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Project Bid Opening Info
Online Plans Room
Contact Us
Map Request
MoDOT Express Lane
MoDOT
Central Office
105 W. Capitol Avenue
Jefferson City, MO 65102
1-888 ASK MODOT
(1-888 275 6636)
Forms for Contractor Use
 

Construction and Contractor Related

Affidavit for Compliance with Prevailing Wage Law (117 kb, 1 page)
Contractor Affidavit Regarding Settlement of Claims  (C-242) (50 kb, 1 page)
Request to Subcontract Work  (C-220) (212 kb, 2 pages)
Subcontractor Certification Regarding Affirmative Action (100 kb, 1 page)
Value Engineering Proposal  (C-104) (139 kb, 2 pages)
Contractor Questionnaire (24 kb, 2 pages)
Estimate Summary Request Form (36 kb, 1 page)
DBE Program Submittal (5.8 mb, 144 pages)
Prequalification Questionnaire (115 kb, 5 pages)
Contractor's Monthly Trainee Report (52 kb 1 page)
Trainee Notification (42 kb 1 page)
Trainee Example Letter (9 kb 1 page)
Project Conflict Resolution Flowchart (14 kb 1 page)
Wage Flowchart for Federal Jobs - Precon (9 kb 1 page)
Wage Flowchart for State Jobs - Precon (8 kb 1 page)
2AA Sheet - Blank (47kb 1 page)
2AA Sheet - Example (114kb 1page)
Contractor Performance Questionnaire - 2008 260kb  13 pages)
Welder Qualification Form 530kb 1 page  Electronically fillable
Waste Disposal Agreement 264kb 1 page  Electronically fillable

 

Federal Aid Posters

Discrimination in Employment (131kb 1page)
EEO Policy Letter Example Letter (8 kb, 1 page)
Equal Employment Opportunity    (also in available in Spanish) (24 kb, 1 page)  ( Spanish 15 kb, 1 page)
Important Wage Rate Info FHWA-1495    (also in available in Spanish) (72 kb, 1 page) ( Spanish 53 kb, 1 page)
Job Safety & Health OSHA   (also in available in Spanish) (41 kb, 1 page)  ( Spanish 99 kb, 1 page)
Letter Appt EEO Officer (8 kb, 1 page)
Minimum Wage 1088     (also in available in Spanish) (25 kb, 1 page)  ( Spanish 46 kb, 1 page)
Notice FHWA 1022 (18 kb, 1 page)
Notice Polygraph WH 1462    (also in available in Spanish) (34 kb, 2 pages) ( Spanish 158 kb, 2 pages)
Notice to Employees Davis Bacon 1321 (67 kb, 2 pages)
Notice to Workers Disability WH 1284 (100 kb, 2 pages)
Your Rights FMLA WH 1420   (also in available in Spanish) (62 kb, 1 page)
Job Site Bulletin Board Checklist (34 kb, 1 page)
Storm Water Permit "Sign" (50 kb 1 pages)

 

State Aid Posters

Workers Compensation WC 106 (also in available in Spanish) (207 kb, 2 pages) ( Spanish 188 kb, 2 pages)
Unemployment Benefits Laws (75 kb, 1 pages)
Storm Water Permit "Sign" (50 kb, 1 pages)
Discrimination in Public Accommodations MCHR-07 (132 kb, 1 pages)

 

Materials  Related

Transfer Request of Inspected Materials (65 kb, 1 page)
New Product Evaluation Form                                   (Type-In format) (46 kb, 4 pages .pdf )   (Type-In 36kb, 4 pages  .doc)
PAL Shippers Transmittal Form (37 kb, 1 page)
PAL Fabricators Receival Form (42 kb, 1 page)
PAL Program Inclusion Certifications and Guarantee Statement (122 kb, 1 page)
Concrete Mix Design Submittal Form (76 kb, 1 page)
Pipe Shipping Submittal Form:  CMP and RCP (21 kb, 1 page)

Pipe Shipping Submittal Form:  PVC and HDPE

(22 kb, 1 page)

Producer Supplier Listing Form

(148 kb, 4 page)

Asphalt Inspectors Worksheets:     Payfactor v5.01

(324 kb, multiple page)

Asphalt Inspectors Worksheets:     Plant Inspection v4.00

(780 kb, multiple page)
Corelok Aggregate Workbook (56 kb, 1 page)
Aggregate Quality Control Plan (20 kb, 1 page)

 

Utility / Right of Way  Related

Permit Application for Work in Right of Way (199 kb, 2 pages)
MoDOT Notice of Intent to Perform Work
 

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