Riverside Transit Agency, Riverside, CA

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	Customer Information Center: 1-800-800-7821 or (951) 565-5002
	1825 Third Street P.O. Box 59968 Riverside, CA 92517-1968 (951) 565-5000

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Home > About The RTA > Purchasing

Vendor Profile

INSTRUCTIONS: A fully completed Vendor Information Profile form is required for your firm to be placed on the RTA vendor mailing list, which will enable you to be notified of RFPs, IFBs, etc. relating to the products/services you list on this form.

BUSINESS INFORMATION

Company Name

Department/
Division

Address

City

State

Zip

Phone

Fax

CONTACT

First Name

Last Name

Title

PRINCIPAL

First Name

Last Name

Title

TYPE OF BUSINESS

Services, equipment and/or supplies on which you wish to bid

BUSINESS OWNERSHIP INFORMATION

1. Ownership/Minority Status
		African American Black
		Hispanic American
		Asian American
		Native American
		Anglo/Caucasian
		Other
		If "Other", please specify

2. Annual receipts of firm $

3. Are you a certified Department of Transportation DBE firm? Yes No

4. Are you a certified DBE with any of the agencies listed below? Check all that apply.
		City of San Diego; Equal Opportunity Contracting Program
		City of Los Angeles; Office of Contract Compliance
		Orange County Transportation Authority; Small Business Programs
		Los Angeles Metropolitan Transportation Authority; Diversity and Economic Opportunity
		None of the above

5. If you are a certified Department of Transportation DBE firm with a certifing agency, please let us know the agency's name.

6. If you are not certified and would like additional information on the Department of Transportation certification process, click on any of the Department of Transportation (southern California) certifying agency websites below.

City of San Diego; Equal Opportunity Contracting Program
(619) 533-4492 phone; (619) 533-4474
www.sandiego.gov/eoc/dbe

City of Los Angeles; Office of Contract Compliance
(213) 847-6480 phone; (213) 847-5566 fax
www.lacity.org/bca/OCC_MWD_Application.pdf

Orange County Transportation Authority; Small Business Programs
(714) 560-5620 phone; (714) 560-5792
www.octa.net/cammnet/DBEProgram.asp

Los Angeles Metropolitan Transportation Authority; Diversity and Economic Opportunity
(213) 922-2600 phone; (213) 922-7660 fax
www.mta.net/about_us/departments/deod/dbe.htm

Click the "submit" button to submit your information.

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