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I I I I I I I I I I I I I I I I I I I STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 275-030-10 EOUAL OPPORTUNITY OFFICE 04/05 BID OPPORTUNITY LIST Please complete and mail or fax to: Equal Opportunity Office 605 Suwannee St., MS 65 Tallahassee, FL 32399-0450 TELEPHONE: (850) 414-4747 FAX: (850) 414-4879 This information may also be included in your bid or proposal package. Prime Contractor/Consultant: Address/Telephone Number: Bid/Proposal Number: Quote Submitted MM/YR: 49 CFR Part 26.11 requires the Florida Department of Transportation to develop and maintain a "bid opportunity list." The list is intended to be a listing of all firms that are participating, or attempting to participate, on DOT-assisted contracts. The list must include all firms that bid on prime contracts, or bid or quote subcontracts and materials supplies on DOT-assisted projects, including both OBEs and non-OBEs. For consulting companies this list must include all subconsultants contacting you and expressing an interest in teaming with you on a specific DOT assisted project. Prime contractors and consultants must provide information for Nos.1, 2, 3 and 4 and should provide any information they have available on Numbers 5, 6, 7, and 8 for themselves, and their subcontractors and subconsultants. 1. Federal Tax 10 Number: 6. o OBE 2. Firm Name: o Non-OBE 3. Phone: 4. Address: 7. o Subcontractor o Subconsultant 5. Year Firm Established: 1. Federal Tax 10 Number: 6. o DBE 2. Firm Name: o Non-DBE 3. Phone: 4. Address: 7. o Subcontractor o Subconsultant 5. Year Firm Established: 1. Federal Tax 10 Number: 6. o DBE 2. Firm Name: o Non-DBE 3. Phone: 4. Address: 7. o Subcontractor o Subconsultant 5. Year Firm Established: February 2007 00404-5 8. Annual Gross Receipts o Less than $1 million o Between $1 - $5 million o Between $5 - $10 million o Between $10 - $15 million o More than $15 million 8. Annual Gross Receipts o Less than $1 million o Between $1 - $5 million o Between $5 - $10 million o Between $10 - $15 million o More than $15 million 8. Annual Gross Receipts o Less than $1 million o Between $1 - $5 million o Between $5 - $10 million o Between $10 - $15 million o More than $15 million 03-4122.0.