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REQUEST FOR ELIGIBILITY TO BID

GEORGIA DEPARTMENT OF TRANSPORTATION OFFICE OF CONSTRUCTION BIDDING ADMINISTRATION

One Georgia Center, 11th Floor 600 West Peachtree St., N.W.

Atlanta, GA 30308

Email:

(404)631-1070 Sales Office FaxGDOT FAX NUMBER:

Complete this form to Request Eligibility To Bid. The deadline to submit this form to GDOT, Office of Construction Bidding Administration is no later than 12:00 p.m. on the day preceding the letting. ** Failure to submit this document will result in ineligibility to bid.

FOR OPTIMUM SERVICE, KEEP GDOT UP-TO-DATEWITH YOUR CONTACT INFORMATION

(Mailing Address, Phone No., Fax No., E-mail Address, Primary Contact Person, etc.)

Indicate below the three digits of the Call Order Number, and your bidding status

LETTING DATE:

GDOT VENDOR CODE:

COMPANY NAME:

CONTACT PERSON:

EMAIL ADDRESS:

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Georgia Department of Transportation Revised D.O.T. RFETB August 23, 2016

B = Bidding Prime (Example: 1.) 001 B 2.) 006 B 3.) 018 B etc.)

SalesOffice@dot.ga.gov

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