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REGISTRATION / APPLICATION - FORM FOR SMALL WORKS ROSTER
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REGISTRATION / APPLICATION - FORM FOR SMALL WORKS ROSTER
NOTICES: (1) Vendor’s / contractors should complete all portions of this form. (2) The County is not responsible for forms that unclear or incomplete. (3) As per RCW, vendors and contractors may at any time be add to any vendor list(s), or to any small works roster(s), including at the time of submitting a bid for a project. (4) Procurement is not a passive activity. Therefore, in the interest of competition, and in working to ensure the success of County projects, the County may elect to solicit bids from any vendor by posting its solicitations to the County’s website and the County may concurrently and at any time supplement vendor lists or rosters by proactively researching and adding vendors/contractors to vendor list(s) and small works rosters. (5) Completing this form is NOT the same thing as subscribing to automatic notifications from the County’s website.
This completed form is intended for (but not necessarily limited to) the following:
Vendor List(s) for Materials, Supplies and Equipment; and/or
Small Works Roster(s) for small public works construction, repair, or maintenance projects
NOTE TO CONTRACTOR: Are you able to receive specifications via e-mail (MS Word or Excel files)?
Yes
No
SECTION 1 - VENDOR/CONTRACTOR INFORMATION
Firm Name:
*
Contact:
*
Address
*
"Remit-To" Address (if different)
City
*
State
*
Zip Code
*
Telephone Day:
*
Telephone Night:
*
Fax Number:
Email Address:
Vendor's/Contractor's Website (URL):
Washington State Contractor's License No.:
*
Washington State UBI No.:
Tax Payer Identification Number (TIN):
Washington State Employment Security Reference Number:
Bonded with:
*
Liability Insurance with:
*
SECTION 2 - VENDOR LIST(S)
NOTICE: Vendor’s that sell or furnish goods (materials, supplies and equipment or services) should complete this Section 2, by checking any and all boxes that apply.
Print or Type Complete Company Name:
*
Description of Goods/Services:
*
Provide a complete written description of all the goods and or services that are provided by your company or firm:
List any and all brand names of products or services that are sold or furnished by your company or firm:
PLACE A CHECK (√) ONLY IN THE CATEGORIES THAT APPLY TO YOUR FIRM’S EXPERTISE AND FOR WHICH YOU WANT TO BE ROSTERED.
SWR100 - Aerial Crane Service
SWR127 - Mechanical (HVAC)
SWR101 - Asphalt Paving / Patching / Sealing (Parking Lots)
SWR128 - Mobile Home Movers
SWR102 - Asphalt Paving / Patching / Sealing (Roads)
SWR129 - Painting (General)
SWR103 - Boiler Maintenance and Repair
SWR130 - Pavement Striping, Legends and Marking
SWR104 - Bridge Construction / Reconstruction / Rehabilitation
SWR131 - Pavement Sweeping
SWR105 - Cabinet Making
SWR132 - Pool Services, Including Pool Draining
SWR106 - Carpentry
SWR133 - Railroad Track Construction & Repair Svcs
SWR107 - Cement Treated Base Roadways
SWR134 - Retaining Walls
SWR108 - Concrete Curb, Gutter and Sidewalk
SWR135 - Roadway Construction
SWR109 - Concrete Cutting
SWR136 - Roof, Re-Roof and Roof Maintenance
SWR110 - Concrete / Masonry (including masonry fences)
SWR137 - Sanitary Sewer Construction
SWR111 - Concrete, Pre-cast Supply & Erection
SWR138 - Security System Equipment and Installation
SWR112 - Crack Sealing
SWR139 - Septic System Services Including Pumping
SWR113 - Demolition
SWR140 - Sign Installation, Non-Electrical (traffic)
SWR114 - Drilling, Core and Rotary (including water wells)
SWR141 - Slurry Sealing
SWR115 - Dust Control and Abatement
SWR142 - Stormwater Fac Install, Replace & Renovate
SWR116 – Electrical (Construction & Traffic)
SWR143 - Street Illumination
SWR117 - Erosion Control
SWR144 - Stump Grinding and Removal
SWR118 - Excavation, Fill Material and Grading
SWR145 - Tank Installation, Replace & Renovate
SWR119 - Fencing (non-masonry)
SWR146 - Traffic Control
SWR120 - General Contracting (Construct, Renovate, Remodel)
SWR147 - Tree Trimming and Brush Removal
SWR121 - Guardrail Replacement and Repair
SWR148 - Underwater Diving Work/Diving Services
SWR122 - Hydro-seeding
SWR149 - Welding and Metal Fabrication
SWR123 - Irrigation and Sprinkler Systems
SWR150 - Well Decommissioning Service
SWR124 - Landscaping (General)
SWR 151 - Plumbing
SWR125 - Landscaping (Streamside Enhancement)
SWR 152 – Roll-up/Overhead Door Installation
SWR126 - Logging
SWR 153 – Flooring Services
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