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DBE Bidder Survey

Please note: all fields are required
Name:
Phone:
Company Name:
Address Line
Address Line 2: (if needed)
City:
State:
Zip:
Is the company a currently certified MDT DBE?
Yes No
Has your company worked or bid on any MDT projects in the last 12 months?
Yes No
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
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.
Indicate a category for your company:
Prime Contractor
Subcontractor
Consultant