Bidder Survey

Contractors, Subcontractors, and Suppliers - please join our Bidder's List by completing our survey form.
49CFR Part 26 requires Caltrans to "build and maintain a bidder's list". Caltrans hopes to use this information to develop our annual disadvantaged business enterprise (DBE) goal.


Information fields marked with an asterisk (*) are required.

Name of Firm: *  
Street Address:  
City:  
State:  
(please insert the (2) character state abbreviation.. CA, OR,)
Zip:  
(please insert the (5) or (9) digit zip code.. 12345-6789)
Phone: *  
(example: 916-555-1234)
Fax:  
(example: 916-555-3456)
E-Mail Address:  
(example: joe@earthlink.com)
Primary Contact Person:*  

Select from the following options, the job that demonstrates your primary business emphasis. Please select only one.

Primary Bidder
Sub Contractor
Manufacturer
Consultant
Supplier
Trucker

Please enter the Primary (3 Digit) NAICS Code:

What year did your firm start business in CA under its current name style ?

Please select from the ranges provided, your firms Gross Annual receipts for the most current year available.

Less than $1 Million
Between $1 and $5 Million
Between $5 and $10 Million
Between $10 and $15
Over $15 Million
Please indicate the most current year


If your firm is licensed by the California State License Board, enter your license number, license type (i.e. C32) and Expiration date. Space is provided for up to three licenses.

License Number         License Type           Expiration Date (i.e. 7/21/2008)


Certification as a Disadvantaged Business Enterprise
(California Unified Certification Program - UCP)
Is your firm certified as a Disadvantaged Business Enterprise by the California Unified Certification Program ?
If "Yes", please provide your UCP Certification Number here :


The information you have provided will need to be updated annually. After a firms initial submittal, an e-mail will be sent to the address listed above requesting an update or resubmittal of the information via the web. A unique Web ID will be provided at that time to facilitate updating your firms information with this updated information upon resubmittal.

 

This will send the information as it appears in the form above.

This button resets all of the fields without sending the information.