Emergency contract interest form

The district is soliciting contractors interested in providing emergency services in the event of a declared District emergency. If you are interested and available in performing emergency work at this time and in future years, please fill out this form.

Step 1 of 9 - Company Information

Step 2 of 9 - California Contractor's Licenses

Please check applicable boxes and list license number for each.

License No. 1

License No. 2

License No. 3

License No. 4

License No. 5

Step 3 of 9 - Preferred Work Location

Preferred Work Location

Step 4 of 9 - Preferred Type(s) of Work

Check the types of work your firm has proficiency with under emergency conditions.
Preferred Type(s) of Work

Step 5 of 9 - Key Equipment

Indicate how many of the following items your firm has readily or generally available:

Step 6 of 9 - Preferred Type of Contract (check all that apply)

Preferred Type of Contract (check all that apply)
Preferred Contract Size Range and Bonding Capacity (check all that apply):

Step 7 of 9 - Insurance Level

In the event of an emergency, the contractor would be asked to enter into an agreement with the same insurance and indemnity provisions as are included in the specifications for this bid package.
Please indicate here your level of available general liability insurance:
If needed, could your firm provide the following types of specialty insurance

Step 8 of 9 - Has your firm worked under EBMUD Specifications before?

Has your firm worked under EBMUD Specifications before?

Step 9 of 9 - Disclosure

Immediately following unexpected infrastructure failures, storms, earthquakes, or other disasters, The District may declare an emergency. To maximize the District's readiness for future disasters and to give all contractors an opportunity to tell us about their capabilities and experience, we are inviting contractors, including subcontractors, to register their interest in providing emergency services to the District.

Completion of this form will enter your company's name and information into EBMUD's registry of contractors interested in receiving contracts for emergency repairs or equipment rental in the event of a disaster.

DISCLAIMER: Completing this form and registering with the District does not represent any express or implied promise by the District to award emergency contracts now or in the future. The District is not bound to select contractors from the registry.

Disclosure *