Montana Department of Transportation

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DBE Bidder Survey All Fields Required!
1. Name:
2. Phone:
3. Company Name:
4. Address Line 1:
5. Address Line 2: (If needed)
6. City:
7. State:
8. Zip:
10. Is the company a currently certified MDT DBE? Yes No
11. Has your company worked or bid on any MDT projects in the last 12 months? Yes No
12. What are the annual gross receipts of the company? Under $50,000 $50-$100,000 $100-$500,000 $500-$1,000,000 1-5 Million 5-10 Million Over 10 Million Over 15 Million Over 20 Million
13. Indicate your company's Principal Business Activity code on line 13(a) and the description on line 13(b): (a) (b) The principal business activities and their associated codes list is designed to classify a business by the type of activity in which it is engaged and is based on the North American Industry Classification System and is the same list used by the Internal Revenue Service (IRS). Using the list of activities and codes, determine from which activity the company derives the largest percentage of its "Annual Gross Receipts". If the company purchases raw materials and supplies them to a subcontractor to produce the finished product, but retains title to the product, the company is considered a manufacturer and must use one of the manufacturing codes.
14. Indicate a category for your company: Prime Contractor Subcontractor Consultant