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


CONTACT


PRINCIPAL


TYPE OF BUSINESS


BUSINESS OWNERSHIP INFORMATION

1. Ownership/Minority Status
3. Are you a certified Department of Transportation DBE firm?

5. If you are not certified and would like additional information on the DOT certification process:

For certification inquiries for Imperial, Riverside, Kern, Los Angeles, Orange, San Bernardino, San Luis Obispo, Santa Barbara, Ventura, and San Diego counties, contact one of the agencies listed below:

CALIFORNIA DEPARTMENT OF TRANSPORTATION (CALTRANS)
Office of Business and Economic Opportunity
1823 14th Street
Sacramento, CA 95814
Phone: (916) 324-1700
Fax: (916) 324-1862
www.dot.ca.gov

CITY OF LOS ANGELES*
Bureau of Contract Administration
Centralized Certification Section
1149 S. Broadway Street, Suite 300
Los Angeles, CA 90015
Phone:(213) 847-2684
Fax: (213) 847-2777
bca.lacity.org
*Only firms located in the City of Los Angeles may apply.

LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY (METRO)
Diversity and Economic Opportunity Department
One Gateway Plaza, MS 99-8-4
Los Angeles, CA 90012
Phone: (213) 922-2600
Fax: (213) 922-7660

For additional information, download the California UCP Roster of Certifying Agencies at http://www.dot.ca.gov/hq/bep/documents/Roster_of_Certifying_Agencies.pdf