31627 1st Avenue SFederal Way, WA 98003-4249Phone: 253-946-5415
Please choose the appropriate box for your firm. If uncertain, refer to the application process link above.
Please provide your email address if you would like us to respond via email. (If you would like a copy of this form emailed to you, you must enter your email again in the submission section of this form.)
Lakehaven Water and Sewer District requires a selected contractor to obtain and maintain the following insurance limits. Please check each box that applies to your firm.
I swear under penalty of perjury that the above and attached information is correct, and that there are no known personal and/or organizational conflicts of interest which are prohibited by law. By checking the box below I agree to this statement.
The following pages contain three lists; Small Works Roster Trade Specialty, Supplier Roster Commodity List and Services Roster Discipline List. Please identify which list(s) applies to your company and select only those boxes that your firm can provide or perform. LUD may request additional information to evaluate qualifications for a particular specialty or project. Contractors are requested to identify only those specialties they are interested in and available to perform, since contractors will be dropped from the roster for repeated non-response to roster solicitations.
For best printing results, check the box to "Receive email copy" and provide your email address.
Look for an email with subject line of: "Online Form Submittal: Lakehaven Services, Small Works and Supplier Roster Application Form". Ensure that your email program does not block email from "noreply@CivicPlus.com".
Print the email from your email program.
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