2. 

3. QUALIFIED CONTRACTORS REGISTRATION

4. The Contractor listed below requests to be included in the City of Healdsburg List of Qualified Contractors to receive Notices Inviting Informal Bids pursuant to Section 22034 of the California Public Contract Code.

8. Instructions: Please read and complete this form in its entirety. Include all requested information.

10. COMPANY INFORMATION

12. Name of Company*
14. DBA (if applicable)
16. CONTACT NAME*
17. EMAIL*
19. CONTACT PHONE NUMBER*
20. COMPANY FAX
22. COMPANY MAILING STREET ADDRESS*
24. City*
25. State*
26. Zip*
28. CONTRACTORS LICENSE NUMBER*
29. DIR REGISTRATION NUMBER*
31. CERTIFICATION(S)

    (if applicable)

    1. DBE
    2. DVBE

    1. MBE

    1. WBE

    1. OTHER

33. CHECK EACH TRADE CATEGORY / CLASSIFICATION IN WHICH YOU ARE INTERESTED AND CURRENTLY LICENSED TO DO

35. CLASS/CATEGORY*

    1. A General Engineering
    2. B General Building
    3. B-2 Residential Remodeling
    4. C Specialty Contractor
    5. C-2 Insulation and Acoustical
    6. C-4 Boiler, Hot Water Heating and SteamFitting
    7. C-5 Framing and Rough Carpentry
    8. C-6 Cabinet, Millwork and Finish Carpentry
    9. C-7 Low Voltage Systems
    10. C-8 Concrete
    11. C-9 Drywall
    12. C-10 Electrical
    13. C-11 Elevator
    14. C-12 Earthwork and Paving
    15. C-13 Fencing
    16. C-15 Flooring and Floor Covering
    17. C-16 Fire Protection
    18. C-17 Glazing
    19. C-20 Warm-Air Heating, Ventilating and Air-Conditioning
    20. C-21 Building Moving/Demolition
    21. C-22 Asbestos Abatement
    22. C-23 Ornamental Metal
    23. C-27 Landscaping
    24. ASB Asbestos Certification

    1. C-28 Lock and Security Equipment
    2. C-29 Masonry
    3. C-31 Construction Zone Traffic Control
    4. C-32 Parking and Highway Improvement
    5. C-33 Painting and Decorating
    6. C-34 Pipeline
    7. C-35 Lathing and Plastering
    8. C-36 Plumbing
    9. C-38 Refrigeration
    10. C-39 Roofing
    11. C-42 Sanitation System
    12. C-43 Sheet Metal
    13. C-45 Sign
    14. C-46 Solar
    15. C-47 General Manufactured Housing
    16. C-50 Reinforcing Steel
    17. C-51 Structural Steel
    18. C-53 Swimming Pool
    19. C-54 Ceramic and Mosaic Tile
    20. C-55 Water Conditioning
    21. C-57 Well Drilling
    22. C-60 Welding
    23. C-61 Limited Specialty
    24. HAZ Hazardous Substance Removal Certification
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field