COLORADO DEPARTMENT OF TRANSPORTATION
CONTRACTORS PERFORMANCE CAPABILITY STATEMENT
Project #
1. List names of partnerships or joint ventures none
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a. Key personnel changes none
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b. Key equipment changes none
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c. Fiscal capability changes (legal actions, etc.) none
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d. Other changes that may effect the contractors ability to perform work. none
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I DECLARE UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY OTHER APPLICABLE STATE
OR FEDERAL LAWS, THAT THE STATEMENTS MADE ON THIS DOCUMENT ARE TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE
Contractor's firm or company name
2nd Contractor's firm or company name (if joint venture)
By
By
Date
Date
Title
Title
2. List decreases in the contractors fiscal or workmanship qualifications compared to the last prequalification statement
submitted to CDOT. (Attach additional sheets if necessary.)
CDOT Form #605 1/92