TO

NEW JERSEY DEPARTMENT OF TRANSPORTATION

BUREAU OF CONSTRUCTION SERVICES, PROCUREMENT

P.O BOX 605

TRENTON, NEW JERSEY 08625-0605

CONTRACTOR’S FINANCIAL AND EQUIPMENT STATEMENT

EXPERIENCE QUESTIONNAIRE AND PAST PERFORMANCE RECORD

TO BE USED ONLY FOR ORIGINAL CLASSIFICATION OR FOR RENEWAL OF CLASSIFICATION

SEE PAGES 15 THROUGH 23 FOR REGULATIONS RELEVANT TO CLASSIFICATION

The Financial information, as verified by the accompanying audited or reviewed Financial Statements, is accurate as of

A combined or compilation financial statement is not acceptable.
(Use end of month date)

Submitted by
(The Applicant for Classification)
(Federal Employer Identification No.)

AN INDIVIDUAL	A COPARTNERSHIP	A CORPORATION	A LIMITED LIABILITY CORPORATION

Address
E-Mail Address
Fax Number:
Telephone Number (Area Code)	Exchange	Number
If the books and accounts of the organization are not at this address, show the location where they are kept.

To be completed for a copartnership or limited liability corporation. Date of organization
State whether partnership is general, limited or association
NAMES OF PARTNERS & MANAGERS (FOR LLC)	ADDRESS

To be completed for a corporation. Date incorporated.
State	Capital paid in cash
If not incorporated in New Jersey – Date of Certificate of Authority to perform work in New Jersey
Present officers of the corporation:
TITLE	NAME	ADDRESS
President
Vice President
Secretary
Treasurer
Registered Agent in New Jersey
The officers of a New Jersey corporation must include a President, a Secretary and a Treasurer, N.J.S.A. 14:6-15(1).

If the by-laws of the corporation provide for other officers, attach statement listing their names, titles and addresses.
This questionnaire is submitted for:	ORIGINAL CLASSIFICATION	RENEWAL OF CLASSIFICATION
Classification Requested
(Type of Work – See Attached WORK TYPE CLASSIFICATIONS on pages 24-30.)
For Electrical, Asbestos Removal, Landscaping, or Blasting Contractors Only
Business Permit Number	(
Electrical, Asbestos, Pesticide, or Blasting License Number(s)	(
Expiring

STATUS OF CONTRACTS SCHEDULE

1	Accounts receivable from Construction Contracts and Status of Contracts on Hand (Omit Cents)

The accounts receivable schedule must be for the same date as the CPA statements
NAME OF OWNER

&

COMPLETE ADDRESS

STREET, TOWN,

STATE, ZIP CODE

& PHONE NUMBER	NAME & LOCATION OF PROJECT-TYPE OF WORK PERFORMED BY YOUR ORGANIZATION

(see pg 7 for work desc.)	Prime

or Sub-

Contr.	(A)

ADJUSTED CONTRACT AMOUNT	(B)

AMOUNT

EARNED

& BILLED	(C)

AMOUNT

RECEIVED	(D)

RETAINAGE	(E)

AMOUNT

NOW DUE

EXCLUDING

RETAINAGE	(F)

EARNED

SINCE

LAST

ESTIMATE	(G)

BALANCE

TO BE

COMPLETED	(H)

ESTIMATED COMP-LETION DATE
Pr.	Sub.
DATE

DUE	AMOUNT
The total receivables and the amount earned since last

estimate (work in process) must agree with the CPA figures.	TOTALS
If additional space is required request

additional copies of this page.	NOTE:	The balance to be completed on contracts on hand must be indicated. To determine

the balance to be completed, Columns “A” minus “B: minus “F” should equal

Column “G” (Balance to be Completed) Column “B” minus “C” minus “D” to equal “E”

CONSTRUCTION EQUIPMENT SCHEDULE

THE FINANCIAL INFORMATION TO BE PROVIDED MUST BE FOR THE SAME DATE AS THE CPA STATEMENTS

2	STATEMENT OF CONSTRUCTION EQUIPMENT OWNED BY APPLICANT – (LIST INDIVIDUALLY)
Your ID NUMBER	MAKE	DESCRIPTION	SIZE	MODEL NUMBER	SERIAL NUMBER	YEAR MFG.	Purchase

Price

Yr. Purchased	Accumulated Depreciation	NET

BOOK

VALUE	Unpaid Balance- Long-term Loan
TOTAL
If more space is required, attach schedule

List below or attach schedule showing equipment leased for more than twelve (12) months from date of

application to perform types of work for which eligibility is requested.

Please attach a copy of the lease agreement.

3	LEASED EQUIPMENT SCHEDULE
Quantity	Description and Capacity

of Items	Age of Items	Lease Expiration Date	Lessor

IMPORTANT NOTE’S

4
Letters from your banks, certifying to the establishment of lines of credit, may be submitted for the purpose of augmenting your financial qualifications. Such letters must be specific as to the amount of the line of credit established. Letters previously submitted or already on file will not be considered in determining new classification.

This page, properly completed, may be used as a letter certifying to such a line of credit.

If more than one letter is being submitted, the second or subsequent letters must be in this form or regular bank letterhead and should be attached to this page.

NAME OF BANK	TELEPHONE NO.
ADDRESS
NEW JERSEY DEPARTMENT OF TRANSPORTATION

1035 Parkway Avenue, PO Box 605

Trenton, New Jersey 08625-0605	DATE
(Not prior to that of the Financial Statement)
Sir/Madam:
A line of credit, in the amount of $	has been placed at the disposal of
for use when, as and if needed during the twelve month period beginning
, subject to the usual conditions, including the requirement that their financial and
(Not prior to that of the Financial Statement)

other conditions remain satisfactory. We have loans in the total amount of $

outstanding to this firm at the
present time against this line of credit.

The line of Credit is not secured by any current assets and construction equipment.

(If secured, list the assets used as collateral).

This line of credit has been given with full knowledge of the following lines of credit extended by other banks:
During the past two years the maximum use made of lines of credit extended by this bank has been:
Should any termination, reduction or increase in this line of credit occur, we shall notify you within 10 business days thereafter.
(Signature of Bank Officer)

STATE OF	}
COUNTY OF	}	SS:
being duly sworn, deposes and says
that he is	of the
The bank named in and which executed the foregoing statement.
Sworn to before me this	day of	20
Notary Public

5
RECAPITULATION OF NET WORKING CAPITAL, NET BOOK VALUE OF

CONSTRUCTION EQUIPMENT AND AVAILABLE LINE OF CREDIT

(As presented in the accompanying CPA Audited

or Reviewed Financial Statements and Letter (s)

of Line of Credit from the Bank (s)

1.	Total Current Assets
$
2.	Less: Total Current Liabilities
$
3.	Net Working Capital
$
4.	Net Book Value of Construction

Equipment Owned (Each Piece of

Construction Equipment must be

Listed in the Foregoing Equipment

Schedule Excluding Automobiles,

Office Equipment, Etc.)
$
5.	Approved, Unsecured Line of Credit

(Must not be dated prior to Financial

Statement Date)
$
6.	Less: Portion of Line of Credit

in Use
$
7.	Available Line of Credit
$
8.	Potential Working Capital
$
Determined by Addition of

Item Nos. 3, 4 and 7 above)

6
Performance Record for the past 4 years. List all contracts completed by you during the past 4 years.

Include proportionate share of joint venture contracts and identify other firms in joint venture.	WAS TIME EXTENSION NECESSARY	WERE ANY PENALTIES IMPOSED	WERE LIENS, CLAIMS OR STOP NOTICES FILED
NAME OF OWNER

COMPLETE ADDRESS

STREET, TOWN, STATE, ZIP CODE & E-MAIL ADDRESS	NAME & LOCATION OF PROJECT – TYPE OF WORK PERFORMED BY YOUR ORGANIZATION

(See pg. 7 for work desc.)	Prime or Sub-Contr.	CONTRACT PRICE

(OMIT CENTS)	DATE

COMP-LETED

Mo. Yr.	ENGINEER

IN CHARGE FOR OWNER PHONE #’s & E-MAIL ADDRESS
EXPLAIN “YES” ANSWERS UNDER NO. 10
Pr.	Sub.
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/

7.	How many years has your organization been in business under your present business name?
8.	How many years experience in	construction work has your organization
had (a) As a Prime Contractor:
(b)	As a Sub-Contractor:
9.	What is the construction experience of the principal individuals of your organization?

Individual

Name	Present

Position	Length of time

Employed by your

Organization	Years of

Construction

Experience	Magnitude &

Type of Work	In

What

Capacity

10.	Have you ever failed to complete any work awarded to you?	If so, where and why?
11.	Has any officer or partner of your organization ever failed to complete a construction contract handled in his own
name?	if so, state name of individual, name of owner, location and type of project, and reason
for the failure to complete.

At any time during the past ten years, pay particular attention to questions 12 to 18, has the applicant:
12.	Had an injunction, order or lien entered against it in favor of any governmental agency including but not limited to judgments or liens based on taxes assessed or fines and penalties imposed by any government agency?
No Yes	If yes, provide complete details, including when, where, and why.
13.	Been convicted and/or found guilty and/or pled guilty and/or found liable in any court to any of the following : antitrust statutes; racketeering statutes; environmental laws; laws banning workplace discrimination; laws governing wages, hours or labor standards; laws governing the conduct of occupations, professions or regulated industries; and/or any law indicating a lack of business integrity or honesty?
No Yes	If yes, provide complete details, including when, where, and why.
14.	Paid a fine or otherwise paid to settle any of the allegations made by any agency of government of any of the following: antitrust statutes; racketeering statutes; environmental laws; laws banning workplace discrimination; laws governing wages, hours or labor standards; laws governing the conduct of occupations, professions or regulated industries; and/or any law indicating a lack of business integrity or honesty?
No Yes	If yes, provide complete details, including when, where, and why.
15.	Been denied a license, permit or other similar authorization required to engage in the business concern's trade(s) or professional discipline(s) or had any such license permit or similar authorization been suspended or revoked by any agency of federal, state or local government?
No Yes	If yes, provide complete details, including when, where, and why.
16.	Been suspended, debarred, disqualified, denied a classification rating or prequalification or otherwise been declared not responsible to bid on or to perform work on any public contractor subcontract?
No Yes	If yes, provide complete details, including when, where, and why.
17.	Been required or agreed, pursuant to any agreement or settlement with any governmental agency to refrain from submitting any form of prequalification, from bidding or from proposing on any public contract?
No Yes	If yes, provide complete details, including when, where, and why.
18.	Has any owner, stockholder, officer, partner, or employee of this organization ever been suspended, disqualified, or debarred
by this state or any other state or the federal government or by any subdivision thereof?
No Yes	If yes, provide complete details including, when, where, and why.
19.	Our Equal Employment Opportunity Officer is
located at

Disadvantaged Business Certification

The Federal Highway Administration, under the authority of the Civil Rights Act of 1964 and Executive Order 11246, and implementing regulations 49 CFR, Part 23 and 26, requires the Department of Transportation to submit a report of the number of contracts awarded to Disadvantaged contractors (DBE’s).

To obtain and maintain the necessary statistical base, this sheet is added to Form DC-74A, our classification questionnaire. Upon receipt of the form, this page will be removed before processing the application for classification.

Definitions:

“Disadvantaged Business Enterprise” means a Small Business Concern:

Which is at least 51 percent owned by one or more socially and economically disadvantaged individuals, or in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more socially and economically disadvantaged individuals; and

Whose management and daily business operations are controlled by one or more of the socially and economically disadvantaged individuals who own it.

“Small Business Concern” means a small business as defined pursuant to section 3 of the Federal Small Business Act and relevant regulations promulgated pursuant thereto, except that a small business concern shall not include any concern or group of concerns controlled by the same socially and economically disadvantaged individual or individuals which company has annual average gross receipts in excess of $16.6 million averaged over the most current three-year tax period.

“Socially and Economically Disadvantaged Individuals” means those individuals who are citizens of the United States (or lawfully admitted permanent residents) and who are women, Black Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, or Subcontinent Asian Americans and any other minorities or individuals found to be disadvantaged by the Small Business Administration pursuant to section 8 (a) of the Small Business Act.

Disadvantaged Groups Participants are defined as follows:	CHECK AS APPLICABLE:

a.	An individual who is a citizen or lawfully admitted permanent resident of the United States and who is:

( )	“Black Americans,” which includes persons having origins in any of the Black racial groups of Africa.

( )	“Hispanic American,” which includes persons of Mexican, Puerto Rican, Cuban, Dominican, Central or	South American, or other Spanish or Portuguese culture or origin, regardless of race.

( )	“Native Americans,” which includes persons who are American Indians, Eskimos, Aleuts, or Native	Hawaiians.

( )	“Asian-Pacific Americans,” which includes persons whose origins are from Japan, China, Taiwan, Korea,	Burma (Myanmar), Vietnam, Laos, Cambodia (Kampuchea), Thailand, Malaysia, Indonesia, the	Philippines, Brunei, Samoa, Guam, the U.S. Trust Territories of the Pacific Islands (Republic of Palau),	the Commonwealth of the Northern Marianas Islands, Macao, Fiji, Tonga, Kirbati, Juvalu, Nauru,	Federated States of Micronesia, or HongKong.

( )	“Subcontinent Asian Americans,” which includes persons whose origins are from India, Pakistan,	Bangladesh, Bhutan, the Maldives Islands, Nepal or Sri Lanka.

( )	Women.

( )	Any additional groups whose members are designated as socially and economically disadvantaged by the	SBA, at such time as the SBA designation becomes effective.

( )	None of the above.

To be considered a participant in the DBE Program a mandatory process for verifying that DBE’s are owned and controlled in both form and substance by one or more disadvantaged individuals must be made by the Division of Civil Rights.

Name of Organization
(Signature)
(Title)

STOCKHOLDER LIST

The list below contains the names and home addresses of all stockholders holding 10 percent or more of the issued and outstanding stock of the undersigned corporation. If one or more stockholder or partner is itself a corporation or partnership, the stockholder holding 10 percent or more of that corporation’s stock, or the individual partners owning 10 percent or greater interest in that partnership, as the case may be, are also listed.

Corporate Name

STOCKHOLDERS:

NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS

Is the corporation applying for classification a subsidiary
of a parent corporation?
(Name of Parent Corporation)
(Address)
(Date Incorporated – State Incorporated)
(Name and Address of Registered Agent)
Is parent corporation owner of all assets of subsidiary?
If not, what is the division?

Provide the Names Addresses of Stockholders of Parent Corporation

Name
Home Address
Name
Home Address
Name
Home Address
Name
Home Address
Name
Home Address
Name
Home Address

Provide the names and addresses of all subsidiaries owned by the parent corporation or the applicant
Percent Owned
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address

CORPORATION INFORMATION SHEET

this questionnaire must be completed

As adopted by the Board of Directors, the officers and employees listed below are appointed and authorized to approve and execute on the Corporation’s behalf, the following documents:

*1 –	Contractor’s Statement of Experience, Equipment and Financial

Condition

*2 –	Contracts and Bonds

*3 –	Addenda/Change Order/Supplemental Agreement

*4 –	Force Account Agreement

*Specify the appropriate number(s) and TITLE(s) of each officer in designated

column below

If any changes are made in the appointee list by the action of the Board of Directors during the eighteen month period from the date of the Financial information forwarded with this form, it SHALL be the sole responsibility and WILL be required of the corporation to submit an original Certified document advising of such action to Bureau of Construction Services, Procurement, New jersey Department of Transportation.

Name	Title	*Number(s)

AFFIDAVIT

STATE of	}
COUNTY of	}	SS
}
being duly sworn according to law, upon his or her oath
deposes and says:

I sign the foregoing Contractor’s Financial and Equipment Statement, Experience Questionnaire and Past Performance Record for and on behalf of the individual, partnership or corporation submitting this application for a classification by the New Jersey Department of Transportation and I am duly authorized to do so;

The information set forth and statements made in the foregoing Contractor’s Financial and Equipment Statement, Experience Questionnaire, Past Performance Record, Stockholder List and Corporate Information Sheet are true, accurate and consistent with the records maintained by the individual, partnership or corporation submitting this application.

Any depository, vendor or other agency named in this application is hereby authorized to provide to the Commissioner Department of Transportation, or his duly authorized representative, all the information necessary to verify any statement made in the application.

An Affirmative Action Program of Equal Opportunity, in support of P.L 1975, C 127, the New Jersey “Law Against Discrimination” as supplemented and amended, as well as in accordance with Executive Order No. 11246 promulgated by the President of the United States, September 24, 1965 and Executive Order No. 11625, promulgated by the President of the United States, October 13, 1971, has been adopted by this organization to ensure that applicants are employed, and employees are treated without regard to their race, creed, color, national origin, nationality, gender, affectional or sexual orientation, age, ancestry, marital status, handicap or disability and that the selection and utilization of contractors, subcontractors, consultants, material suppliers and equipment lessors shall be done without regard to their race, creed, color, national origin, nationality, gender, affectional or sexual orientation, age, ancestry, marital status, handicap or disability. Said Affirmative Action Program addresses both the internal recruitment, employment and utilization of minorities and the external recruitment policy regarding minority contractors, subcontractors, consultants, material suppliers and equipment lessors.

All documentation required by the Affirmative Action Program of Equal Opportunity, as evidence of compliance, may be inspected at the office of the individual, partnership or corporation submitting this application.

The individual, partnership or corporation submitting this application acknowledges that active compliance with the aforesaid Affirmative Action Program of Equal Opportunity is necessary to its continued “responsibility” as a bidder.

Neither the individual, partnership or corporation applying for classification nor its corporate officers, stockholders or partners are collectively or individually suspended or debarred from doing business by this or any state or the federal government.

Sworn and subscribed

to before me on

this
(Name of Organization)
day of
19
(Signature)
(Title)
Notary Public
AFFIX

CORPORATE SEAL HERE

NEW JERSEY DEPARTMENT OF TRANSPORTATION

REGULATIONS COVERING THE CLASSIFICATION OF BIDDERS

ISSUED IN ACCORDANCE WITH TITLE 27:7-35.1 ET. SEQ., REVISED STATUTES OF NEW JERSEY, 1937

AS AMENDED OR SUPPLEMENTED

CLASSIFICATION OF CONTRACTORS AND PROSPECTIVE BIDDERS

TITLE 16. DEPARTMENT OF TRANSPORTATION

CHAPTER 44. CONSTRUCTION SERVICES

Expires on May 26, 2017

SUBCHAPTER 1. PURPOSE AND SCOPE

16:44-1.1 Purpose and scope

The purpose of this chapter is to provide the processes by which contractors can become qualified to bid on Department projects, can obtain Department plans and specifications, can enter into contracts for construction projects and receive payment for work, may be debarred, suspended or disqualified and may secure approval of its reorganization.

SUBCHAPTER 2. DEFINITIONS

16:44-2.1 Definitions

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise:

"Affiliates" means persons having a relationship such that any one of them directly or indirectly controls or has the power to control another.

"Bureau" means the Bureau of Construction Services, Procurement Division, at the New Jersey Department of Transportation.

"Classification" means the process that assigns a project rating to a contractor that denotes the work types and maximum dollar amount of a contract on which the Department will allow the contractor to submit a bid.

"Classified" means the status of having qualified to bid or contract with the Department based on completion of the classification process.

"Commissioner" means the Commissioner of the New Jersey Department of Transportation.

"Contractor" means a person that is classified, or who has applied for classification, to perform work under contract with the Department.

"Corporate or LLC reorganization" means any change in the structure or organization of a corporation or limited liability company (LLC) when one or more of the following events occur:

1. A change in ownership of more than five percent;

2. A transfer of the assets, in whole or in part, from the existing	corporation or LLC to another or new corporation or LLC;

3. Any modification of the entity's name;

4. Any other change, modification, dissolution, transfer of, deletion	from or addition to the entity which may affect the operation of the	corporation or LLC as a contractor; or

5. Any change in operation or function of the corporation or LLC, such	as a change in industry classification.

"Debarment" means an exclusion from the ability to contract with the Department.

"Department" means the New Jersey Department of Transportation.

"Department contracting" means any arrangement giving rise to an obligation to supply anything to, or perform any service for the Department, other than by virtue of State employment, or to supply anything to, or perform any service for private or public persons where the Department provides substantial financial assistance or retains the right to approve or disapprove the nature or quality of the goods or service or the persons who may supply or perform the goods or service.

"Disqualification" means a debarment or a suspension for a specified period of time, which denies or revokes a contractor's ability to bid or contract with the Department.

"Equivalent project" means a project whose work scope and complexity level is considered to be equal to that of a Department project, such as work undertaken for other state departments of transportation, state highway authorities, U.S. Army Corps of Engineers, New Jersey Turnpike Authority, South Jersey Turnpike Authority, NJ Transit and Port Authority of New York and New Jersey.

"Financial capability" means the dollar threshold on the maximum amount of a project rating, which may be assigned by the Department pursuant to N.J.A.C. 16:44-3.6 upon examination of the contractor's Questionnaire and financial statement in accordance with this chapter.

"Overall performance rating" means the average of all performance ratings assigned to a contractor within the last four consecutive years of rated periods.

"Performance rating" means the numerical rating, expressed as a percentage, assigned to a contractor for a project(s) completed within the last four consecutive years of rated periods. The performance rating shall be calculated on the basis of the contractor's performance as reported on Form DC-83, which has been completed by the Department's RE upon final acceptance of the applicable project(s).

"Person" means any individual, company, firm, sole proprietorship, partnership,

association, corporation, joint stock company, limited liability company, or other business entity, and their lessees, trustees, assignees or receivers.

"Plans" means the construction plans and contract documents for an advertised project for which bids will be accepted, as amended by addenda and change of plans, if any. Plans include the version of the standard details specified on the key sheet.

"Project" means Department contracts for construction or maintenance as described in a Department advertisement.

"Project rating" means the maximum dollar amount that a contractor shall be allowed to bid in a particular work type on an individual project.

"Questionnaire" means information, including, but not limited to, financial statements, equipment statements, experience and past performance records submitted under oath in response to the current version of Department Form DC-74A.

"Rated period" means the interval of time that the Department uses to evaluate contractors through their performance ratings.

"RE" means the Department's field representative having direct supervision of the administration of a project.

"Related project" means a project whose work scope and complexity level is considered to be related to that of a Department project, such as work undertaken for a county, township, municipality or utility authority.

"Special Provisions" means attachments to the Standard Specifications, which include project specific requirements prepared using the Department's current Standards Inputs and required non-standard specifications, which are not covered in either the Standard Specifications or the Standard Inputs.

"Standard Specifications" means the 2001 edition of the "New Jersey Department of Transportation Standard Specifications for Road and Bridge Construction," as amended and supplemented, incorporated herein by reference.

"Suspension" means an exclusion from Department contracting pursuant to N.J.A.C. 16:44-11.5.

SUBCHAPTER 3. CLASSIFICATION OF PROSPECTIVE BIDDERS

16:44-3.1 Prequalification Committee

The Prequalification Committee shall be comprised of five voting members, selected at the discretion of the Commissioner. The Bureau Manager shall serve as Secretary to the Committee, and may be delegated authority by the Committee to sign Classification applications on behalf of the Committee in those circumstances deemed appropriate by the Committee.

16:44-3.2 Questionnaire

(a) In order to bid on Department projects, a contractor must be classified and have a project rating. To be classified, the contractor must complete a Questionnaire on Form DC-74A available on the Department's website at

www.nj.gov/transportation/business/procurement/ConstrServ/prequalrequire.shtm

or from the Bureau at New Jersey Department of Transportation, Construction Services, 1035 Parkway Ave., P.O. Box 605, Trenton, NJ, 08625-0605, (609) 530-2103. The following satisfactory information must be provided to the Department:

1. A classified CPA certified audited financial statement or a	classified	CPA reviewed financial statement in accordance with general	accepted	accounting principles. The financial statement shall show current	assets	and current liabilities and shall include verifications of equipment	owned	or leased and confirmation of unsecured lines of credit extended by

banks. The financial statements shall be complete, with a balance sheet,	related statements of income, retained earnings, cash flows and notes to	financial statements in complete detail. The financial statements shall be	completed by a certified public accountant or public accountant, pursuant to	N.J.S.A. 45:2B-42 et seq., who is independent of, and not an employee of, the	contractor for which the financial statements are being provided. The	financial statements shall include an independent auditor's report signed by	the public accountant or CPA who prepared the documents.

i. The certified audited financial statements shall have an unqualified	opinion. All financial statements, whether audited or reviewed, shall be for a	full one-year accounting cycle.

ii. Submission of CPA reviewed financial statements will limit the	contractor's financial capability and project rating to no more than	$10,000,000.

iii. A consolidated financial statement may be submitted with the	Questionnaire completed in the name of the parent corporation. A consolidated	financial statement is required if the contractor is a variable interest	entity according to the Financial Accounting Standards Board (FASB)	interpretation, FIN 46R. A consolidated financial statement submitted with a	Questionnaire and completed in the name of the subsidiary corporation shall	include a separate breakdown of the financial statements and a separate	unqualified opinion, that includes a balance sheet, an income and retained	earnings statement and a statement of cash flows, in the name of the	subsidiary corporation.

iv. A combined or compiled financial statement is not acceptable;

2. A statement as to construction equipment owned, which shall give complete	details of the purchase price minus accumulated depreciation to equal book	value per piece. Net book value less the amount of any outstanding loan for	the purchase of that equipment will equal the amount allowed;

3. A statement as to organization, which shall show the ability of such	organization, including key personnel, to undertake and successfully complete	a project in the classification applied for;

4. A statement as to prior experience, which shall show the length of time in	which the contractor has been engaged in the contracting business. It shall	also disclose the nature of the contractor's experience during that period;

5. A work record statement, which shall give an accurate and complete record	of work completed in the previous four years and which shall identify the	projects undertaken, type of work performed using the Department's work type	codes, location, contract price, name and current telephone number of the	owner's construction representative or engineer in charge.

i. The statement shall list, in detail, any liens, stop notices, default	notices or claims filed with regard to any project within the previous four	years.

ii. The statement shall also disclose labor troubles experienced,	failures to complete contracts and all penalties imposed by reason of any	contract undertaken within the previous four years. The contractor shall	explain all such items;

6. A statement setting forth any other pertinent and material facts which will	justify the classification and rating desired;

7. A statement disclosing any suspension, debarment, or disqualification of	the contractor, its parent company or subsidiary and/or any owner,	stockholder, officer, partner or employee, or other person, regardless of title

held, who has the ability to control a contractor's operations;

8. A statement that the contractor has adopted an Affirmative Action Program	for Equal Employment Opportunity in accordance with State and Federal laws,	rules and regulations;

9. If the contractor is a corporation, partnership, or limited liability	company (LLC), a statement setting forth the names and home addresses of all	stockholders, partners or members owning 10 percent or greater interest in the	contractor. If one or more stockholders, partners or members is, itself, a	corporation, partnership or LLC, owning a 10 percent or greater interest in	the contractor, the statement shall also set	forth the names and home	addresses of all stockholders, partners or members	owning a 10 percent or	greater interest in that corporation, partnership or	LLC. Disclosure of the	names and home addresses of all stockholders, partners	or members owning	a 10 percent or greater interest shall continue at each	level of ownership	until all stockholders, partners or members owning a 10	percent or more	interest have been disclosed;

10. A statement identifying the work types for which the contractor is seeking

classification. The contractor will not be assigned a project rating for work	types that have not been requested; and

11. An affidavit attesting that all statements contained in the Questionnaire	are true and accurate.

16:44-3.3 Penalties for false statements

(a) Any person who makes, or causes to be made, a false, deceptive or fraudulent statement in the Questionnaire or any other submission required in conjunction with a request for classification or in the course of any hearing pertaining to an application for classification, shall be guilty of a misdemeanor, and upon conviction shall be sentenced to pay a fine of not less than $100.00, nor more than $1,000; or in the case of an individual or the officer or employee charged with the duty of making such questionnaire for a person, firm, copartnership, association, corporation or limited liability company (LLC), pay such fine or undergo imprisonment, not to exceed six months, or both.

(b) All persons convicted under (a) above and any copartnership, association, corporation, or joint stock company of which any convicted person is a partner or officer or director, and any corporation of which the person owns more than 25 percent of the stock, shall, for five years from the date of such conviction, be disqualified from bidding on all public work in this State.

16:44-3.4 Classification process

(a) Contractors shall complete the Questionnaire in its entirety and must answer all questions and provide all required information to the satisfaction of the Department. Incomplete submissions will necessitate requests for additional information and will not be processed by the Department until the additional information is received.

(b) When a contractor submits a Questionnaire, the contractor shall include the required fee in accordance with N.J.S.A. 27:7-35.3. Payment shall be made as specified in the Questionnaire and no Questionnaire will be processed until the required fee is received by the Bureau.

(c) The Department will notify a contractor of its determination of its classification within 15 days of the Department's receipt of a completed Questionnaire, and will send a confirming letter by first class mail. If the Department requests additional information from the contractor to complete the Questionnaire or to clarify information contained in the Questionnaire, the contractor will be notified of its classification by first class mail within 15 days of the Department's receipt of the requested information. Classification will be effective 15 days from receipt of the completed Questionnaire or 15 days from receipt of any additional information, provided that the additional information is satisfactory to the Bureau.

(d) Classification shall expire 18 months after the close of business date of the financial statement accompanying the Questionnaire. Contractors that do not submit a new Questionnaire at least 15 days prior to this expiration date will have their classification expire and cannot bid on Department projects unless a completed and satisfactory Questionnaire is received at least 15 days prior to the date on which bids are received.

(e) A contractor may request a change in classification at any time and shall follow the procedures for classification described in this chapter. Requests for a change in classification necessary to bid on a particular Department project, requires receipt by the Department of satisfactory additional information in support of the classification change at least 15 days prior to the date on which bids are to be received.

16:44-3.5 Appeals and enforcement

A contractor dissatisfied with the classification assigned to it by the Department may request in writing a hearing before the Prequalification Committee and at the hearing may present further evidence to justify a different classification. The Prequalification Committee will make the final administrative decision based on the information presented at the hearing.

16:44-3.6 Work types and project rating ranges

(a) Contractors will be classified and assigned a project rating according to the work type and the maximum dollar value of work on which they may bid. Contractors will be assigned project ratings in differing dollar ranges for different work types.

(b) The work types for which contractors may seek classification are on file at the Department and are posted on the Department's website at:

www.nj.gov/transportation/business/procurement/ConstrServ/ClassCode.shtm.

(c) Project ratings will be assigned to contractors by the Department pursuant to N.J.A.C. 16:44-3.8.

(d) The dollar ranges within which project ratings may be assigned are as set forth in Table I below:

TABLE I

Dollar Ranges

$1,000,001 to $2,000,000

$2,000,001 to $5,000,000

$5,000,001 to $10,000,000

$10,000,001 to $20,000,000

$20,000,001 to $50,000,000

$50,000,001 to $100,000,000

$100,000,001 to $200,000,000

Unlimited

1. A contractor who does not qualify to bid in the $1,000,001 to $2,000,000 range or higher will be classified with a project rating equal to its financial capability, as determined pursuant to N.J.A.C. 16:44-3.7.

2. Contractors who have been assigned project ratings of "unlimited," will be notified when the Department intends to accept bids for a project in this class. Each contractor that intends to bid upon such a project shall be required to apply for and obtain a specific approval to bid on that project, with regard to specific criteria established by the Department based on factors including the dollar amount and the nature of the project as set forth in the plans and specifications for the project. The contractor must apply for such specific approvals at least 15 days before the date set for the receipt of bids on the "unlimited" class project.

16:44-3.7 Determination of financial capability

(a) Financial capability of a contractor will be determined by the Department based on its examination of the following:

1. The contractor's net working capital. Net working capital is, as used in this chapter, defined as the excess of current assets over current liabilities and identifies the relatively liquid portion of total enterprise capital, which constitutes a margin for meeting obligations within the ordinary operating cycle of the business. The Department will use the contractor's net worth, as shown in the balance sheets, in lieu of the contractor's net working capital whenever the net worth is less than its net working capital;

2. Net book value of construction equipment less the amount of any outstanding loans for the purchase of that equipment will equal the amount allowed; and

3. Unsecured lines of credit in accordance with the Questionnaire.

(b) The contractor's financial capacity will be determined by the Department according to the following calculation:

Financial capability = (net working capital or net worth x 15) + (net book value of construction equipment less the value of any outstanding loans x 15) + (unsecured lines of credit in accordance with the Questionnaire x 7).

16:44-3.8 Project rating

(a) Classified contractors will be assigned a project rating for work types in which the Department determines they have sufficient experience. The project rating will reflect the experience and quality of work of the contractor, its officers, stockholders, managing members and key personnel. The Department reserves the right to not assign a project rating to any contractor for good cause shown. The Department will notify the contractor of any such proposed action and an opportunity will be given to present additional information in support of its classification request. A contractor may be assigned project ratings in differing ranges for different work types.

(b) Project ratings in any work type cannot exceed the determination of the contractor's financial capability.

(c) For each work type in which a project rating is assigned, that project rating will be determined by the Department on the basis of one of three methods as follows:

1. Utilizing performance ratings;

2. Evaluation of verifiable work experience; or

3. Evaluation of resumes of officers, stockholders, managing members or	key personnel.

(d) Utilizing performance ratings: For contractors that have completed Department work within the last 12 consecutive rated periods, the contractor's overall performance rating will be used to determine their project rating.

1. If the contractor's overall performance rating is 70 or above, the	contractor will receive a project rating equal to its financial	capability as referenced in Table I at N.J.A.C. 16:44-3.6.

2. If a contractor's overall performance rating is less than 70, the	Department may, in the public interest, not assign the contractor a	project rating, or may assign a limited project rating.

3. If neither (d)1 nor 2 above apply, the contractor's overall	performance rating will be multiplied by a dollar amount equal to three	times the largest Department project completed by the contractor, or the	largest equivalent or related non-Department project completed by the	contractor within the last four years. The contractor's project rating	shall be the range found in Table I at N.J.A.C. 16:44-3.6 within which	the resulting dollar figure falls.

(e) Evaluation of verifiable work experience: For contractors that have not been assigned a performance rating within the last 12 consecutive rated periods, and in which the contractor engaged in the work types for which classification is being sought, the project rating will be determined as follows:

1. For each project being evaluated, the contractor will provide	information from public and private owners for whom the contractor has	performed work. Those owners will be contacted and the information will

be reviewed, evaluated and a score assigned in the manner set forth in

Table II - Work Performance Score and Table III - Work Experience

Score, below:

Table II

Work Performance Score

Work Performance Rating Points

Excellent	Good	Fair	Poor

Quality of work	1.00	0.80	0.50	0.0

Completion of work on-time 0.50 0.40 0.25 0.0

Table III

Work Experience Score

Equivalent	Related Project	No Equivalent or

Project Experience	Experience	Related Project

Experience

Work experience 1.00 0.50 0.00

on projects

2. The contractor's work performance score and work experience score will	be combined to establish an overall quality score for each project	evaluated. For each project, the maximum potential quality score is 2.50.
See example:

(Work Performance Score + Work Experience Score = Quality Score)

1.5 + 1.0 = 2.5

3. The average of the quality scores calculated for each evaluation will	be multiplied by the dollar value of the largest completed project for	which an evaluation was performed. A contractor's project rating shall be	the range found in Table I at N.J.A.C. 16:44-3.6, within which the	resulting dollar figure falls.

4. If the contractor's work performance scores are evaluated to be	excellent or good and the project work experience is determined by the	department to be equivalent work, the Department will assign a project	rating equal to its financial capability.

(f) Evaluation of resumes of officers, stockholders, managing members or key personnel: For contractors with no verifiable contracting experience, newly formed contractors, or contractors without work experience, the project rating will be determined as follows:

1. Officers, stockholders, managing members or key personnel must submit resumes detailing verifiable contracting experience.

2. Upon verification of acceptable contracting experience, the Department will, in the exercise of its discretion and for good cause, assign a project rating corresponding to the level and quality of that experience.

3. If the key personnel to be evaluated are not officers, stockholders or managing members of the contractor's company, the contractor shall submit an affidavit, stating that these individuals are currently full-time employees of the contractor and that the contractor will immediately notify the Department of any change in their employment status. Upon notification of a change in the employment of key personnel, the Department may reevaluate the contractor's classifications.

(g) Contractors forming a joint venture pursuant to N.J.A.C. 16:44-7.2 will have their project ratings combined where each joint venture participant has been assigned project ratings in at least one of the work types specified in the project advertisement.

SUBCHAPTER 12. REORGANIZATION OF CONTRACTORS

16:44-12.1 Purpose

(a) The purpose of this subchapter is to provide the Commissioner with the means of assuring that the public is adequately protected whenever a contractor, which is a corporation or a limited liability company (LLC), doing business with the Department, wishes to reorganize its structure in any fashion, including a change of its name.

(b) A contractor must comply with the procedures in this subchapter when a contractor is classified with the Department and wishes to continue bidding on Department projects or when a contractor has an ongoing contract in existence with the Department.

16:44-12.2 Requirements

Whenever a contractor wishes to undertake a reorganization, as described in the definition of "corporate or LLC reorganization" at N.J.A.C. 16:44-2.1, the contractor must demonstrate the following:

1. Advise the Commissioner in writing of the proposed reorganization	(including a change of name) and provide a copy of the minutes or resolution	or other official act properly authorizing the change. Such notice shall be	made prior to the actual change when the contractor has an existing or ongoing	contract in effect with the Department, and no change shall be accomplished	without the express written approval of the Commissioner;

2. Proper registration of the new status, including any change in name,	with the New Jersey Secretary of State or other appropriate New Jersey State	office in a manner consistent with the applicable laws;

3. Proof of a binding certification from the surety company who issued	the payment and performance bonds, if the contractor has an ongoing contract	with the Department, stating that the surety concurs in the reorganization and	will honor its obligations under the bonds after the reorganization takes	place;

4. Proof in writing that the reorganization shall not affect in any	manner:

i. Its obligations under any existing contracts; or

ii. Its project rating and financial capability; and

5. If the reorganization takes the form of a transfer of assets in a new	or different corporation or limited liability company (LLC), the new	corporation or LLC shall be required to do the following:

i. Present a new Vendor Identification Number (Federal

Identification Number);

ii. Satisfy the classification requirements as specified under	N.J.A.C. 16:44-3.2, including the filing of a new Questionnaire; and

iii. In the case of a foreign corporation, provide the name and	address of its agent in New Jersey authorized to accept service pursuant	to N.J.S.A. 14A:13-1 et seq.

(b) After all requirements have been met, the Commissioner will ascertain whether the proposed reorganization affects the contractor's classification. If so, the Commissioner may reclassify the contractor in accordance with the effects of the reorganization.

WORK TYPE CLASSIFICATIONS

GRADING – Work involving earthwork and drainage as defined in 1a, 1b, and 1c below:

1a	Clearing – This work shall consist of clearing the site of trees and vegetation, removal of bridges, structures, culverts, sidewalks, curbs and gutters, pipes, manholes, inlets, and other conflicting structures.

1b	Drainage – This work shall consist of the construction of storm drains for surface drainage, underdrains and subbase outlet drains, inlets, manholes, miscellaneous type chambers, and precast culverts.

1c	Earthwork – This classification shall consist of the necessary clearing, excavation, placement and grading of various materials for embankment. This classification shall also include the placement and grading, with a motor grader, of unbound roadway subbase materials.

PAVING – Work involving pavements as outlined in 2a, 2b, 2c, and 2d below:

2a	Apply Bituminous Material – This work shall consist of furnishing a placing of liquid bituminous and cover materials.

2b	Paving Bituminous – This work shall consist of construction of various courses of bituminous concrete, with automatic controls, and the final preparation of the underlying material.

2c	Paving Concrete – This work shall consist of constructing a surface course of a Portland concrete mix, with or without reinforcement, to include the installation of required expansion and or contraction joints, surface texture finish, and the final preparation of the underlying material. The underlying material can include concrete base course.

2d	Bituminous Concrete Curb – Work consists of using a self-propelled automatic machine or any paver with proper attachments to place bituminous concrete curb.

GRADING & PAVING – This work shall consist of a combination of grading, as defined in 1 above, and	paving (Bituminous and Concrete) as defined in:

3a	Grading & Bituminous Paving – This work shall consist of a combination of grading, as defined in 1 above, and bituminous paving as defined in 2b above.

3b	Grading & Concrete Paving – This work shall consist of a combination of grading, as defined in 1 above, and concrete paving as defined in 2c above.

BRIDGE –	This work shall consist of the construction of fixed bridges with related demolition,	viaducts, trestles, cast-in-place culverts, headwalls, retaining walls, abutments, piers, deck	slabs and similar structures of steel, concrete, timber, etc. and the following:

4a	Bridge Fender Systems & Bulkheads – This work shall consist of construction and repair of timber, concrete and steel bulkheads, fender systems and dolphins.

4b	Bridge Repair – This work shall consist of the removal and disposal of loose and disintegrated concrete; scarification of existing concrete bridge decks prior to repair and demolition; injection of an epoxy adhesive for sealing cracks and any and all bridge related repair including concrete, timber, reinforcement steel, and structural steel.

4c	Caissons – This work shall consist of the construction of watertight chambers used in construction work under water or as a foundation.

For the most current list of work types, please visit:

http://www.state.nj.us/transportation/business/procurement/ConstrServ/ClassCode.shtm

4d	Erection of Bridge Railing – This work shall consist of the furnishing and erection of metal railing and fences on bridges.

4e	Erection of Iron & Steel and/or Prestressed Concrete and/or Protective Coating of Structural Steel–
This work shall consist of the furnishing, fabricating, erection and shop painting of structural members for bridges as well as miscellaneous structures.

4f	Erection of Permanent Forms – This work shall consist of placing metal deck forms to remain in place.

4g	Foundation Excavation – This work shall consist of excavation for the construction of piers, walls, abutments, box culverts and other structures.

4h	Latex Modified Overlay – This work shall consist of the construction of latex modified concrete overlay.

4i	Miscellaneous Structures – This work shall consist of construction of culverts of less than 5’-0” feet span; concrete headwalls and other similar structures.

4j	Noise Barriers – This work shall consist of the erection of pre-fabricated panels and framing to form noise barriers.

4k	Bridge Painting – This work shall consist of surface preparation and painting of structural steel and other metal surfaces on existing bridges and its appurtenances. All contractors performing this work must have SSPC-QP1 and SSPC-QP2 certifications in addition to some prior experience.

4l	Pile Driving – This work shall consist of furnishing and driving of various types of piles.

4m	Reinforcing Steel – This work shall consist of furnishing and placement of various types of reinforcing steel bars.

4n	Sandblasting – This work shall consist of the use of approved methods and equipment in the sandblasting of various items; such as structural steel.

4o	Sign Structures – This work shall consist of furnishing, assembling, and installing sign structures and supports.

4p	Soil & Rock Anchors – This work shall consist of furnishing soil rock anchors and construction of structures utilizing these systems.

4q	Welding – This work shall consist of the welding of shear connector studs and all related structural steel welding.

4r	Bridge Approach and Transition Slabs – This work shall consist of placing reinforced concrete approach and transition slabs adjacent to bridge locations where designated.

4s	Bridge Parapets – This work shall consist of placing reinforced concrete parapets and pylons on bridges or other structures.

4t	Earth Retaining Structures – This work shall consist of installing earth retaining structures made of reinforced concrete or other earth systems.

4u	Hydrodemolition – This work shall consist of utilizing high pressure water jets to clean and scarify concrete surfaces. Integral parts of this work type include obtaining written permission from the local water supply company, having supervision certified by the equipment manufacturer onsite, and filtering & processing or hauling runoff water and debris in accordance with local and state regulations.

HEAVY HIGHWAY – This work type classification shall consist of a combination of Grading, Paving and bridge as defined in classification 1, 2, 3, and 4. Firms holding Heavy Highway may do work in all work type classifications except Movable Bridge Installation/Rehabilitation, Environmental Dredging, Landscape, Intelligent Transportation Systems and Precast Segmental Bridge Construction. Prior to the start of work, proof of licensing is needed for those work type classifications requiring special licensing .

LANDSCAPE – This classification shall consist of all work involving Landscape Architectural considerations as outlined

in 6a, 6b, 6c, 6d, 6e and 6f below. The contractor performing any combination of these classifications is	required, per N.J.A.C. 7:30-1-13, to be a licensed Pesticide Applicator Business, have a designated	licensed Commercial Pesticide Applicator on staff and anyone applying pesticides under direction of the	Commercial Pesticide Applicator shall be a licensed Pesticide Operator:

6a	Chemical Vegetation Control – This work shall consist of using chemicals to remove unwanted growth or to regulate same.

6b	Grubbing – This work shall consist of removing vegetation and roots from a prescribed area.

6c	Mowing – This work shall consist of the cutting of grass to a prescribed length in a prescribed area.

6d	Planting – This work shall consist of furnishing, delivering, and planting trees, shrubs, vines and ground cover plants.

6e	Topsoiling and Seeding – This work shall consist of the preparation and placement of approved topsoil stripped from the site of the project and the furnishing, preparation and placement of topsoil required in excess of that obtained from stripping; furnishing and placing of seed mixtures and grain seed, fertilizing and mulching and furnishing and placement of slope boards as required.

6f	Tree Trimming & Removal – This work shall consist of the selective removal of trees and the removal of all defective or undesirable limbs and repair of all injuries or wounds on existing trees.

ELECTRICAL – This classification consists of work involving traffic signals, highway lighting and sign lighting. Electrical licensing is required prior to start of work.

GENERAL CONCRETE – Work involving placing concrete mixtures as outlined in 8a, 8b, 8c, 8d, and 8e below:

8a	Concrete Median Barrier Curb – This work shall consist of the construction of concrete barrier curb.

8b	Concrete Repairs – This work shall consist of concrete repairs to existing concrete construction items such as: curbs and headers, sidewalks, culverts under five feet, headwalls, etc.

8c	Curbs, Sidewalks and Miscellaneous Concrete Work – This work shall consist of the construction of concrete curbs, sidewalks, islands, and other incidental concrete work.

8d	Sawing, Sealing, and Curing – This work shall consist of sawing, cleaning, and sealing of joints and cracks on concrete and bituminous pavements.

8e	Paving Concrete Base – This work shall consist of constructing a base of a Portland concrete mix, with or without reinforcement, and the final preparation of the underlying material.

MISCELLANEOUS – This classification encompasses various specialty categories of work generally associated

with highway construction. Those classified under miscellaneous will be identified by their

particular work specialty. Asbestos removal licensing is required prior to starting work in

type 9i below.

a.	Borings	f.	Grouting
b.	Core Drilling	g.	Natural Stone Masonry
c.	Engineering	h.	Rigging
d.	Erection of steel plate pipe and drainage	i.	Asbestos Removal
structures metal bin types retaining walls	j.	Trenching
e.	Bus Shelters

9k	Erection of Ornamental and Light Structural Steel – This work shall consist of the furnishing and erection of ornamental and light structural steel.

9l	Railroad Track Work

9m	Large Diameter Cylinder Piles 3 or more feet in Diameter

9n	Cathodic Protection – This work shall consist of the construction of Cathodic Protection
System.

9o	Diving – This work consists of the furnishing of a fully qualified and insured diver with the necessary diving equipment and support personnel.

9p	Sewage Disposal – This work shall consist of the construction of piping and structures used for sewage disposal.

9q	Tunneling – This work shall consist of using approved methods and equipment to tunnel
through designated areas.

9r	Mechanical Construction, Plumbing, and Heating, Ventilating and Air Conditioning

9s	Subsurface Investigation and Test Borings

9t	Rehabilitation repair of existing Pipeline and Conduits by inversion and curing of Resin
impregnated tube, and/or structural repairs using inversion and curing of Resin
impregnated materials.

9u	Subsurface Investigation and Location by the Vacuum Excavation Method – Vacuum
Excavation uses compressed air to dig a test hole to a required depth and uncover a utility
line without damaging the line.

9v	Cleaning Existing Drainage Pipe and Structures – This work shall consist of the removal
and disposal of all dirt or other foreign materials encountered within existing storm
drainage pipe and structures.

9w	Truck Scale Installation – This work includes manufacturing, furnishing, and installing
either static or dynamic truck weight scales with the associated electronic support equipment.
Scale maintenance and the ability to train State personnel in scale maintenance are integral
parts of the work under this work type.

9x	Remote Controlled Pipe Jacking/Microtunneling - This work shall consist of the installation of pipes underground behind a remotely controlled, steerable, laser-guided, full-face controlled, articulated microtunnel-boring machine where the installed pipe has an internal pipe diameter of not less than 30 inches.

DEMOLITION –	This work shall consist of demolition of buildings within the existing right-of-way.

DEWATERING –	This work shall consist of the removal and disposal of water within existing pipe

Systems, in cofferdams, and the control of surface and ground water during construction.

DREDGING –	This work shall consist of the removal of earth in wet areas

FENCING –	This work shall consist of the construction of new fence and gates and the removal

and resetting of fence.

REST & SERVICE BUILDINGS –	This work shall consist of the construction of Buildings and

Appurtenances, Rest Areas and Service Buildings.

GUIDE RAIL –	This work shall consist of the installation, resetting or rehabilitation of guide rail and

end treatments.

IMPACT ATTENUATORS INSTALLATIONS –	This work shall consist of furnishing, assembling and

placement of both impact modules or cells to form a

total barrier configuration. This classification shall

also include the replacement, repair or rehabilitation

of impact attenuators.

STANDARD PAVEMENT MARKINGS –	This work shall consist of the placement and removal of

standard pavement markings – paint, recessed or raised

reflective markers, etc.

LONG LIFE PAVEMENT MARKINGS –	This work shall consist of the placement and/or removal

of pavement markings and stripes made of epoxy,

thermoplastic, preformed tape, etc.

PNEUMATIC MORTAR OR GUNITE –	This work shall consist of pneumatically applying a course

of mortar or gunite on steel or concrete surfaces.

SAND DRAINS AND SAND FILL –	This work shall consist of placing of sand drains by mandrel

and hollow shaft auger methods and associated sand

embankment.

PERMANENT SIGNS ‑	This work shall consist of the furnishing, assembling, and erection of

permanent signs and delineators.

UNDERGROUND UTILITIES –	This work shall consist of furnishing, installing, replacement and

relocation of various types of conduit and piping for

underground utilities.

WATERPROOFING ‑	This work shall consist of the preparation and application of a

waterproofing compound.

MAINTENANCE & PROTECTION OF TRAFFIC ‑	This work shall consist of furnishing, placing,

cleaning, and maintaining construction signs

and other traffic control devices in accordance

with the plans and specifications.

MILLING –	This work shall consist of the removal or cold milling and profiling of existing Portland

cement concrete or bituminous pavement.

BLASTING ‑	This work shall consist of furnishing of a fully qualified and licensed blaster using

standard explosives and incidental materials to drill and blast in designated areas.

Proof of licensing is required prior to starting work.

REMOVAL OF PETROLEUM PRODUCTS, DEBRIS, AND HAZARDOUS MATERIAL –

This work consists of removal and disposal of petroleum products using pumping equipment that will

provide maximum protection without endangerment to health, life or property; as well as the removal

and disposal of debris and hazardous material.

HEALTH AND SAFETY PLAN ‑	This work shall consist of submitting an acceptable health and safety

plan for the removal of hazardous material from the job site in

accordance with contract specifications and subsequent monitoring

to assure compliance through the life of the contract.

SAMPLING AND ANALYSIS –	This work shall include the sampling and analysis of soil, ground

water, and stock piled material, to determine the degree and type of

contamination in accordance with the rules and regulations of the

New Jersey Department of Environmental Protection.

DESIGN SERVICES (FOR SUBCONTRACTING ONLY) ––

This work shall include providing a detailed set of design drawings which conform in all respects to N.J.D.O.T. design manuals and standards based upon the criteria outlined in the contract documents. Design drawings must be developed and signed by a Professional Engineer licensed by the State of New Jersey. In addition, the firm must be cost basis approved by N.J.D.O.T. A copy of the cost basis approval letter must be submitted with application.

Modified Design Build – This classification shall consist of a combination of Grading, Paving, and Bridge as defined in work type codes 1, 2, 3, and 4, and Design of Highway & Bridge Projects. The contractor must: (1) be a Corporation authorized to do business in New Jersey; (2) hold a current certification of authorization to offer professional engineering services pursuant to N.J.S.A. 45:8-56 (a current copy of the certification together with the list of New Jersey Licensed Professional Engineer(s) and/or Corporation(s) who is (are) in responsible charge of the engineering to be performed by the contractor must be submitted to the Department for review prior to prequalification approval, (3) have an approved Title Block which shall be affixed to all plans prepared; (4) the professional design engineer may be an employee of the contractor and (5) be prequalified with the Bureau of Professional Services of the N.J.D.O.T.

Deleted and made part of work type classification 33.

Intelligent Transportation Systems – This work shall consist of the combination of one or more of the following:

Controlled Traffic Signal Systems (CTSS):

This work shall consist of furnishing and installing a complete computerized traffic signal control system, which will be interconnected to a traffic operations center through a fiber optic cable or other communications media.

DMS, CCTV, WIM, TV, RWIS, TT System Installation:

This work shall consist of furnishing and installing of individual subsystems such as Dynamic Message Sign (DMS) System, CCTV System, Weigh In Motion (WIM), Roadway Weather Information (RWI) System, TVS, Vehicle Detectors/Counters and Travel Time (TT) System and shall include the connection of power service for each device and its interconnection with Traffic Operation Center (TOC) via Fiber, POT/Cable/DSL/Wireless Communication System. The interconnection and installation of subsystem components shall require expertise in each of these subsystems. The CCTV (Video) subsystem work shall require expertise with CODECS, Slow Scan and Real Time installations as well as, switching and monitoring devices. The TTS work shall require expertise in collecting/analyzing real time data and converting to estimated travel time. The WIM system work shall require expertise in installation of WIM stations with data collection and communication.

Communication Systems:

This work shall consist of furnishing and installing a complete and operational Intelligent Transportation System which will utilize computer software, through fiber optic communication, or other communication media to analyze traffic conditions and activate on demand intelligent traffic surveillance, incident detection and incident management subsystems. Software expertise shall be required to provide complete working systems between the Traffic Operation Center computers and all subsystem components, interfacing equipment and all other required components to provide a fully operational system. Expertise shall also be required for installing a complete fiber optic communications system (multiplexers/demultiplexers, splicing, termination, and communication hubs) and all interconnects required for the installation of and communications with Closed Circuit Television Cameras, Dynamic Message Signs and Vehicle Detectors.

Previous experience on projects of equal magnitude will be required for the entire fiber optic installation including equipment interconnections, multiplexers/demultiplexers, splicing, termination, etc. and communication techniques other than fiber optics: including spread spectrum radio microwave, cable and DSL service.

System Integrator:

This work shall consist of the successful installation, completion, testing and integration of the various systems, subsystems, and system components as outlined under Intelligent Transportation System Classification. The Systems Integrator shall assume full responsibility to ensure that all of the subsystems achieve and maintain interoperability; this shall include software, hardware, and firmware, as outlined in the project. The contractor must demonstrate a successful track record of Intelligent Transportation System work with at least one similar project within the last three years -OR- have on their payroll two individuals with the following credentials:

Project Manager who meets the above qualifications.

AND

Construction Superintendent who meets the above qualifications.

Deleted and made part of work type classification 33.

Rumble Strips – This work shall consist of making transverse saw cut grooves perpendicular or radial to the existing lane striping in accordance with the contract documents.

Rehabilitation of Movable Bridge Houses – This work shall consist of the complete renovation and related demolition for the exterior and interior of the operator’s and machinery houses. This work includes, but is not limited to the installation of doors, windows, insulation, floor tiling, partitions, metal lockers, electrical wiring, plumbing and electrical fixtures, siding, roof repair, painting, safety railing, walkways and ladder enclosures.

Machine Sweeping. – This work shall consist of the removal of dirt, debris, and other road waste from the roadway surface, in areas where the pavement meets curb, barrier curb, or berm by use of a mechanical sweeper.

Corrective Action Work – This work will include all work on Resident Engineer’s corrective action inspection punch list to prepare the project for final acceptance.

Precast Segmental Bridge Construction – This work shall consist of construction of a precast segmental box girder superstructure and associated bridge work. The construction shall be performed by cantilever construction and/or span-by-span construction methods. The contractor must demonstrate experience in having constructed at least one segmental bridge within the last fifteen years or have on their payroll two individuals with the following requirements:

Project Manager or Assistant Project Manager who has constructed segmental box superstructure in the past fifteen years.

AND

Erection Superintendent or Assistant Erection Superintendent who has erected precast segmental box superstructure in the past fifteen years.

Environmental Dredging - This work shall consist of removal of contaminated sediment from a body of water using precision equipment and material handling technique with minimal resuspension. The equipment may include mechanical, hydraulic, pneumatic, and hybrid dredges and methods with sufficient operational control to meet requirements.

41. Movable Bridge Installation/Rehabilitation – This work shall consist of furnishing and installing complete electrical and mechanical systems including, but not limited to counterweight and operating wire ropes, counterweight and deflector sheaves, counterweights, auxiliary counterweight systems, balance chains, trunnions and trunnion bearings, movable spans and leaves, span drive motors, motor control centers, span drives, programmable logic control and relay control systems, span locks, motor and machinery brakes, drive machinery, warning gates and barrier gate systems. Electrical licensing is required to perform any electrical work. The contractor must demonstrate a successful track record of all mechanical and electrical work on movable bridges on at least one or more projects within the last ten years -OR- have on their payroll.

One (1) Project Manager or Assistant Project Manager with the above project experience experience and can demonstrate successful track record of mechanical and electrical work on movable bridges on at least one or
more projects within the last ten years

AND

One (1) Construction Superintendent or Assistant Construction Superintendent with the above project experience and can demonstrate successful track record of mechanical and electrical work on movable bridges on at least one or more projects within the last ten years.

*Detailed documentation describing movable bridge experience must be submitted for approval to the New Jersey Department of Transportation.

“CHECKLIST”

Applicant have you?

*	Included a cover letter signed by the individual who can respond to inquiries for

additional information.

*	Do not submit an Accountant’s Compilation Report.

Page 1	–	Included date of close of business and used end of month date.

Listed by number those classifications you desire.

Listed Corporate Officers, especially President, Secretary and Treasurer, with

their full addresses.

The date of the financial information provided in the questionnaire must be the same

date as the CPA financial statements.

Page 2	–	Schedule 1 – Responded to all information requested by column headings. Be guided

by the following legends: Columns “A” minus “B” minus “F” equals column “G”. Also

columns “B” minus “C” minus “D” equals “E”. Any attachments should follow exactly the

format of schedule 1.

Page 3	–	Schedule 2 – Listed the net book value as cost minus accumulated depreciation, for each

piece of equipment. Included only those items used directly on construction projects. Did

not include real estate, buildings, boats (pleasure craft), automobiles, airplanes, furniture

and fixtures, and expense items such as small tools or shop equipment. Responded to all

column headings. (Any attachments should be a reproduction of original schedule). Special

attention should be paid to accumulated depreciation.

Page 4	–	Schedule 3 – Listed leased construction equipment and included copies of the lease agreement.

Page 5	–	Schedule 4 – The Department would prefer that this schedule be completed by your banking

institution, as there is specific information needed to determine acceptance.

Page 6	–	Schedule 5 – Provided all the required information.

Page 7	–	Schedule 6 – Included information in this schedule which has a direct relationship with those

traded classifications you desire. Completed all columns and provided complete addresses

and phone numbers of those engineers or persons who can give an evaluation of your

performance.

Pages 8, 9	–	Completed all lines, paying particular attention to questions 10, 11, 12, 13, 14, 15, 16, 17 and 18

Page 10	–	Completed all sections.

Page 11	–	Responded to all sections.

Page 12	–	Responded to all sections, where applicable.

Page 13	–	Corporation Information Sheet. Read carefully and responded where appropriate.

Page 14	–	Read carefully and responded where appropriate, affixing corporate seal and completed the

Notary Public section.

Page 15 – 31	–	Please RETAIN for your information and records.

In summary, adherence to the above checks will reduce many delays and correspondence between this

Department and the applicant.

Quintin- I advise that these regulations be contained in an entirely separate form. This could be confusing because this form is specifically about gaining a classification whereas these other regulations relate to bidding, award of the contract, debarment, etc. It is important for the contractors to know this information, however I think it is so important that it not be buried in a form regarding a wholly different process- classification. The only subchapters needed are 1,2,3, and 12. However, it is legally not wrong to include it if you choose to do it this way.

Thanks,

Jen

Why is there a gap here?

Why is there is space between this category and landscaping? Close gap

Form DC-74 A 03/2012

-14-

APPLICATION FEE $100.00

Enclosed: _______________

Date

CONTRACTOR'S FINANCIAL AND EQUIPMENT STATEMENT

EXPERIENCE QUESTIONAIRE AND PERFORMANCE RECORD

DC-74A

Viernes Jr, Quintin

2013-03-06

TPSSAND

CONSTRUCTION SERVICES

VINNY CORTESE

NJDOT BUREAU OF CONSTRUCTION SERVICES