Contractor's Qualification Application

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California Uniform Public Construction Cost Accounting Informal Bidding Process
The Contractor listed below requests to be included on the Konocti Unified School District List of Qualified Contractors to receive Notices inviting Informal Bids.

Name of Company *

Contact Name (First and Last Name): *

Title: *

Complete Address (include city, state, and zip) *

Phone Number *

Fax Number

Email *

Contractor shall disclose all licenses held by the company and its current DIR registration number.

CA Contractor's License No(s) *

Date of Issuance *

YYYY

Date of Expiration *

YYYY

Department of Industry Relations (DIR) No. *

Date of Expiration

YYYY

All License(s) held (A, B and/or specialty licenses) (check all that apply) *

C-2 Insulation and Acoustical

C-4 Boiler, Hot Water heating and Steam Fitting

C-5 Framing and Rough Carpentry

C-6 Cabinet, Millwork and Finish Carpentry

C-7 Low Voltage Systems

C-8 Concrete

C-10 Electrical

C-11 Elevator

C-12 Earthwork and Paving

C-13 Fencing

C-15 Flooring and Floor Covering

C-16 Fire Protection

C-17 Glazing

C-20 Warm-Air Heating, Ventilation and Air Conditioning

C-21 Building Moving/Demolition

C-23 Ornamental Metal

C-27 Landscaping

C-28 Lock and Security Equipment

C-29 Masonry

C-31 Construction Zone Traffic Control

C-32 Parking and Highway Improvement

C-33 Painting and Decorating

C-34 Pipeline

C-35 Lathering and Plastering

C-36 Plumbing

C-38 Refrigeration

C-39 Roofing

C-43 Sanitation System

C-45 Electrical Sign

C-46 Solar

C-47 General Manufactured Housing

C-50 Reinforcing Steel

C-51 Structural Steel

C-53 Swimming Pool

C-54 Ceramic and Mosaic Tile

C-55 Water Conditioning

C-57 Water Well Drilling

C-60 Welding

C-61 Limited Specialty

ASB Asbestos Certification

HAZ Hazardous Substance Removal Certification

Required

I certify to the best of my knowledge that the information provided above is true and complete as of this date. I further certify that my firm is properly licensed and skilled to perform the above described classes of work and is able to provide the required payment and performance bonds and insurance to perform the work. My company shall comply with all city, state, and federal requirements.

Submitted by: *

Title *

Date *

YYYY

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