[Reminder: the information below must be collected from every bidder who submits a quote/bid to the recipient and every potential subcontractor who submitted a quote/bid to each bidder. 49 CFR 26.11(c) requires recipients to collect information from all bidders and subcontractors, including unsuccessful ones.] * Contact Name * Contact Email * Firm Name * Firm Address * Firm Website * Firm Phone * Age of Firm —Please choose an option— Less than 1 year 1 - 3 years 4 - 7 years 8 - 10 years More than 10 years * Annual Gross Receipts —Please choose an option— Less than $500K $500K - $1 million $1-2 million $2-5 million Greater than $5 million * Firm status —Please choose an option— DBE Non-DBE Your message (optional) * Required
