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. 24-14, July 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.
(a) Personnel requirements.
(i) List principal officers and key employees
			 indicating their years of experience in the classes of work for which
			 qualification is sought.
(ii) A
			 firm must have, within its own organization, qualified permanent, full-time
			 personnel having the skills and experience including, if applicable, technical
			 or specialty licenses, for each work class for which qualification is sought.
			 Those firms seeking qualification for electrical work (classes 9, 16, 41, and
			 42) must provide photocopies of current Washington state electrical licenses.
			 The skills and experience must be substantiated by education and practical
			 experience on completed construction projects.
(iii) "Its own organization" shall be
			 construed to include only the contractor's permanent, full-time employed office
			 and site supervisory personnel. Workers of the organization shall be employed
			 and paid directly by the prime contractor.