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Mid-Coast Corridor Transit Project - Construction Bench Questionnaire
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* Indicates required question
Company Name
*
Your answer
Contact Name
*
Your answer
Contact Phone Number
*
Your answer
Contact Email Address
*
Your answer
Check your scope of work (select all that apply):
*
Clearing/Grubbing
Tree Removal
Fencing
Landscaping
Masonry
Electrical
Concrete Flatwork
Painting
Anti-Graffiti Coatings
Traffic Control
Trucking
Other:
Required
Is your company a (select all that apply):
*
Disadvantaged Business Enterprise (DBE) Sub-Contractor
DBE Supplier
DBE Broker
Small Business (SB) Sub-Contractor
SB Supplier
SB Broker
Required
Company DBE #
*
Your answer
Company SB #
*
Your answer
Please list your company's NAICS codes:
*
Your answer
Have you worked on a project that was Buy America compliant?
*
Yes
No
Have you worked on a project that required certified payroll and prevailing wages?
*
Yes
No
Do you have previous experience working on a project within the LOSSAN rail corridor?
*
Yes
No
If yes, please list project name, duration and dollar value.
Your answer
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