Forms, Reports & Guidelines
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Consultants
Expand to View Forms for Consultants
Architect-Engineer and Related Services Questionnaire
All consultant firms are required to file annually certain information to be considered for assignment opportunities at the Authority. The Federal General Services Administration SF330 comprises the information filing requirement.
Payment and Invoice Forms
Other required documentation to be submitted with each monthly invoice/estimate:
- Progress Report
- Backup documentation (Timesheets, receipt, etc.)
| Form Name | Form Title | Download |
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Consultant's Payment Request Transmittal |
TA-W44128 |
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Statement of Account |
TA-W5214 |
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Consultant's Monthly Estimate for Payment - Standard Agreement (Cost & Fixed Fee) Single Assignment [Example A] |
TA-W5213A |
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Consultant's Monthly Estimate for Payment - Standard Agreement (Cost & Fixed Fee) Multiple Assignments [Example B] |
TA-W5213B |
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Consultant's Monthly Estimate for Payment - Term Agreement (Multiplier) Multiple Assignments [Example C] |
TA-W5213C |
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Consultant's Monthly Estimate for Payment - Material Testing Agreement [Example D] |
TA-W5213D |
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Consultant's Payroll Abstract |
TA-W44127 |
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Exhibit E - Consultant Cost Control Report |
TA-W4453 |
Subsurface Exploration Forms and Files
The Contractor shall enter all the required drilling data from each subsurface exploration onto the Thruway Authority's official subsurface exploration log form using gINT® software and the gINT® Template and Library files listed below. No other form and format of creating subsurface exploration logs will be accepted by the Authority. The Contractor must use gINT® and the Template and Library files listed below unchanged exactly as provided. In case of difficulty using the below listed Template and/or Library files, the contractor MUST contact the Authority's contract manager for further instructions.
The Contractor shall export project data from gINT® and transmit it electronically to the Authority. Paper copies of the subsurface exploration logs and laboratory testing results shall also be sent to the Authority. Send electronic copies and deliver paper copies to the location indicated in the Authorization Letter within five working days following completion of the hole, except holidays.
Release Number: V_07
Release Date: 12/10/2013
Release Notes:
- Add two more selections under Project/Division drop down: "Canal Eastern" and "Canal Western".
- Add "S" for sign structure under Borehole/Purpose.
- Delete "HORIZONTAL DATUM" from the output log.
Contractors
Expand to View Forms for Contractors
| Form Name | Form Title | Download |
|---|---|---|
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Application for Extension of Date of Completion of Contract |
TA-N4436A |
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Prime Affidavit of Compliance |
TA-W44115 |
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Contractor EPD Material Reporting Form |
TA-W1081 |
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Precast Concrete Fabrication Request Sheet |
PCFRS |
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Precast Concrete Damage And Discrepancy Repair Request Form |
Form |
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Affidavit of Payment to Subcontractors and/or Materialmen |
TA-W44118 |
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Subcontractor Affidavit |
TA-W44105 |
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Submittal Transmittal |
TA-W4011 |
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DRAFT Unmanned Aircraft System (UAS, i.e. Drone) Use Request Form – Safety and Privacy Practices Agreement |
UAS REQUEST |
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DRAFT Unmanned Aircraft System ( i.e. Drone) Post-Flight Report |
POST-FLIGHT |
| Form Name | Form Title | Download |
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Authorization of Extra Work |
TA-W4404 |
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Explanation Worksheet for Order on Contracts and Supplemental Agreements |
TA-W4108B |
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Inspector's Daily Bridge Painting Report |
TA-W44110 |
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Schedule of Submittals |
TA-W4010 |
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Supplemental Agreement Title Sheet |
TA-W4108A |
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Uncompleted Work Agreement Form |
TA-W4431 |
Purchasing Services
Expand to View Purchasing Services Forms, Reports & Guidelines
Doing Business With the Thruway Authority
Aids existing and potential suppliers in seeking out business opportunities with the Authority.
Real Property
Insurance Requirements and Forms
Expand to View Insurance Requirements and Forms
The Contract Insurance Requirements publication presented below is for general information only; specific terms of insurance requirements are governed within individual Thruway Authority Projects.
Additional forms that may be needed:
- Acord 25 Certificate of Insurance 09-2009 SAMPLE -- (View Sample of Acord )
- CE-200-Certificate of Attestation of Exemption from New York State Workers' Compensation and/or Disability Benefits Insurance Coverage
- CE-200-Application
- SI-12 – Affidavit Certifying that Compensation has been secured.
- U-26.3 – New York State Insurance Fund Certificate of Workers' Compensation Coverage.
- Form C-105.2 --Certificate of NY Workers' Compensation Insurance from Private Insurance Carriers.
- Form DB-120.1 -- Certificate of NY Disability Benefits Insurance
- Form DB-155 -- Certificate of NY Disability Benefits Self Insurance
Lobbying Law Forms & Guidelines
Expand to View Lobbying Forms and Guidelines
For Additional Information on Procurement Lobbying : Visit NYS Office of General Services
| Form Name | Form Title | Download |
|---|---|---|
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Guidelines Regarding Permissible Contacts During a Procurement and the Prohibition of Inappropriate Lobbying Influence |
TAP-335 |
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Public Officers Law Sections
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73 & 74 |
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State Finance Law Sections
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139j & 139k |
| Form Name | Form Title | Download |
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Certificate of Compliance with the Authority Guidelines Regarding Permissible Contacts during a Procurement and the Prohibition of Inappropriate Lobbying Influence |
TA-W2111 |
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New York State Finance Law Sections 139-j and 139-k, Disclosure of Prior Non-Responsibility Determinations |
TA-W3053 |
Minority and Women-Owned Business Enterprise / Service-Disabled Veteran-Owned Business / Equal Employment Opportunity (MWBE/SDVOB/EEO)
Expand to View MwBE/SDVOB/EEO Forms & Requirements
| Form Name | Form Info | Download |
|---|---|---|
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MWBE Procurements |
The Thruway Authority is now able to more readily procure goods and services from Minority and Women-Owned Businesses. To take advantage of this opportunity, Minority and Women-Owned businesses must be certified in the State of New York.
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| Form Name | Form Title | Download |
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Contractor/Consultant Waiver Request (Compliance) |
TA-W1077 |
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Contractor Waiver Request (Purchasing) |
TA-W3243 |
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Good Faith Efforts Requirements |
GFE |
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Consultant Utilization Plan |
TA-W1060 |
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Consultant Payments |
TA-W1059 |
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Contractor Utilization Plan (Compliance) |
TA-W1022 |
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Contractor Payments (Compliance) |
TA-W1023 |
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Contractor Utilization Plan (Purchasing) |
TA-W3239 |
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Contractor Payments (Purchasing) |
TA-W3240 |
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Contractor AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract |
TA-W1037 |
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Contractor Amended AAPHC-89 - DBE/MWBE Utilization Worksheet/Approval to Subcontract |
TA-W1074 |
| Form Name | Form Title | Download |
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Workforce Utilization - EO 162 Workforce Utilization Report |
TA-W1017 |
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Workforce Utilization - Guidelines and Instructions for Submitting Workforce Utilization Report |
EO 162 |
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Workforce Utilization - Completing and Submitting Workforce Utilization Reports |
EO 162 |
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Workforce Utilization - EO162 Frequently Asked Questions and Responses |
EO 162 |
| Form Name | Form Title | Download |
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Training Requirement Forms - Training Report |
TA-W1041 |
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Training Requirement Forms - Monthly Training Progress Report |
TA-W1046 |
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Training Requirement Forms - Workforce And Training Utilization Schedule |
TA-W1024 |
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Training Requirement Forms - Contractor Request For Union Personnel |
TA-W1018 |
Occupancy & Work Permits
Expand to View Occupancy & Work Permits
| Form Name | Form Title | Download |
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Occupancy and Work Permit Accommodation Guidelines |
TAP-401 |
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Thruway Permit Application
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TA-W5124 |
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Occupancy Permit Application Supplement |
TA-W5123 |
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Request To Access Authority Property |
TA-W4106 |
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Request To Access Property - Wireless Carrier |
TA-W5122 |
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Fiber Optic Facilities Supplement |
TAP-401F |
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Utility Occupancy Supplement |
TAP-401U |
| Form Name | Form Title | Download |
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General Design and Construction Requirements |
TAP-421A |
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Underground Crossings of Mainline Pavement and Shoulders |
TAP-421B |
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Aerial Communication and Power Line Installations |
TAP-421C |
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Installations/Crossings on or Attached to Bridge Structural Retaining Walls |
TAP-421D |
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Unencased Gas Pipelines |
TAP-421E |