Small Works Roster

SMALL WORKS ROSTER APPLICATION
Used for construction projects under $300,000


IF YOU WISH TO BE PLACED ON THE SMALL WORKS ROSTER OF THE PORT OF WALLA WALLA, THE FOLLOWING APPLICATION MUST BE COMPLETED IN ALL PARTICULARS.  INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.

YOU ARE NOTIFIED THAT THE PORT OF WALLA WALLA COMPLIES WITH THE PREVAILING WAGE LAW OF THE STATE OF WASHINGTON (RCW 39.12) AND REQUIRES ALL CONTRACTORS TO COMPLY.

FURTHER QUESTIONS CONCERNING THIS APPLICATION MAY BE DIRECTED TO THE PORT ADMINISTRATIVE OFFICE (509) 525-3100.

Roster effective dates: January 1 - December 31, 2024.

If you don't receive a personal email from staff confirming receipt of application within 5-7 business days, please email This email address is being protected from spambots. You need JavaScript enabled to view it.. Thank you. 


Contact Information

Name of Company *
Business Address *
City *
State *
Zip *
Name of Contact Person *
Phone *
Fax
Email Address *

Business Details


Type of Business *
If incorporated, state resident agent and address. If partnership or sole proprietorship, state managing person and address. *
How long has the company been in present business? (in years) *
Does the contractor maintain: General liability insurance of at least $1,000,000 per occurrence; $1,000,000 aggregate, Combined Single Limit (CSL); and Automobile liability of at least $1,000,000 per accident CSL.*
Yes
No
If no, describe any differences to the specified coverage amounts:

During the past five years, has the contractor been involved in any:

Construction Bond Forfeiture?
Yes
No
Construction Litigation?
Yes
No
Claims exceeding ten percent of the contract price?
Yes
No
If so, describe below any reasons for forfeiture, litigation, or claims:
Has your company been disqualified by any public agency from participation in public contracts?
Yes
No
If yes, identify the public agency, date, and cause:
Any criminal convictions, including pleas of nolo contendere, of the contractor, its owners or officers?
Yes
No
If yes, please describe:
Minority Contractor?
Yes
No
Federal Tax Identification No. *

State Licensing Information

State of Washington Contractor's Registration No. *

Contractor's Bond Information

Name of Bonding Company *
Amount of Bond *
Bond Number *

Licensed As:

Please fill in the appropriate areas.

General Contractor (list type of work you are interested in bidding)
Specialty Contractor (check all that apply)*
Airplane Hangar Construction
Backflow Testing
Building Demolition
Carpentry/Framing
Carpet Laying & Cleaning
Chip Sealing
Computer/Communication
Concrete
Debris Removal
Door & Window Replacement/Installation
Electrical
Environmental (Asbestos & Underground Fuel Tank Removal, etc all)
Excavating/Grading
Fencing
Fiber Optics
Field Mowing & Spraying
Fire Protection Systems
Floor Covering
General Construction
Glazing/Glass
Gutters/Downspouts
HVAC Installation & Repair
Insulation & Moisture Protection
Land Surveying
Landscaping/Irrigation
Masonry
Painting/Wallcover
Paving/Road Construction
Paving/Striping - Airports
Plumbing
Railroad Construction/Repair
Roofing
Security Systems
Septic/Sewer
Sheet Metal Fabrication
Siding (other than wood)
Signs (Non-electrical)
Snow Removal/Hauling
Spraying (pest management related)
Steel Aluminum Erectors
Sweeping
Telecom/Cable Wiring
Tree Removal/Pruning
Water & Sewer Line Repairs & Extensions
Welding/Fabrication
Wells and Pumps
Window Cleaning
Other

Prepared by

Name: *
Title: *
Date *