Forms and Guidelines
CONR Forms
Contractor Forms
- Application for Extension of Date of Completion of Contract (TA-N4436A) (DocuSign eSignature form)
- Prime Affidavit of Compliance (TA-W44115)
- Affidavit of Payment to Subcontractors and/or Materialmen (TA-W44118)
- Subcontractor Affidavit (TA-W44105)
- Submittal Transmittal (TA-W4011)
- DRAFT Unmanned Aircraft System (UAS, i.e. Drone) Use Request Form – Safety and Privacy Practices Agreement
- DRAFT Unmanned Aircraft System (i.e. Drone) Post-Flight Report
Minority and Women-Owned Business Enterprise / Service Disabled Veterans’ Owned Business / Disadvantaged Business Enterprise / Equal Employment Opportunity Program / Training Requirements (MWBE/SDVOB/DBE/EEO) Forms for Contractors and Consultants
Consultants
- Payments (Consultant) (TA-W1059) (fillable and savable)
- Instructions for Consultants
EO 162 Workforce Utilization/Gross Wages Reporting
- Utilization Plan (Consultant) (TA-W1060) (fillable and savable)
Contractors
- AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract (TA-W1037)
- Amended AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract (TA-W1074)
- Federal-Aid Highway Construction Contractors Annual EEO Report (Similar to FHWA 1391) (TA-W1064)
- Contractor Request For Union Personnel (TA-W1018)
- Payments (Contractor) (TA-W1023) (fillable and savable)
- DBE/MWBE/SDVOB Solicitation Log (TA-W1055) (fillable and savable)
- Instructions for Contractors EO 162 Construction Workforce Utilization/Gross Wages & TA-1017 Reporting
- Pre-Award DBE/MWBE Trucking Commitment Information (TA-W44134)
- Training Report (TA-W1041) (fillable and savable)
- Utilization Plan (Contractor) (TA-W1022) (fillable and savable)
- Monthly Training Progress Report (TA-W1046) (fillable and savable)
- Workforce And Training Utilization Schedule (TA-W1024) (fillable and savable)
Insurance Requirements and Forms
The Contract Insurance Requirements publication presented below is for general information only; specific terms of insurance requirements are governed by NYS DOT Standard specifications, as amended for Thruway Authority Projects. In addition to the industry standard ACORD25, consultants must submit the:
-
Supplemental Insurance Certificate (TA-W51343)
- Contract Insurance Requirements (TAP-525)
Lobbying Law Forms and Guidelines
Guidelines
- Guidelines Regarding Permissible Contacts During a Procurement and the Prohibition of Inappropriate Lobbying Influence (TAP-335)
- Public Officers Law Section 73
- Public Officers Law Section 74
- State Finance Law Section 139j
- State Finance Law Section 139k
- Go to: http://public.leginfo.state.ny.us/navigate.cgi?NVMUO
- Select Laws, then
- Select "PBA" Public Authorities, then
- Select "Title 9" under Article 2, then
- Select the relevant section of the statute
- Go to: http://public.leginfo.state.ny.us/navigate.cgi?NVMUO
Forms
- (Certificate of Compliance with the Authority Guidelines Regarding Permissible Contacts during a Procurement and the Prohibition of Inappropriate Lobbying Influence (TA-W2111)
- New York State Finance Law Sections 139-j and 139-k, Disclosure of Prior Non-Responsibility Determinations (TA-W3053)
For Additional Information on Procurement Lobbying : Visit NYS Office of General Services
Murk Forms
- Murk Forms
Note: The Inspector's Daily Bridge Painting Report (TA W44110) under Project Engineer Forms below should be used in lieu of the MURK 7 and MURK 7.1 forms.
Project Engineering Forms
- Authorization of Extra Work (TA-W4404)
- Explanation Worksheet for Order on Contracts and Supplemental Agreements (TA-W4108B)
- Inspector's Daily Bridge Painting Report (TA-W44110)
- Schedule of Submittals (TA-W4010)
- Supplemental Agreement Title Sheet (TA-W4108A)
- Uncompleted Work Agreement Form (TA-W4431)