Required Information Form

Welcome to the Oregon State University Construction Related Services Retainer Program application for 2016-2018. Please remember that you need to complete the entire application, or your application will be rejected as incomplete.

The application should be completed by an authorized representative that may bind your company in contract. Before you begin the application process, please READ the entire Request For Qualifications. In order to complete the application you will need to provide the following information:

  • Construction Contractors Board (CCB) or Landscape Contractors Board (LCB) License Number
  • Federal Tax Identification Number
  • The Complete address for the office locations that will be providing services to institutions
  • Oregon Secretary of State Business Registration Number
  • Specialty License Numbers (abatement services)
  • Certified Minority, Women, and Emerging Small Business Certification Number, if applicable
  • Detailed business experience if company has been in business less than 5 years
  • Project Details for 4 completed projects in the last 2 years

Once you have submitted the form, you will receive an e-mail with a PDF copy of the submitted information and the signed proposer signature page as confirmation that your Proposal has been received

("xx-xxxxxxx" or "xxx-xx-xxxx)
Assigned by the Oregon Secretary of State ("xxxxxx-xx")
Please verify your firm's Registration Number at this website before submitting: http://egov.sos.state.or.us/br/pkg_web_name_srch_ing.login)