Wash. Admin. Code § 468-16-210 - [Effective 12/22/2023] Prime contractor performance report
Prime Contractor Performance Report Instructions
The Prime Contractor Performance Report, DOT Form 421-010, consists of two parts - page 1 and page 2. Page 1 consists of Sections I, II, and III. Page 2 consists of Sections IV and V. The electronic form is optimized for use with Adobe Acrobat. Do not use Adobe Sign to complete or route the form for signature.
DOT Form 421-010 Distribution: Original - Prequalification Branch Copy - Region Administrator Copy - Project Engineer Copy-Contractor Revised 07/2022
Click to view image
Click to view image
Notes
Statutory Authority: RCW 47.01.101, 47.28.030 and 47.28.070. 94-05-004, § 468-16-210, filed 2/2/94, effective 3/5/94; 91-04-014 (Order 128), § 468-16-210, filed 1/28/91, effective 2/28/91.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.