The State of Alaska Bidders Registration form is a crucial document that all firms must complete before being awarded a project by the Alaska Department of Transportation and Public Facilities (DOT&PF). This form, which needs to be submitted annually by January 1, ensures that contractors and subcontractors are properly registered and listed in the online directory. To get started, fill out the form by clicking the button below.
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
Incomplete Information: Many applicants fail to fill out all required fields, such as the name of the firm, contact information, and the type of services offered. Omitting any of this information can delay the registration process.
Incorrect Submission Date: Some individuals do not submit the form by the January 1 deadline, which is essential for maintaining annual registration. Missing this date can result in ineligibility for contracts throughout the year.
Failure to Check Appropriate Boxes: Applicants often neglect to check all relevant boxes regarding their firm's status, such as whether they are a prime contractor or a certified DBE. This oversight can lead to misclassification.
Missing Signature: Some forms are submitted without the required signature of a company representative. A missing signature can invalidate the submission, requiring resubmission and further delays.
Inaccurate Financial Information: Providing incorrect gross annual receipts can lead to disqualification. It is crucial to ensure that the financial figures reported are accurate and reflect the last three years.
Omitting Required Documentation: Some applicants do not include necessary documents for SBE certification, such as tax returns or financial statements. Not providing these documents can hinder the approval process.
Incorrect Contact Information: Providing outdated or incorrect contact details can lead to communication issues. Ensure that the telephone number, fax number, and email address are current and accurate.
Not Reviewing the Form: Failing to double-check the completed form before submission often results in simple errors that could have been avoided. A thorough review can catch mistakes that may otherwise delay processing.
Completing the State of Alaska Bidders Registration form is an important step for firms wishing to participate in projects managed by the Alaska Department of Transportation and Public Facilities. By filling out this form accurately, you ensure that your firm is registered and eligible for bidding. Below are the steps you need to follow to complete the registration process.
After submitting your registration form, you can expect to receive confirmation from the Civil Rights Office. If you have any questions during this process, don’t hesitate to reach out to the office at (907) 269-0851 for assistance. Your firm will then be listed in the online directory, ensuring visibility for future project opportunities.
When filling out the State of Alaska Bidders Registration form, keep these important tips in mind:
Following these guidelines will help ensure a smooth registration process. Good luck!
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