Subcontractor / Supplier Prequalification Form
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5SUBCONTRACT
OR / SUPPLIER PREQUALIFI
CATION FORM
Complete all portions of this form and return to AlliedCook Construction Corp. with a copy of your Certificate of
Insurance indicating current limits. This form will be utilized to determine and update contractor qualifications
and may be shared with clients and Project Team members as deemed appropriate by AlliedCook Construction
Corp.
GENERAL INFORMATION
Company Name:
Telephone:
Fax:
Physical Address:
Mailing Address:
Company Website Address:
Owners/Stockholders:
Email:
Yrs.
President:
w/Co:
Email:
Vice
Yrs.
President:
w/Co:
Email:
Yrs.
Treasurer:
w/Co:
Email:
How many years has your organization been in business under your present firm name:
Parent Company Name:
City:
State:
Zip:
Subsidiaries:
OFFICE
MAILING
8 US Route 1
207-772-2888 ● FAX 207-885-5135
PO Box 1396
Scarborough, ME 04074
Portland, ME 04104
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