Subcontractor Prequalification Form - Doerre Construction
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1Subcontractor Prequalification
(Completely Fill Out Prequalification)
Company Information
Company Name
Date
Address
Street Address
Suite #
City
State
ZIP Code
Phone (
)
Fax
(
)
NC
SC
States Licensed/will work in
VA
TN
MD
State License # (if applicable)
Certified
YES
NO
Minority Contractor
Type
by:
i.e. women-owned, veteran-owned, etc.
Bondable up to $
YES
NO
Bond Rate
Safety Manual & Safety Program
Primary Contact
(
)
Contact Person:
Phone:
Email:
Title:
Type of Work
Experience with the following – Please Check
Describe the scope/product you provide
Historical
Commercial
Financial
Retail
Industrial
Restaurants
Hospitality
Educational
Automotive
Medical
Give specific names of projects you have completed
References
List 3 clients and 3 suppliers your company has worked with within the last 2 years
Contact Person
Job Name
Company
Phone (
)
Contact Person
Job Name
Company
Phone (
)
Contact Person
Job Name
Company
Phone (
)
Contact Person
Job Name
Company
Phone (
)
Contact Person
Job Name
Company
Phone (
)
Contact Person
Job Name
Company
Phone (
)
Please email to Julie at
or you can fax it to 704-374-1889.
DCC Construction Prequalification Oct. 2013
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Parent category: Business