Get E-59-59a Form 11-11.pdf - Wyoming Department Of Transportation - Dot State Wy

Filling out the E-59-59A Form 11-11 is essential for contractors seeking to subcontract work with the Wyoming Department of Transportation. This guide offers clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the funding source section by selecting either 'State' or 'Federal' to indicate the source of funding for the project.
3. Fill in the project number and name of the project as provided in your contract documents.
4. Enter your company information, including the contractor's name, mailing address, phone number, fax number, and email address for contact purposes.
5. Provide the subcontractor's details, including their name and mailing address. If applicable, include information about tier subcontractors.
6. List the items of work you wish to subcontract, including item number, description, unit, quantity, unit cost, and total amount. Use additional sheets if necessary.
7. Indicate if the proposed subcontractor has a current Workers Compensation Account and provide the necessary details.
8. If the subcontractor or tier subcontractor is not prequalified as a DBE firm, complete items 1 to 5 regarding their qualifications and experience.
9. Ensure the required certifications and signatures are included at the end of the form, stating the acknowledgment of responsibilities and compliance with all provisions.
10. Once the form is completed, save your changes, and proceed to download, print, or share the form as necessary. Ensure all required documents are attached.

Complete your documents online now for efficient submission.