DOUGLAS COUNTY, WASHINGTON APPLICATION FOR SMALL WORKS ROSTER and VENDOR LIST Douglas County Commissioners P O Box 747 203 Rainier Avenue Waterville WA 98858 The following application must be completed in all particulars. Incomplete applications will not be accepted. You are notified that Douglas County complies with the prevailing wage laws of the State of Washington (RCW 39.12) and requires all contractors to comply. At the discretion of Douglas County, and/or in compliance with Washington State Law, Contractors providing Work may be required to furnish Bond in the amount of contract, and a Certificate of Insurance in the amount to be determined by the County s Insurance Authority. Name of Company Mailing Address: Telephone: ( ) Fax: ( ) Incorporated: Partnership: _ Sole Proprietorship: _ If incorporated, state resident agent and address. If partnership or sole proprietorship, state managing person and address: Name: Address: _ Federal Tax I.D. No: _
Small Works Roster/Vendor List page 2 Washington Registration Information WA Contractors Registration No: Contractors Bonding Company: Amount of Bond Limit: Licensed As: General Contractor: Specialty Contractor: Indicate Description(s) and Codes(s) for Type of Work from attached Index by Topic: Code: Work Description: Date: By: Business Name Name Title
DOUGLAS COUNTY, WASHINGTON SMALL WORKS/VENDOR INDEX BY TOPIC/CODE TOPIC Code Air Compressors 46 Air Conditioning 01 Applications e-commerce 63 Audio-Visual Equipment & Supplies 47 Backflow Preventers 46 Barns Pole 03 Barns Steel Exterior 03 Barns Wood Frame 03 Batons Police & Riot 25 Blasting & Drilling 23 Boilers 01 Boilers 46 Building Steel 03 Building Steel, concrete, pole, framed 49 Building: water, sewer & gas pipe 44 Carpentry 49 Computer Hardware & Peripherals 33 Computer Equipment & Supplies 47 Construction Equipment rentals & sales, supplies 52 Construction Road 23 Construction: additions, remodels, new construction 21 Contract General 49 Contractor General 23 Contractor: General: Additions, remodels, new construction 21 Core Drilling 23 Damage Restoration: fire, smoke, water, wind damage & order 21 Demolition Excavation 04 Drain Field Excavation 04 Drilling Core 23 Drilling & Blasting 23 Driveway Excavation 04 Earthwork Prep for Paving 05 Electronic Supplies 35 Emergency Response for all Phases of Structure & Contents 21 Equipment Construction, lawn & garden; etc 52 Equipment Galvanizing 37 Equipment Tax exempt financing 61 Equipment Theater 69 Ergonomics & Accessories Workstation 33 Excavation 23
page 2 TOPIC Code Excavation backhoe, excavator, dump truck, concrete breaker 46 Excavations 04 Fencing 06 Fencing 49 Financing tax exempt equipment 61 Fire Protection Systems 46 First Aid Kits & Supplies 47 Furniture: business, school, church & institutional 02 Galvanizing items including large truck bodies 37 Hardware 06 Hauling 23 Heating 01 Janitorial Supplies & Equipment 47 Land Clearing Excavation 04 Landscaping 23 Lumber 06 Materials Installed 46 Mechanical Piping 46 New & Used Tools, Materials & Equipment 08 Nuts & Bolts 06 Orchard Removal 04 Paving 05 Pipe steel, galvanized, valves, water pumps, values, insulation, services 42 Pipe Cuting 01 Pipefitting 66 Pipeline Video Services 07 Piping gas 66 Piping underground & site utilities 46 Piping Techniques 46 Plumbing 23 Plumbing 46 Plumbing 66 Plumbing: water service repair, replace 44 Pole Barns 03 Police Batons 25 Products & Services for State, County & Municipal 09 Restoration Services: fire, smoke, water, wind damage & order 21 Retaining Wall Systems 64 Riot Batons 25 Road Construction 23 Road Excavation 04 Road Paving 05 Rock Crushing 23 Roofing 49
page 3 TOPIC Code Roofing Commercial 22 Roofing Waterproofing 22 Septic Systems 23 Services & Products for State, County & Municipal 09 Sewer Excavation 04 Sewer: Yard Work 44 Shovels Round Point & Square Point 06 Site Excavation 04 Snow Removal 23 Staffing Contract/Temporary 67 Steel Buildings 03 Steel Exterior Barns 03 Storage Data & Multi-media 33 Supplies Distributor: welding, safety, fire extenguisner sales/service 43 Supplies Imaging for copiers, laser/inkjet printer, fax 33 Supplies Theater: Posts, ropes, etc. 69 Systems Automated information 63 Technology web/iur integrated 63 Theater Equipment & Supplies: posts, ropes, etc 69 Threading to 4 01 Uniforms & Clothing 47 Used & New Tools, Materials & Equipment 08 Water Treatment 66 Welding 46 Well Video Services 07 Wood Frame Barns 03