Business Engagement & Compliance Office

Construction Goal Setting Worksheet

Instructions:
Fill in this worksheet with project summary information. All fields marked by * are required information. Provide work categories and
estimated amounts using the ADOT Categories and Additional Categories tabs.

Email the completed file to adotgoals@dbesystem.com. You will receive a receipt confirmation within 24 hours. Incomplete forms will be
returned to the sender for further input and may delay the calculation of the goal for the project.

This worksheet is updated regularly. Before starting a new request, please download the latest version from ADOT BECO DBE Contract
Goal Assessment Website

BECO Form 101C Version C20140321

Tracs Number*
Project/Contract Number*
Project Name/Location*

Federal Aid Number

Total Project Estimate* ($0 remaining to be assigned to work categories)
Funding Source* (ENTER combination of Federal, State, Local, and/or Other)
Federal Funding Percentage* (ENTER percent of Federal funding for project)
Federal Funding Type* (ENTER FHWA, FTA, FAA, or Not Applicable)
Project Region* (ENTER Statewide, Maricopa, or Non-Maricopa)
CMAR Project? (If Yes, also enter "CMAR" in the Bid Advertizement Date and Estimated Bid Date Fields)

Submission Date to BECO*

Bid Advertisement Date* (Enter "CMAR" if this is a CMAR project. Otherwise, always enter date.)
Estimated Bid Date* (Enter "CMAR" if this is a CMAR project. Otherwise, always enter date.)

Goal Requestor*
Agency*
ADOT Section/Group
Email*
Phone*
Fax*

On-the-Job Training (OJT)

# of Estimated Working Days*
OJT Exemption requested* (Enter YES or NO, if YES include supporting documentation)
Project within Tribal Lands?* (Enter YES or NO)
Business Engagement & Compliance Office

ADOT Work Categories

Instructions:
Enter aggregate value of bid items by work category. Blank categories will be assumed to be $0. Include any additional notes relevant to the
project on the right. If a needed work category is not listed, contact adotgoals@dbesystem.com BEFORE submitting the goal request for
guidance.

ADOT Work Categories >>> $0

Work Category Value Notes

201/202 Clearing And Grubbing (Not Inc. Tree Removal) $0

201/202 Clearing And Grubbing - Tree Removal $0
202 Removals $0
202 AC Milling $0
203/204/205/209 Earthwork $0
208,306, 307 Geotextile, Geogrid, Geocomposite Edge Drains $0
301, 302, 304, 305 Treated Base, Subbase $0
303 Aggregate Base $0
401/919 Portland Cement Concrete Pavement Supply $0
401/919 Portland Cement Concrete Pavement Haul $0
401/919 Portland Cement Concrete Pavement Placement $0
402 Portland Cement Concrete Pavement Repair $0
404 Tack, Fog, Prime, Blotter $0
404-417 Asphalt Paving Supply $0
404-417 Asphalt Paving Haul $0
404-417 Asphalt Paving Placement $0
501 Pipe Culvert, Storm Drain $0
501 Jacking, Boring Pipe $0
502 Structural Plate Pipe $0
503/505/906 Minor Concrete Structures $0
504 Standpipes $0
506/507 Underdrain, Edgedrain $0
601/603 Structural Concrete - Bridges, Box Culverts $0
601 Bridge Overlay $0
601 Precast Concrete $0
602 Prestressing Concrete $0
604/603 Structural Steel $0
605 Reinforcing Steel $0
606/607/608 Signs $0
609 Drilled Shafts $0
610 Painting $0
611 Railing $0
701 Traffic Control (Not Inc. Law Enforcement) $0
701 Traffic Control - Law Enforcement $0
702 Attenuation Devices $0
703 - 709 Permanent Pavement Marking $0
730 - 737 Traffic Signals, Lighting, Fms (Installation) $0
730 - 737 Traffic Signals, Lighting, Fms (Equipment) $0
801-804 &806-808 Landscaping, Irrigation $0
808/924 Buildings Use categories on other tab.
808/809 Water Lines, Sanitary Sewer $0
805/810/915 Erosion Control, Seeding $0
901 Mobilization $0
902-903 Fence $0
904 Chain Link Cable Barrier $0
904 Median Cable Barrier $0
905 Guardrail, End Treatments $0
908/921 Curb, Gutter, Sidewalk, Driveways $0
909/911 Survey Monuments, Row Markers $0
910 Concrete Barrier $0
912/920/921 Shotcrete, Channel Lining, Slope Paving $0
913 Bank Protection $0
914 Walls $0
916/917 Embankment Curb, Spillways $0
924 Contractor QC $0
924 Lead And Asbestos Abatement $0
924/203 Slope Stabilization $0
924 Force Accounts $0
925 Construction Survey & Layout $0
926/927 Engineer's Field Office, Engineer's Field Laboratory $0
928 Rumble Strip $0
Business Engagement & Compliance Office

Additional Work Categories

Instructions:
Enter aggregate value of bid items by work category. Blank categories will be assumed to be $0. Include any additional notes relevant to
the project on the right. If a needed work category is not listed, contact adotgoals@dbesystem.com BEFORE submitting the goal request
for guidance.

Additional Work Categories >>> $0

Work Category Value Notes

Heavy Construction

Abutments $0
Base & Reinforcement $0
Bridge Decking $0
Concrete - Structural (bridges, embankments, etc.) $0
Culverts $0
Curbs & Gutters $0
Elevated Highway $0
Overpasses (general) $0
Paving - Asphalt - Supply $0
Paving - Asphalt - Trucking $0
Paving - Asphalt - Application $0
Paving - Concrete - Supply $0
Paving - Concrete - Trucking $0
Paving - Concrete - Application $0
Pipe - Roadway $0
Pipe - Sanitary $0
Precast Concrete $0
Rebar $0
Seal Coating $0
Shotcrete / Channel $0
Tack, Fog Coat, Blotter - Supply $0
Tack, Fog Coat, Blotter - Trucking $0
Tack, Fog Coat, Blotter - Application $0
Tarring $0
Trestles/Trusses $0
 Underpasses (general) $0

Finishing

Concrete Barriers $0
Dust Control $0
Erosion Control $0
Fencing $0
Grouting (highway) $0
Guardrail $0
Landscape $0
Lighting/Electrical System Installation $0
Lighting/Electrical System Equipment $0
Painting $0
Riprap, Gravel, Sand, Shoulder $0
Signs $0
Striping, Line Painting, Markers $0

Demolition & Site Preparation

Blasting $0
Boring $0
Clearing & Grubbing $0
Concrete Cutting $0
Crane $0
Demolition/Removal $0
Drill & Excavate $0
Excavating - Grading $0
Grading $0
Milling $0
Pumping - Concrete $0
Pumping - Septic $0
Road Repair, Pothole Filling, Resurfacing $0
Scaffolding $0
Slab Jacking $0
Soil Stabilization $0
Sweeping $0
Tree Removal $0
Utilities - Water & Sewer $0
Utilities - Communication & Electrical $0
Wrecking $0

Services

Construction Engineering $0
Construction Management $0
Consultant Services (various) $0
Flagging, Traffic Control $0
Law Enforcement $0
 Public Relations $0
Quality Control $0
Surveying $0
Trucking $0

Trade Services

Asbestos Abatement $0
Building - Commercial $0
Carpentry - Framing $0
Carpentry (except framing) $0
Drywall $0
Electrical $0
HVAC $0
Masonry $0
Pest Control $0
Plastering $0
Plumbing $0
Roofing $0
Septic Tanks & Systems $0
Welding $0

Miscellaneous

Mobilization/Demobilization $0
Miscellaneous Work (Resident Engineer User Only) $0
Contingency $0
Incentives $0
Fire Protection - Commerical $0

Uncategorized - Add categories not found above (NOT TO BE USED FOR ADOT PROJECTS)

$0
$0
$0
$0
$0
$0
$0
$0
$0
$0