Form AAP23 "Dbe/Mbe/Wbe/Sdvob Trucking Commitment Information" - New York

What Is Form AAP23?

This is a legal form that was released by the New York State Department of Transportation - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the New York State Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AAP23 by clicking the link below or browse more documents and templates provided by the New York State Department of Transportation.

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Download Form AAP23 "Dbe/Mbe/Wbe/Sdvob Trucking Commitment Information" - New York

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AAP 23
DBE/MBE/WBE/SDVOB Trucking Commitment Information
5/2020
Contract D#:
Prime Contractor Name:
DBE
MBE
Pre-Award
Post Award
Region:
Date Submitted:
Program:
WBE
SDVOB
DBE/MBE/WBE/SDVOB Supervisor of the day-to-day DBE/WBE/MBE/SDVOB trucking operation is:
DBE/MBE/WBE/SDVOB Trucking Firm:
Number of Trucks
Number of Trucks Owned:
+
Leased:
=
Total:
Performing Work On-Site:
Off-Site:
How many are owner/operators?
# of Trucks from other Firms supplementing your fleet by adding them to your payroll:
Names of Supplemental Trucking Firms:
Rate:
Per:
Duration/Number:
=
Commitment:
X
NYSDOT Item # Trucking Assigned to:
Description of the Material Being Hauled:
Comments:
DBE/MBE/WBE/SDVOB Supervisor of the day-to-day DBE/MBE/WBE/SDVOB trucking operation is:
DBE/MBE/WBE/SDVOB Trucking Firm:
Number of Trucks
Number of Trucks Owned:
+
Leased:
=
Total:
Performing Work On-Site:
Off-Site:
# of Trucks from other Firms supplementing your fleet by adding them to your payroll:
How many are owner/operators?
Names of Supplemental Trucking Firms:
Rate:
Per:
Duration/Number:
=
Commitment:
X
NYSDOT Item # Trucking Assigned to:
Description of the Material Being Hauled:
Comments:
This form identifies how the DBE/MBE/WBE/SDVOB Trucking commitment was
Do not click the "Make Form Read-Only"
established. The Prime Contractor is responsible for ensuring that the form is
button until data entry is complete. Read-
Only locks the data entered and cannot be
completed accurately. A copy of all lease agreements are required to be
Make Form Read-Only
(Cannot be undone)
undone.
submitted, along with this form, for any long term leased trucks.
AAP 23
DBE/MBE/WBE/SDVOB Trucking Commitment Information
5/2020
Contract D#:
Prime Contractor Name:
DBE
MBE
Pre-Award
Post Award
Region:
Date Submitted:
Program:
WBE
SDVOB
DBE/MBE/WBE/SDVOB Supervisor of the day-to-day DBE/WBE/MBE/SDVOB trucking operation is:
DBE/MBE/WBE/SDVOB Trucking Firm:
Number of Trucks
Number of Trucks Owned:
+
Leased:
=
Total:
Performing Work On-Site:
Off-Site:
How many are owner/operators?
# of Trucks from other Firms supplementing your fleet by adding them to your payroll:
Names of Supplemental Trucking Firms:
Rate:
Per:
Duration/Number:
=
Commitment:
X
NYSDOT Item # Trucking Assigned to:
Description of the Material Being Hauled:
Comments:
DBE/MBE/WBE/SDVOB Supervisor of the day-to-day DBE/MBE/WBE/SDVOB trucking operation is:
DBE/MBE/WBE/SDVOB Trucking Firm:
Number of Trucks
Number of Trucks Owned:
+
Leased:
=
Total:
Performing Work On-Site:
Off-Site:
# of Trucks from other Firms supplementing your fleet by adding them to your payroll:
How many are owner/operators?
Names of Supplemental Trucking Firms:
Rate:
Per:
Duration/Number:
=
Commitment:
X
NYSDOT Item # Trucking Assigned to:
Description of the Material Being Hauled:
Comments:
This form identifies how the DBE/MBE/WBE/SDVOB Trucking commitment was
Do not click the "Make Form Read-Only"
established. The Prime Contractor is responsible for ensuring that the form is
button until data entry is complete. Read-
Only locks the data entered and cannot be
completed accurately. A copy of all lease agreements are required to be
Make Form Read-Only
(Cannot be undone)
undone.
submitted, along with this form, for any long term leased trucks.