The State of Alaska Bidders Registration form is a necessary document for firms looking to participate in projects awarded by the Alaska Department of Transportation and Public Facilities (DOT&PF). This form must be submitted annually by January 1 and is valid through December 31, ensuring that all contractors and subcontractors are properly registered. To start the process and ensure your eligibility, fill out the form by clicking the button below.
The State of Alaska Bidders Registration form is a crucial document for firms looking to participate in projects managed by the Alaska Department of Transportation and Public Facilities (DOT&PF). All businesses must complete and submit this form annually by January 1 to ensure their eligibility for bidding. The registration remains valid through December 31 of the same year. Each contractor and subcontractor needs to fill out the form, which collects essential information such as the firm’s name, contact details, and the type of services offered. Additionally, firms must indicate their status—whether they are a prime contractor, subcontractor, service provider, material supplier, or manufacturer. Special designations like Certified Disadvantaged Business Enterprise (DBE) and Self-Certified Small Business Enterprise (SBE) can also be marked. The form requires details about the firm’s gross annual receipts and the types of contracts they wish to pursue, such as highways, airports, or transit projects. To maintain compliance, businesses must also adhere to specific requirements for SBE self-registration, especially for federally funded projects. Completing the form accurately is essential, as it facilitates inclusion in the online bidder registration directory, allowing for greater visibility and opportunities in state contracts.
STATE OF ALASKA
DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES
Civil Rights Office – DBE Program
BIDDER REGISTRATION
All firms are required to submit a Bidder’s Registration form before an Alaska Department of Transportation and Public Facilities (DOT&PF) project can be awarded. The Bidder Registration form must be submitted to the Civil Rights Officer (CRO) on an annual basis by January 1 and is valid thru December 31. Complete this form for each contractor and subcontractor. Firms will be listed on the bidder registration online directory http://www.dot.state.ak.us/cvlrts/bidreg.shtml.
Name of Firm:
Street Address:
Mailing Address:
Contact Name:
Telephone Number:
Fax number:
E-mail Address:
Date Firm was Established:
The firm listed above is a (check all that apply):
Prime Contractor?
Subcontractor?
Service Provider?
Material Supplier?
Manufacturer?
Certified DBE? *
Self-Certified SBE? *
Firm’s gross annual receipts:
Identify specialty:
______________________
Identify service:
Identify material:
Identify product:
*DBE- Disadvantaged Business Enterprise
*SBE- Small Business Enterprise (Complete page 2 of this form.)
< $500,000 $500,000- $999,999
$1,000,000- $4,999,999 $5,000,000- $9,999,999 $10,000,000- $16,999,999 > $17,000,000
Type of contracts/proposals bid by the firm (check all that apply):
Highways Airports
Transit AMHS
Signature of Company Representative
Title
Date
Send this completed form to:
OR
You may fax your completed form to:
ADOT&PF Civil Rights Office
(907) 269-0847
PO Box 196900
Anchorage, Alaska 99519-6900
If you have any questions, please call (907) 269-0851.
Form 25D-6 (1/16)
SMALL BUSINESS ENTERPRISE PROGRAM (SBE) SELF-REGISTRATION
Fostering Small Business Participation (SBE) (49 CFR 26.39):
To meet the requirements of 49 CFR 26.39, DOT&PF has implemented a Small Business Enterprise Program. This component is only applicable to federally funded projects.
[Complete the Section below only if you are a Self-Certified SBE Firm] All businesses wishing to be eligible as a SBE are required to submit a SBE Self-Registration form. The SBE Self-Registration form must be submitted on an annual basis by January 1 and is valid thru December 31.
In order to verify your firm’s compliance with business size standards under 49 CFR 26.67(2)(i) and 26.65(b), at the
time of award you will be required to submit the following documents:
●SBE Affidavit of Certification Eligibility
●Personal Financial Statement
●Past three years of your corporations and/or individual tax returns
●If not a certified DBE, please provide documentation that you are self-certified as a small business (please contact
Procurement Technical Assistance Center (PTAC) at 907-786-7258 if you require assistance on becoming a self- certified small business)
At time of award send required documentation to:
DOT&PF Civil Rights Office
Attn: Certification
Anchorage, Alaska 99519-690
Phone: (907) 269-0851
Fax: (907) 269-0847
A. SBE Directory Information
1. Can you verify at time of award that your firm (including affiliates) does not exceed the
small business size standards as described by the Small Business Administration (SBA) for
the last three years of gross annual receipts per 49 CFR 26.65(a)? To find more information
[
]Yes
about the SBA size standards, visit the SBA website https://www.sba.gov/content/small-
business-size-standards.
*If you marked “No” you do not qualify for the SBE Program
2. Can you verify at time of award that your firm (including affiliates) does not exceed the
personal net worth standards of $1.32 million per 49 CFR 26.67(2)(i)?
3. Can you verify at time of award that each individual owner of your firm does not exceed the
[ ] No*
4.Contact Info.
Name of Firm
Contact Name
Telephone Number
Fax Number
Email Address
Company Website
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