BIDDER QUALIFICATION FORM

Please complete the form below

Business

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact

First Name

Last Name

Phone

Email Address

Type of Business

Type of Work

Federal Tax ID#

Insurance Company

# Years in Business

Incorporation Date

Incorporation State

License State

License Classification

License #

Bank

Bank Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trade Reference #1

Trade Reference #2

Trade Reference #3

Trade Reference #4

Trade Reference #5

Agent's Name

Agent's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

List categories of your company performs.

Has your organization ever failed to complete work awarded to it?

Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?

Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years?

Within the last five years, has any officer of principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?