Subcontractor Pre Qualification Application

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SUBCONTRACTOR
PRE-QUALIFICATION APPLICATION
Date:
_________________________________________________
Company:
_________________________________________________
Contract Person:
_________________________________________________
Address & Phone: _________________________________________________
Scope of Work (list all categories of work you want to qualify for):
A. ______________________________________________
B. ______________________________________________
C. ______________________________________________
Area(s) covered:
A. Palm Beach County ______
B. Broward County
______
C. Dade County
______
D. Martin County
______
E. St. Lucie
______
F. Indian River County ______
1. Company Profile
A. Years in business under present name? ______
B. This firm is a: [ ] Corporation
[ ] Partnership
[ ] Sole Proprietorship [ ] Union Shop [ ] Open Shop
[ ] LLC
[ ] Joint Venture
C. If your company is a corporation, please list the following:
Date Incorporated: _____________________________
State Incorporated: _____________________________
rd
Court ● Suite #102 ● Pompano Beach, Florida 33069
2301 N.W. 33
Telephone: (954) 917-5252 ● Fax: (954) 974-4646
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