Company Registration Form

1. Project Name:		Project Location:
   Project Description/Scope:
   Construction Type:	RESIDENTIAL COMMERCIAL MEDICAL PUBLIC WORKS OTHER	Your Company's Role in the Project:	GENERAL CM OWNER SUBCONTRACTOR OTHER
   Contract Dollar Amount:	$0-25K $25-50K $50-100K $100-450K $450-1M OVER $1M	Company Contracted with:
   Was the project completed on time and within the original budget?    Yes     No
   If no, please explain:

   
   

2. Project Name:		Project Location:
   Project Description/Scope:
   Construction Type:	RESIDENTIAL COMMERCIAL MEDICAL PUBLIC WORKS OTHER	Your Company's Role in the Project:	GENERAL CM OWNER SUBCONTRACTOR OTHER
   Contract Dollar Amount:	$0-25K $25-50K $50-100K $100-450K $450-1M OVER $1M	Company Contracted with:
   Was the project completed on time and within the original budget?    Yes     No
   If no, please explain:

   
   

3. Project Name:		Project Location:
   Project Description/Scope:
   Construction Type:	RESIDENTIAL COMMERCIAL MEDICAL PUBLIC WORKS OTHER	Your Company's Role in the Project:	GENERAL CM OWNER SUBCONTRACTOR OTHER
   Contract Dollar Amount:	$0-25K $25-50K $50-100K $100-450K $450-1M OVER $1M	Company Contracted with:
   Was the project completed on time and within the original budget?    Yes     No
   If no, please explain:

   
   

4. Project Name:		Project Location:
   Project Description/Scope:
   Construction Type:	RESIDENTIAL COMMERCIAL MEDICAL PUBLIC WORKS OTHER	Your Company's Role in the Project:	GENERAL CM OWNER SUBCONTRACTOR OTHER
   Contract Dollar Amount:	$0-25K $25-50K $50-100K $100-450K $450-1M OVER $1M	Company Contracted with:
   Was the project completed on time and within the original budget?    Yes     No
   If no, please explain:

   
   

5. Project Name:		Project Location:
   Project Description/Scope:
   Construction Type:	RESIDENTIAL COMMERCIAL MEDICAL PUBLIC WORKS OTHER	Your Company's Role in the Project:	GENERAL CM OWNER SUBCONTRACTOR OTHER
   Contract Dollar Amount:	$0-25K $25-50K $50-100K $100-450K $450-1M OVER $1M	Company Contracted with:
   Was the project completed on time and within the original budget?    Yes     No
   If no, please explain:

   
   

DISADVANTAGED BUSINESS ENTERPRISE (DBE): A business concern which is at least 51% owned by one or more socially and economically disadvantaged individuals or, in the case of any publicly owned business, at least 51% of the stock of which is owned by such individuals and whose management and daily business operations are controlled by one or more such individuals. Socially disadvantaged individuals are those who have been subjected to racial or ethnic prejudice or cultural bias because of their identity as members of a group without regard to their individual qualities. Economically disadvantaged individuals are those socially disadvantaged individuals whose ability to compete in the free private enterprise system has been impaired due to diminished capital and credit opportunities as compared to others in the same business area who are not socially disadvantaged. Business owners who certify that they are members of named groups (Asian-Indian Americans, Asian-Pacific Americans, Black African Americans, Hispanic Americans, and Native American Indian) are to be considered socially and economically disadvantaged.

WOMEN-OWNED BUSINESS ENTERPRISE (WBE): A business that is at least 51% owned by a woman or women who also control and operate it. "Control" in this context means exercising the power to make policy decisions. "Operate" in this context means being actively involved in the day-to-day management.

DISABLED VETERAN BUSINESS ENTERPRISE (DVBE): A business that is at least 51% owned by one or more disabled veterans or, in the case of any publicly owned business, at least 51% of the stock of which is owned by such individuals and whose management and daily business operations are controlled by one or more such individuals. A Disabled Veteran is a veteran of the military, naval, or air service of the United States with a service-connected disability who is a resident of the State of California. To qualify as a veteran with a service connected disability, the person must be currently declared by the United States Veterans Administration to be 10% or more disabled as a result of service in the armed forces.

1. Commercial Form General Liability: Covering bodily injury, personal injury, property damage, and contractual liability (if on "claims made" basis, coverage shall survive not less than 3 years after termination of contract).
   Each Occurrence - Combined Single limit for bodily injury and property damage. Products - Completed Operations Aggregate Personal and Advertising Injury General Aggregate - Not applicable to Comprehensive Form
2. Business Automobile Liability: Covering owned, hired, leased, and non-owned automobiles, and providing bodily injury and property damage coverage. Limits of liability shall be per occurrence, combined single limit.
3. Worker's Compensation and Employer's Liability: (As required by Federal and State of California Law).
4. Builders Risk Property Insurance (For contracts over $200,000): University will provide builder's risk property insurance coverage as required by the contract documents, however, Contractor shall be responsible for the deductible amount in the event of losses.

1. Certificate of Insurance shall show the name of insured exactly in the manner under which the entity is licensed by the Contractor's State License Board.
2. If an insurance company refuses to use the UC Form, they must attach an endorsement to their form covering Special Provisions 1 - 4 exactly as it appears on the UC Form.
3. Must name Regents as additional insured.
4. Must give 30-days notice of change or cancellation.
5. The insurance shall be Primary Insurance as respects to the Regents of the University of California, its officers, agents and employees. Any insurance or self-insurance maintained by the Regents of the University of California shall be excess of and non-contributory with this insurance.

1. Publically bid projects require a bid security in the amount of 10% of the Lump Sum Base Bid to be submitted with the Bid Form. Bid security shall be a Bid Bond or a certified check made payable to "The Regents of the University of California". When a Bond is used for Bid Security, failure to use University's Bid Bond Form will result in the rejection of the Bid. All Bid securities are held by the University until project is awarded. Informally bid projects do not require a bid security.
2. Projects over $25,000 a Payment Bond, covering the payment of obligations arising under the contract terms is required.
3. Projects over $50,000 a Performance Bond, covering the faithful performance of the contract, is required.

1. Performance and Payment Bonds shall each be in the amount of the contract sum.
2. All premiums for bonds shall be paid by Contractor.
3. All such bonds shall be issued by an admitted surety insurer (as defined in the California Code of Civil Procedure Section 995.120).