LAKETRAN BIDDER REGISTRATION FORM
Per 49 CFR Part 26.11, Laketran is required to collect the following information on contractors and sub-contractors who seek to work on Federally-assisted contracts.
Geauga Transit is operated by Laketran.
Please complete this form if you would like to do business with Laketran and/or Geauga Transit
Name of Business
*
Contact Person's Name (first and last)
*
Email Address
*
example@example.com
Age of your business (in years)
*
Type of Business or Firm (choose as many as apply)
*
Advertising
Architecture/Engineering
Auction Services
Automobile Sales or Distributor
Automobiles & Trucks (non-bus)
Bicycle
Bus and Vehicle Parts
Bus and Automobile Maintenance Products and Services
Bus Exterior Products/Services
Bus Interior Products/Services
Bus Manufacturer
Bus Sales or Distributor
Bus Technology
Cement/Concrete
Cleaning or Janitorial
Construction Contractor
Construction Trades
Consulting Services
Drug & Alcohol Testing & Other Medical Services
Equipment
Estimating Services
Fare Collection and Fare Technology
Financial, Banking, & Auditing
Fuel & Oils
Fuel Systems and Technology
Functional Capacity Assessment
Graphic Design
Human Resources & Related Services
HVAC
IT/Computer/Technology
Lawn & Landscaping
Marketing
Office Products including printers and faxes
Printing Services
Roofing
Security Systems & Services
Signage
Snowplowing & Snow Removal
Software & SaaS
Telecommunications
Temporary Employment Agency
Transit Peer
Uniforms & Shoes
Utilities - electric, plumbing, sewer
Other
Describe your business in 100 characters or less
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The following information is required per 49 CFR Part 26
https://www.transportation.gov/DBEFinalRule
Business Street Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
NAICS code(s) applicable to the work your firm/business intends to perform
*
Learn more about the North American Industry Classification System - https://www.census.gov/naics/
Gross Annual Receipts - choose the category the best applies to your business
*
Less than $1 million
$1 million - $3 million
$3 million - $6 million
$6 million - $10 million
$10 million or more
Race/Ethnicity of the firm's majority owner
*
Please Select
Caucasian/White
African American/Black
Hispanic
Native American
Asian-Pacific American
Subcontinent Asian American
Gender of the firm's majority owner
*
Please Select
Male
Female
Non-binary
Is your business registered as a Disadvantaged Business Enterprise (DBE)?
*
Yes
No
Upload Copy of DBE Certification
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