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picture1_Free Construction Contract Template Excel 31613 | Tc 14 35


 230x       Filetype XLSX       File size 0.05 MB       Source: transportation.ky.gov


File: Free Construction Contract Template Excel 31613 | Tc 14 35
sheet 1 dbe detailed plan front page kentucky transportation cabinet department of highways division of construction procurement dbe plansubcontract request contract id contid subcontract page 1 of 3 to rachel ...

icon picture XLSX Filetype Excel XLSX | Posted on 08 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: DBE Detailed Plan Front Page













KENTUCKY TRANSPORTATION CABINET

DEPARTMENT OF HIGHWAYS

DIVISION OF CONSTRUCTION PROCUREMENT

DBE Plan/SUBCONTRACT REQUEST

CONTRACT ID (CONTID)











Subcontract # :







Page 1 of 3

TO : Rachel Mills, Director











Division of Construction Procurement










FROM :
1st Tier Subcontractor:




Prime Contractor


(if applicable)






SUBJECT :






County
Project Number


I hereby request to utilize for DBE participation a portion of the subject project to:











Griffith, Ryan (KYTC): DBE company name
of Griffith, Ryan (KYTC): Address of DBE company



DBE Employer Identification Numbers:
Federal
KY







The amount to be subcontracted by this request is
DBE KYTC: Dollar amount of DBE items based on DBE subcontracted unit prices.
or 0.00% Contract KYTC: Dollar amount of DBE items based on the bid unit prices.
or 0.00% of the

(original contract ) or a subcontract amount of


KYTC: Total Original Contract Amount
Worth
KYTC: Either Total Original Contract amount or Subcontract amount if Tier subcontract $0.00















I have previously requested approval for subcontracts or agreements with other DBE as follows:





Contract "Worth" Amount
Contract %


Name of DBE firm
DBE Amount DBE %






KYTC: Based on DBE Unit Prices

0.00%
KYTC: based Contract "worth" Unit price. If full item of work, based on unit bid price, otherwise agreed to price if partial work item.

0.00%






0.00%


0.00%






0.00%


0.00%






0.00%


0.00%






0.00%


0.00%






0.00%


0.00%






0.00%


0.00%


Totals based on original contract Amounts

$0.00
0.00%
$0.00
0.00%





KYTC: Based on Contract Unit Prices






















This section applicable if DBE firm is also a Subcontractor of work on Project:











This subcontractor has been furnished a copy of Appendix B of 49 CFR Part 29 and advised to include











the Certification in all lower tier covered transactions and in all solicitations for lower tier transactions











(Federal Aid Contracts only).








































































Prime Contractor's Signature

Date




























1st Tier Subcontractor's Signature(if applicable)

Date















DBE Participant Signature



Date













































Sheet 2: DBE Detailed Plan-Non Pay Estim














KENTUCKY TRANSPORTATION CABINET

DEPARTMENT OF HIGHWAYS

DIVISION OF CONSTRUCTION PROCUREMENT

DBE Plan/SUBCONTRACT REQUEST










Page 2 of 3














Contract ID (ContID) 000000 Prime 000000 DBE Firm 000000






























DBE Participation Non-Pay Estimates Work Items










Description Total Contract Quantity Unit DBE Unit Price Dollar Amount based on DBE Price Comments









$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00








$0.00






Page Total $0.00



















The words contained in this file might help you see if this file matches what you are looking for:

...Sheet dbe detailed plan front page kentucky transportation cabinet department of highways division construction procurement plansubcontract request contract id contid subcontract to rachel mills director from st tier subcontractor prime contractor if applicable subject county project number i hereby utilize for participation a portion the griffith ryan kytc company name address employer identification numbers federal ky amount be subcontracted by this is dollar items based on unit prices or bid original total worth either have previously requested approval subcontracts agreements with other as follows quot firm price full item work otherwise agreed partial totals amounts section also has been furnished copy appendix b cfr part and advised include certification in all lower covered transactions solicitations aid contracts only s signature date participant plannon pay estim nonpay estimates description quantity comments...

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