EXHIBIT 12 - DIR PUBLIC WORKS VERIFICATION FORM.pdf
PDF 36 KB Posted
- Attached to
- As-Needed Battery Supply and Install
- Solicitation number
- PS139177
- Issued by
- California
About this file
This is a Public Works Contractor Registration Verification Form for the Los Angeles County Metropolitan Transportation Authority (LACMTA) as-needed battery supply and installation contract in California. The form serves as the official verification document that prime bidders and proposers must complete and submit with their bid documents to the contract administrator. Bidders are required to list all known subcontractors on the form and provide contractor names, license numbers, and DIR (Department of Industrial Relations) registration numbers for verification purposes.
All prime contractors and subcontractors performing prevailing wage work must be registered with the DIR to bid on this public works project. Any contractor listed in the bid documents that is not registered with the DIR Contractor Registration database must register and provide proof of payment of a $2,000 fine. If a contractor fails to provide proof of registration, the bidder or proposer has 24 hours to replace the unregistered contractor with a compliant one. The contract administrator will verify registration information and note the verification date and initials on the form.
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Text version
PUBLIC WORKS CONTRACTOR REGISTRATION
VERIFICATION FORM
Please use one (1) Verification Form per bidder Public Works Contractor Registration Verification Form (rev. 7/5//16)
To be completed by Prime Bidder/Proposer and submitted to Contract Administrator with bid documents. Please list all known subcontractors.
Contract Information
Contract Number: Prime Bidder/Proposer:
Contact Person: Phone #:
Registration Information (Attach additional sheets, as necessary)
Contractor/s Name License # DIR Registration #
FOR CONTRACT ADMINISTRATOR USE
Verification Date CA Initials
PRIME BIDDER/PROPOSER INFORMATION
**All prime contractors & subcontractors performing prevailing wage work must be registered with the DIR to bid on all public works projects**
If A Contractor listed on the bid document is not registered with the DIR Contractor Registration database, the contractor must register with the DIR database and provide proof of payment of their $2,000 fine. If the contractor fails to provide proof registration, the bidder/proposer has 24 hours to replace the unregistered contractor.
File details come from the government source that posted it. Updated .