Thruway Authority

Forms and Guidelines

CONR Forms

•  CONR 193 Material Certification  

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Contractor Forms

• Application for Extension of Date of Completion of Contract (TA-N4436A) (DocuSign eSignature form)
• Prime Affidavit of Compliance (TA-W44115)  
• Contractor EPD Material Reporting Form (TA-W1081)  
• 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  

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Minority and Women-Owned Business Enterprise / Service-Disabled Veteran-Owned Business / Equal Employment Opportunity (MWBE/SDVOB/EEO) Forms for Contractors and Consultants

• Contractor/Consultant Waiver Request (TA-W1077)  
• Good Faith Efforts (GFE) Requirements  

Consultants

• Utilization Plan (Consultant) (TA-W1060)  (fillable and savable)
• Payments (Consultant) (TA-W1059)  (fillable and savable)

Contractors

• Utilization Plan (Contractor) (TA-W1022)  (fillable and savable)
• Payments (Contractor) (TA-W1023)  (fillable and savable)
• AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract (TA-W1037)  
• Amended AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract (TA-W1074)  

Workforce Utilization Forms for Contractors & Consultants

• EO 162 Workforce Utilization Report (TA-W1017)  
  • Guidelines and Instructions for Submitting Workforce Utilization Reports  
  • Completing and Submitting Workforce Utilization Reports  
  • EO162 Frequently Asked Questions and Responses  

Training Requirement (MWBE/SDVOB/DBE/EEO) Forms for Contractors and Consultants

• Training Report (TA-W1041)  (fillable and savable)
• Monthly Training Progress Report (TA-W1046)  (fillable and savable)
• Workforce And Training Utilization Schedule (TA-W1024)  (fillable and savable)
• Contractor Request For Union Personnel (TA-W1018)  

 

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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

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  

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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.

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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)  

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Vendor Responsibility Forms

•  NYS Vendor Responsibility Questionnaire - For Profit Construction (CCA-2)

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Doing Business