Washington Administrative Code
Title 468 - Transportation, Department of (See Title 88)
Chapter 468-15 - Small works roster
Section 468-15-040 - Contractors questionnaire form - Information required
Current through Register Vol. 24-06, March 15, 2024
Contractors desiring to be included on a small works roster established by Washington state department of transportation pursuant to RCW 39.04.155, shall submit a completed small works roster questionnaire on a form prescribed by the secretary of transportation. Copies of the form may be obtained from the department's contract ad and award office. The completed questionnaire shall be prepared and transmitted to the secretary, attention: Contractor prequalification office. The questionnaire shall include the following information:
(1) The contractor's name, address, telephone number, fax number, e-mail address, and type of organization (corporation, partnership, sole proprietorship, etc.);
(2) A statement of ownership of the firm and, if a corporation, the name of the parent corporation, if any, and the names of any affiliated or subsidiary companies;
(3) State contractor's license number;
(4) State of Washington unified business identifier number (UBI) and UBI expiration date;
(5) Federal tax ID number;
(6) List of classes of work as enumerated on the form that the firm desires to be considered for such work class;
(7) Indication of those counties in which the contractor is interested in being considered for small works projects;
(8) Indication whether the contractor is certified as a minority or women's business enterprise or a disadvantaged business enterprise by the office of minority women business enterprises;
(9) List all contracts or subcontracts performed in whole or in part within the immediate three preceding years. Include the contract amount, date of completion, classes of work performed, owner or prime contractor's name, mailing address, phone number, fax number, and name of a contact person for the owner/prime for which the contractor performed the work. Only that work completed by the contractor's own organization under its own supervision will be considered for qualification. A minimum three completed projects must be listed.
It is the responsibility of the contractor to notify the department of any incorrect information set forth in the notice, and to notify the department of any change in the information set forth in its application.
Statutory Authority: RCW 39.04.155, 47.01.101, 47.28.030. 06-24-118, § 468-15-040, filed 12/6/06, effective 1/6/07. Statutory Authority: RCW 47.01.101, 39.04.155. 03-03-012, § 468-15-040, filed 1/7/03, effective 2/7/03.