Missouri Department of Transportation
Patrick K. McKenna, Director
1.888.ASK MODOT (275.6636)
Our mission is to provide a world-class transportation system that is safe,
innovative, reliable and dedicated to a prosperous Missouri.
www.modot.org
MODOT DBE INTERSTATE
CERTIFICATION CHECKLIST
Applicant Firm from State A must provide the following information:
Complete copy of application form, all supporting documents, and any other information
that was submitted to State A or any other State related to firm’s certification.
Includes, but is not limited to:
Original application with all supporting documentation submitted to State A
Affidavits of no change
Any notices of change that have been submitted to State A
Any correspondence with State A’s UCP or any other recipient concerning the firm’s
application or status as a DBE firm.
Notices or correspondence from states other than State A relating to status as a DBE
applicant or DBE certification in those states.
Examples:
Certification denials
Decertification actions
Disclosure of any DOT certification appeals with copy of the letter of appeal and DOT’s
response.
An affidavit sworn by the firm’s owners or an unsworn declaration executed under penalty
of perjury of the laws of the United States.
Affidavit must adhere to the following:
a. Affidavit must affirm that firm has submitted all the information required by 49 CFR
26.85(c) and the information is complete and, in the case of the information required
by 26.85 (c)(1), is an identical copy of the information submitted to State A.
b. If the on-site report from State A supporting firm’s DBE certification in State A is
more than three years old, as of the date of firm’s application to State B the affidavit
also affirms that the facts in the on-site report remain true and correct.
