School Name
Address
Request for Quotation
Date: ______________________
School Contact / Title - Requesting Quote: _____________________________________________________________
Contact E-Mail: ________________________ Contact Phone: _________________ Dept.: ______________________
Project Name:______________________________ Project Address/Location:_________________________________
Quote Due Date: _______________
Quote is good for: (circle one)
30 days
60 days
90 days
120 days
If the total project cost is over $1,000, this project is considered a “Public Work” and is subject to ALL
requirements pursuant to Labor Code §§ 1720 thru 1815. Accordingly, the payment of prevailing wages is
mandatory - Proof of a valid Contractor/Specialty license, DIR Registration, worker’s compensation and liability
insurance is required before work starts. Refer to the Public Works information link: http://www.dir.ca.gov/PublicWorks/PublicWorks.html for further information.
If selected, you will be required to enter certified payroll reports (electronically) into the Department of Industrial
Relations (DIR) eCPR website located at: http://www.dir.ca.gov/Public-Works/Certified-Payroll-Reporting.html
Quantity
Description/Scope of Work to be Performed
Unit Price
Grand Total
Attach additional sheets if necessary
Estimated Time to Complete Project: __________________________________ Drawing Attached: Yes 
Will Sub-Contractors be utilized: Yes 
Extended Price
No 
No 
(if yes – the same information as listed below must be submitted;
Use page 3, as necessary)
Please type or print legibly
Company Name: __________________________________________________________________________________
Company Address: ________________________________________________________________________________
Contractor’s Lic. No.: _______________
DIR Registration No.: ____________________ Tax ID: _________________
Contact Name: _______________________ Phone No.: _______________ E-mail address: ______________________
Revised 7/10/15
Page 1 of 3
School Name
Address
Request for Quotation (cont.)
DIR Classification(s) of workers to be utilized:
Check all that apply;
Asbestos
Cement Masons
Elevator Mechanic
Landscape Maint.
Pipe Trades/Plumber
Sound/Com/Data
Tile Workers
Bricklayers
Drywall Finisher
Glazier
Operating Engineer
Plaster
Surveyors
House Mover
Carpenters
Drywall Lather
Iron Worker
Modular Furn. Installer
Roofers
Teamster
Carpet/Linoleum
Electrician
Laborer
Painter
Sheetmetal/HVAC
Telecom Technician
Non-Performing (All work sub-contracted)
Classifications and wage rates can be found at: http://www.dir.ca.gov/Public-Works/Prevailing-Wage.html
DIR Prevailing Wage Hot Line (415) 703-4774
Printed Name: ___________________________________________________
Signature of Authorized Person: _____________________________________ Date: ____________________________
Important Notice: California law provides that “A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to
the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this
chapter, unless currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5.” Please go
to http://www.dir.ca.gov/Public-Works/Contractors.html for more information and to register. This project is subject to monitoring by the
Department of Industrial Relations
**Completion of this form does not constitute a binding contract to provide the work and/or equipment listed
above unless counter signed and dated by the owner.
Office Use:
Approved for Contract By:
Signature: ________________________________________________
Date:________________
Printed Name: __________________________________ Department: ___________________________________
Budget Code: ______________________________________ PO/Contract #:______________________________
PO/Contract Issue Date: ___________________________
Est. Project Start Date: _________________________
Est. Project End Date: ___________________________
PWC-100 Processing Date: _______________________________ By: ___________________________________
PWC-100 Data Entry Website: http://www.dir.ca.gov/Public-Works/Awarding-Bodies.html
Revised 7/10/15
Page 2 of 3
School Name
Address
Submittal of certified payroll reports (electronically) into the Department of Industrial Relations (DIR) eCPR
website located at: http://www.dir.ca.gov/Public-Works/Certified-Payroll-Reporting.html is required.
Sub-Contractor List
Please type or print legibly
Important Notice: California law provides that “A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to
the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this
chapter, unless currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5.” Please go
to http://www.dir.ca.gov/Public-Works/Contractors.html for more information and to register. This project is subject to monitoring by the
Department of Industrial Relations
Company Name: __________________________________________________________________________________
Company Address: ________________________________________________________________________________
Contractor’s Lic. No.: _______________
DIR Registration No.: ____________________ Tax ID: _________________
Contact Name: _______________________ Phone No.: _______________ E-mail address: ______________________
DIR Classification(s) of workers to be utilized:
Check all that apply;
Asbestos
Cement Masons
Elevator Mechanic
Landscape Maint.
Pipe Trades/Plumber
Sound/Com/Data
Tile Workers
Bricklayers
Drywall Finisher
Glazier
Operating Engineer
Plaster
Surveyors
House Mover
Carpenters
Drywall Lather
Iron Worker
Modular Furn. Installer
Roofers
Teamster
Carpet/Linoleum
Electrician
Laborer
Painter
Sheetmetal/HVAC
Telecom Technician
Non-Performing (All work sub-contracted)
Company Name: __________________________________________________________________________________
Company Address: ________________________________________________________________________________
Contractor’s Lic. No.: _______________
DIR Registration No.: ____________________ Tax ID: _________________
Contact Name: _______________________ Phone No.: _______________ E-mail address: ______________________
DIR Classification(s) of workers to be utilized:
Check all that apply;
Asbestos
Cement Masons
Elevator Mechanic
Landscape Maint.
Pipe Trades/Plumber
Sound/Communications
Tile Workers
Bricklayers
Drywall Finisher
Glazier
Operating Engineer
Plaster
Surveyors
House Mover
Carpenters
Drywall Lather
Iron Worker
Modular Furn. Installer
Roofers
Teamster
Carpet/Linoleum
Electrician
Laborer
Painter
Sheetmetal/HVAC
Telecom Technician
Non-Performing (All work sub-contracted)
Use additional pages as necessary
Revised 7/10/15
Page 3 of 3