ <br /> Address/Telephone Number: _-41, 73 ZKoZ <br /> Bid/Proposal Number : 2cr.)n by5 <br /> Quote Submitted MMIYR: �Z- •��,� <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 i <br /> Numbers 5,6,7, and 8 for themselves, and their subcontractors and subconsultants. <br /> 1. Federal Ta ID Nu b rga �' 6. DBE 8. Annual Gross Receipts <br /> 2. Firm Name. '�t> c�t . Y Nan-DBE Less than$1 million <br /> 3. Phone: "I 1 �} is^ 0 N Between$1 -$5 million <br /> 4. d ress:-_ ❑ Between$5-$10 million <br /> 7. ( Subcontractor ❑ Between$10-$15 million <br /> �Zl z ❑ Subconsultant ❑ More than$15 million <br /> 5. 'Year Firm Established-, �. <br /> 1. Federal Tax ID Number. -A3\$UM 6. C1 DBE 8. Annual Gross Receipts <br /> 2. Firm Non-DBE CR Less than$1 million <br /> 3. Phone: ❑ Between$1 -$5 million <br /> 4. Address: ❑ Between$5-$10 million <br /> Z%17. ® Subcontractor F1Between$10-$15 million <br /> t t=l- IAA f-A ❑ Subconsultant ❑ More than$15 million � <br /> 5. Year Firm Established: <br /> I <br /> 1. Federal Tax ID Number: 6. ❑ DBE 8. Annual Gross Receipts <br /> 2. Firm Name: ❑ Non-DBE ❑ Less than$1 million i <br /> 3. Phone: ❑ Between $1 -$5 million i <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: T <br /> i <br /> i <br /> 00478-9 <br /> i <br />