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SUBCONTRACTOR PRE-QUALIFICATION FORM - …
SUBCONTRACTOR PRE-QUALIFICATION form Page 1 All subcontractors are required to complete this questionnaire. The contents of this questionnaire will be considered and used solely to determine your firm s qualification to perform work for Riley Construction. Return completed form to: Riley Construction 5301 99th Avenue, Kenosha, WI 53144-7870, Attention: SUBCONTRACTOR Prequalification PLEASE NOTE: This form must be filled out completely. Missing information may result in disqualification of consideration. Application Date: Date of Prequal Expiration: April 30th Next Year Background Company Name Type of Company Type of Work Performed Street Address Phone Number Fax Number City/State/Zip Principal Contact Email Address Year Business was Established States We Do Work In Union Non-Union Previous Name of Company (if applicable) Contractor s License # D&B # Qualified Minority Business?
SUBCONTRACTOR PRE-QUALIFICATION FORM Page 2 Provide summary of all projects under consideration for award. Location Start/Completion Contract Amount
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