KERN COUNCIL OF GOVERNMENTS
CONSULTANT DATABASE INFORMATION SHEET
The following information allows our Bidders Listing to conform to federal DBE regulations, 49 CFR Part
26 which requires certain information when compiling a bidders list; however providing any part of the
information is optional on your part. If you wish to be added to or remain on the Kern Council of
Governments Bidders list, please fill out this form and return by mail, fax to 661-324-8215, or email to
vmcculloch@kerncog.org.
Contact Person:
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Company
Name:__
Address:____
City,
State, Zip:____
Phone:___ FAX:__ Email:__ Age of Firm: _____
NAICS Code____
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What was your firm’s Annual Gross Receipts for the last year?
_____Less than $1 million _____Less than $5 million _____Less than $10 million
_____Less than $15 million _____More than $15 million
Does your firm have a current DBE Certification pursuant to 49 CFR Part 26? _____Yes _____No
___ African American___ Asian Pacific American___ Native American___ Women___ Hispanic Male
___ Subcontinent Asian Male___ Other : ______________________________________
Please check the items that apply to your firm:
1. Transportation: Aviation Planning
2. Transportation: Freight Movement Planning
3. Transportation: Long Range Planning (includes MTIS Studies, Corridor Studies)
4. Transportation: Pedestrian and Bikeway Planning
5. Transportation: Railway Plans
6. Transportation: Traffic Operations and Engineering
7. Transportation: Transit Planning
8. Transportation: Transportation Computer Modeling and Demand Forecasting
9. Transportation: Transportation Demand Management
10. Land Use: Architecture
11. Land Use: Economic Analysis and Forecasting
12. Land Use: Economic Development
13. Land Use: Land use Planning
14. Environment: Air Quality Studies
15. Environment: Energy Conservation and Alternative Sources
16. Environment: Environmental Impact Analysis
17. Environment: Geological, Hydrological and Soil Studies
18. Environment: Noise Impacts
19. Information Systems: Demographic Surveys
20. Information Systems: Geographic Information Systems (GIS)
21. Administration and Management: Computer Services
22. Administration and Management: Organizational Behavior
23. Administration and Management: Public Finance and Administration
24. Administration and Management: Public Relations
25. OTHER
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Kern Council of Governments 1401 19
th
Street, Suite 300; Bakersfield, CA 93301 661-635-2900
