Subcontractor/Vendor Pre-Qualification Application

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Subcontractor/Vendor
Pre-Qualification Application

Subcontractor/Vendor Pre-Qualification Application

Please Note: All subcontractors must have General Liability Insurance, Workman’s Comp, and be bondable.

Legal Name of Company:*

Mailing Address:*

Street Address City State / Province / Region Postal / Zip Code

Physical Address:*

Street Address City State / Province / Region Postal / Zip Code

Name of Primary Contact:*

Cell Phone Number:*

Office Phone Number:*

Fax:

Primary Contact E-Mail Address:*

Estimators Contact Name:*

Estimators E-Mail Address:*

Owner's Name:*

Owner's E-Mail Address:*

List All Trades Performed and Applicable License #:*

Other Information

Date Business Established:*

Number of Employees:*

Business Entity Type:*

Corporation

Sole Proprietorship

Partnership

Other

SC Contractor’s Lic. No.:*

Classification:*

Licensed to do Work: (State(s) / Lic. No.):

General Liability Insurance Company:*

General Liability Insurance Company Phone Number:*

Workers Comp. Company:*

Workers Comp. Company Phone Number:*

Minority Status: (Select All That Apply):

Minority-Owned Business

Women-Owned Business

Small Business Enterprise

Disabled Veteran-Owned

Other Disadvantaged Business

Project Experience

Types of Projects: (Select All That Apply):*

Commercial

Industrial

Healthcare

Institutional

Retail

Multi-Family

Average Contract Range:*

List Four (4) Most Recent Projects Completed (include name/address of project, contact person name and cell number)*

References

- General Contractor References

GC Company Name 1:*

GC Contact Name 1:*

GC Contractor Phone Number 1:*

GC Contractor Email 1:*

GC Company Name 2:*

GC Contact Name 2:*

GC Contractor Phone Number 2:*

GC Contractor Email 2:*

GC Company Name 3:*

GC Contact Name 3:*

GC Contractor Phone Number 3:*

GC Contractor Email 3:*

- Bank References

Name of Bank 1:*

Bank Contact Name 1:*

Bank Contact Phone 1:*

Name of Bank 2:*

Bank Contact Name 2:*

Bank Contact Phone 2:*

- Trade Supplier References

Trade Supplier Company Name 1:*

Trade Supplier Contact Name 1:*

Trade Supplier Phone 1:*

Trade Supplier Email 1:*

Trade Supplier Company Name 2:*

Trade Supplier Contact Name 2:*

Trade Supplier Phone 2:*

Trade Supplier Email 2:*

I, THE UNDERSIGNED, CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, AND AUTHORIZE LISTED REFERENCES TO RELEASE INFORMATION TO MARSH/BELL CONSTRUCTION CO., INC.*

Agree

CONTACT

504 Rhett St.
Greenville, SC 29601

864.295.2728

info@marshbell.com

FAX: 864.269.5696

HOURS

Mon.-Thurs.: 7:30 am to 5:30 pm
Friday: 7:30 am to 11:30 pm