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Contractor Interest Form for Emergency Work

Immediately following storms, earthquakes or other natural disasters, Caltrans often elects to immediately contract with highway construction firms to begin clean-up and repair work.  To maximize Caltrans' readiness for future disasters and to give all contractors an opportunity to tell us about your capabilities and experience, we are inviting contractors to register their interest with Caltrans.

Completion of this form will enter your company's name and information into a Caltrans registry of contractors interested in possibly receiving contracts for emergency repairs or equipment rental in the event of a disaster.

DISCLAIMER: Registering with Caltrans does not represent any express or implied promise by Caltrans to award emergency contracts now or in the future. Caltrans is not bound to select contractors from the registry. Data entered will be held in confidence and will not be shared with other firms without the contractors consent.

Fields marked with * are required.

Company Information
 
 
 
 
 
 
 
 
 
Contractor's License(s)

California Contractor's License. Make the appropriate selection under License No. 1. If you have more than one license, fill out No. 2 and No. 3, otherwise leave them blank.

Bonding and Certification

Surety Bond?

Certified As (check all that apply):
Preferred Work Locations

Check those regions which your firm prefers to work and can quickly mobilize if needed.


Del Norte, Humboldt, Lake, and Mendocino


Lassen, Modoc, Plumas, Shasta, Siskiyou, Tehama,
and Trinity


Butte, Colusa, El Dorado, Glenn, Nevada, Placer,
Sacramento, Sierra, Sutter, Yolo, and Yuba


Sonoma, Napa, Solano, Marin, San Francisco,
Contra Costa, Alameda, San Mateo, and Santa Clara


Santa Barbara, San Luis Obispo, Monterey,
San Benito, and Santa Cruz


Madera, Fresno, Tulare, Kings, and Kern

Los Angeles, and Ventura


Riverside, and San Bernardino


Inyo, Mono, and Eastern Kern


Alpine, Amador, Calaveras, Mariposa, Merced,
San Joaquin, Stanislaus, and Tuolumne


San Diego, and Imperial


Orange
 
Preferred Type of Work

Check those types of work your firm has proficiency with under emergency conditions.















 

Key Equipment

Indicate how many of the following items your firm has available on short notice.







Truck-mtd Cranes
Pile Drivers
 

Preferred Type of Contract


Has your firm worked under Caltrans specifications before?
Do you want your information shared with other firms?

Thank you for your submittal.