Company Information

Company Name *
Company Address
Street 1
Street 2
City
State/Region Postal Code
Country
Company Phone * Company Fax
Company Website
 

Contact Person Information

Contact Person First Name *
Contact Person Last Name *
Contact Person Title
Contact Person Phone Number *
Contact Person Email
 

Scope of Work

Plumbing HVAC Electrical
 

Company Qualifications

Distance from Home Office
Crew Size
Traveled
Have you ever failed to complete a Contract, been defaulted, or had a contract terminated?
If you have failed to complete a control, please provide details of failed to complete
Experienced with Certified Payroll and Davis Bacon Wage Rates
 

Current/Past Projects

Within the last 2 years, Include name of project, scope of work, contract amount, and completion date
Current/Past Project 1
Current/Past Project 2
Current/Past Project 3
Current/Past Project 4
 

Mark all the states your company is licensed to work in:

AR KS NH TN
AZ KY NJ TX
CA LA NM UT
CO ME NY VT
CT MD NC VA
DE MA ND WA
FL MI OH WV
GA MN OK WI
HI MS OR WY
ID MO PA
IL MT RI
 

Experience

Check all types of work your company is experienced in:
Single Family Residential - Production
Single Family Residential - Tax Credit
Single Family Residential - High End Custom
Single Family Residential - General
Multifamily Housing
Military Housing
Institutional/Schools
Commercial - Office
Commercial - Restaurant
Commercial - Retail
Commercial - Nursing Homes
Hospitals
 

Insurance Requirements

General Liability Insurance
Workers Compensation
 

Project-Specific Requirements

Due to the requirements on some of our projects, it may be necessary to provide additional documentation for your company. Could you and/or your crew meet the following requirements if needed? Note: The answers to the following questions will not eliminate the possibility or being used by our company, but they will help us to know what projects your company could be eligible to work on.
Drug Screening
I-9 Verification
Criminal Background Check