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Form 650004
General Instructions
Qualification of Bidders

Standard Specifications Section 1102

Contact Us DOT.Contracts@iowadot.us

Prospective bidders shall meet the Iowa Department of Transportation's requirements for prequalification. To prequalify, a prospective bidder shall complete the required sections of the "Contractors Financial-Experience-Equipment Statement" (Form 650004) and submit it to the Department for review. The Department will prequalify Contractors into three categories. See Section 1102.01 of the Standard Specifications For Highway and Bridge Construction for additional information (https://iowadot.gov/erl/current/GS/content/1102.htm). Select the prequalification category being submitted:

Will your submittal include an Authorization To Loan signed by an authorized officer of a banking institution? This is an optional form to increase the maximum prequalification amount for CPA Reviewed and CPA Audited Statements. The maximum amount of the Authorization To Loan is set forth in Section 1102.01 of Iowa Department of Transportation’s Standard Specifications for Highway and Bridge Construction (https://iowadot.gov/erl/current/GS/content/1102.htm).

Will your submittal include an Authorization To Loan signed by an authorized officer of a banking institution? This is an optional form to increase the maximum prequalification amount for CPA Reviewed and CPA Audited Statements. The maximum amount of the Authorization To Loan is set forth in Section 1102.01 of Iowa Department of Transportation’s Standard Specifications for Highway and Bridge Construction (https://iowadot.gov/erl/current/GS/content/1102.htm).

Prospective bidders who will only be submitting proposals for Furnishing of Materials, Granular Surfacing, Lighting/Signals, Pavement Marking, Signing, Building Demolition/Salvage and Removal, Debris Removal, Asbestos Removal, Wells, Mowing, or Clearing and Grubbing, the following Contractor’s Qualified Bidder Statement shall apply in lieu of the above prequalification categories.

For updates and submittal of individual forms ONLY, select the applicable form below:

Would you like to submit additional documentation in regards to a Contractor's Financial-Experience-Equipment Statement or Contractor's Qualified Bidder Statement (e.g., Signed Authorization to Loan or Equipment Appraisal)?