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Project Bid Opening Info
Career Opportunities
Online Plans Room
Contact Us
Map Request
MoDOT Express Lane
Motor Carrier Services
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)
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 Rating - 2009 260kb  13 pages)
Welder Qualification Form 530kb 1 page  Electronically fillable
Waste Disposal Agreement 264kb 1 page  Electronically fillable
ADA Inspection Checklist 4860kb 6 pages)
ARRA Coding Instructions (12.6kb  2 pages)
FHWA Form 1589 Contractor Employment Report Link to FHWA website
Electronic Documentation Choice Request Form (25kb 1pages)

 

Federal Aid Posters

Discrimination in Employment (also available in Spanish) (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)

ARRA-Know your Rights Under the Recovery Act!  Revised 10-29-09

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 Material (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)
Durable Aggregate Calculation (25 kb, 1 page Excel)
Aggregate Quality Control Plan (20 kb, 1 page)

 

Utility / Right of Way  Related

Permit to Work on Right of Way  
MoDOT Notice of Intent to Perform Work
 

The documents are provided in Acrobat Reader format. Free Acrobat Reader download PDF Icon
   
 
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