CITY OF BRISBANE

Contractor’s Application for

2016-2017 List of Qualified Contractors

Per California Uniform Public Construction Cost Accounting Act

(Informal Bidding Process)

The contractor listed below requests to be included in the City of Brisbane’s List of QualifiedContractors to receive Notices inviting Informal Bids:

BUSINESS NAME:
CONTACT NAME AND TITLE:
ADDRESS:
CITY: / STATE: / ZIP:
TELEPHONE: / FAX: / EMAIL:

LICENSE NO.:

CLASSIFICATION(S):

(check all that are current and active per the CA Department of Consumer Affairs Contractors State License Board)

  • A General Engineering Contractor
  • B General Building Contractor
  • C-2 Insulation and Acoustical Contractor
  • C-4 Boiler, Hot Water Heating and Steam Fitting Contractor
  • C-5 Framing and Rough Carpentry Contractor
  • C-6 Cabinet, Millwork and Finish Carpentry Contractor
  • C-7 Low VoltageSystems Contractor
  • C-8 Concrete Contractor
  • C-9 DrywallContractor
  • C10 Electrical Contractor
  • C11 Elevator Contractor
  • C12 Earthwork and Paving Contractors
  • C13 Fencing Contractor
  • C15 Flooring and Floor Covering Contractors
  • C16 Fire ProtectionContractor
  • C17 Glazing Contractor
  • C20 Warm-Air, Heating, Ventilating and Air-ConditioningContractor
  • C21 Building Moving/Demolition Contractor
  • C23 Ornamental Metal contractor
  • C27 Landscaping Contractor
  • C28 Lock and Security Equipment Contractor
  • C29 Masonry Contractor
  • C31 ConstructionZone Traffic Control Contractor
  • C32 Parking and Highway Improvement Contractor
  • C33 Painting and DecoratingContractor
  • C34 Pipeline Contractor
  • C35 Lathing and Plastering Contractor
  • C36 Plumbing Contractor
  • C38 Refrigeration Contractor
  • C39 Roofing Contractor
  • C42 Sanitation System Contractor
  • C43 Sheet Metal Contractor
  • C45 Sign Contractor
  • C46 Solar Contractor
  • C47 General Manufactured Housing Contractor
  • C50 Reinforcing Steel Contractor
  • C51 Structural Steel Contractor
  • C53 Swimming Pool Contractor
  • C54 Ceramic and Mosaic Tile Contractor
  • C55 Water ConditioningContractor
  • C57 Water Well Drilling Contractor
  • C60 WeldingContractor
  • C61 Limited Specialty
  • ASB Asbestos Certification
  • HAS Hazardous Substance Removal Certification

Class A and B contractors may further specify or delineate any particular specialties or areas of workthey may perform within the division and subjects of their license by attaching a separate sheet to this application.

Application certification: I certify that to the best of my knowledge, the elements of information provided above are accurate and true as ofthis date. The company represented is properly licensed and skilled to perform the above work, and able to secure bonds to perform the work. The company shall comply with all city, state and federal requirements in the course of any work it may be awarded.

______

PRINTED NAME TITLE SIGNATURE DATE

MAIL COMPLETED FORM TO: OR FAX TO: (415) 467-5547

City of Brisbane

Attn: Director of Public Works/City Engineer

50 Park Place

Brisbane, CA 94005

2016-2017 List of Qualified Contractors Application1/2